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.
Patients should be encouraged to bring to their health care visit all the substances that they take,
Part of this child's pattern of daily living is attending child care during the work day
Applying developmental theory to care
Critical thinking and implementing care
Paramedic Care: Principles & Practice, Volume 1, 5th Edition
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