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.
Awareness of cultural and religious norms and customs will help you deliver appropriate nursing care
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Building competency in patient centered care
Common Pathogens Associated with Health Care–Associated Infections
Positioning the client
Which of the following is not a unit factor related to a 15.0% aqueous solution