This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 48-year-old patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous ... (Read 95 times)

Haya94

  • Hero Member
  • *****
  • Posts: 558
on: Jun 25, 2018
A 48-year-old patient with stage 2 chronic kidney disease (CKD) is scheduled for an intravenous pyelogram (IVP). Which order for the patient will the nurse question?
 
  a. NPO for 6 hours before procedure
  b. Ibuprofen (Advil) 400 mg PO PRN for pain
  c. Dulcolax suppository 4 hours before procedure
  d. Normal saline 500 mL IV infused before procedure

Question 2

A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV?
 
  a. Urine volume
  b. Calcium level
  c. Cardiac rhythm
  d. Neurologic status


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

shaikhs

  • Sr. Member
  • ****
  • Posts: 312
Reply #1 on: Jun 25, 2018
Answer to Question 1

ANS: B
The contrast dye used in IVPs is potentially nephrotoxic, and concurrent use of other nephrotoxic medications such as the nonsteroidal anti-inflammatory drugs (NSAIDs) should be avoided. The suppository and NPO status are necessary to ensure adequate visualization during the IVP. IV fluids are used to ensure adequate hydration, which helps reduce the risk for contrast-induced renal failure.

Answer to Question 2

ANS: C
The calcium gluconate helps prevent dysrhythmias that might be caused by the hyperkalemia. The nurse will monitor the other data as well, but these will not be helpful in determining the effectiveness of the calcium gluconate.


Haya94

  • Member
  • Posts: 558
Reply 2 on: Jun 25, 2018
Excellent

jojobee318

  • Member
  • Posts: 298
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Ether was used widely for surgeries but became less popular because of its flammability and its tendency to cause vomiting. In England, it was quickly replaced by chloroform, but this agent caused many deaths and lost popularity.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

Aspirin is the most widely used drug in the world. It has even been recognized as such by the Guinness Book of World Records.

Did you know?

In 2010, opiate painkllers, such as morphine, OxyContin®, and Vicodin®, were tied to almost 60% of drug overdose deaths.

Multiple sclerosis (MS). (a) A disease characterized by the gradual development of small areas of ha Multiple sclerosis (MS). (a) A disease characterized by the gradual development of small areas of ha
On March 25, 1911, as scores of young factory girls leaped to their deaths from the eighth, ninth, a On March 25, 1911, as scores of young factory girls leaped to their deaths from the eighth, ninth, a
Calipers are used to measure the body fat on the triceps of a patient. Calipers are used to measure the body fat on the triceps of a patient.
Reputable Websites for Patient Education Reputable Websites for Patient Education
Assisting a falling patient. Assisting a falling patient.
Stage of Surgical Anesthesia: Guedel's Classification Stage of Surgical Anesthesia: Guedel's Classification
Video: Heart sounds

For a complete list of videos, visit our video library