Answer to Question 1
ANS: A
Hypotension can be a problem with CVVH if replacement fluid does not provide enough volume to maintain blood pressure. The specially trained nurse needs to monitor for ongoing fluid and electrolyte replacement. The sodium level is normal and the potassium level is slightly elevated, which could be normal findings for someone with acute kidney injury. A pulse rate of 90 beats/min is normal.
Answer to Question 2
ANS: C
The client is exhibiting symptoms of pericarditis, which can occur with chronic kidney disease. Continuity of care is important to assess subtle differences in clients. Therefore, the registered nurse (RN) who was assigned to this client previously should again give care to this client. The float nurses would not be as knowledgeable about the unit and its clients. The licensed practical nurse may not have the education level of the RN to assess for pericarditis.
Concept Care Map
Client receiving hemodialysis.
Continuous positive airway pressure (CPAP) device. The sleeping subject is receiving the benefits of
Testing the client’s ability to feel vibrations, the knee
Determine if each function is continuous, If the function is not continuous, find the x-axis
Cooperative Care: A pair of Caspian terns cooperate in caring for their chick.