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Author Question: A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which ... (Read 76 times)

Destiiny22

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on: Jun 25, 2018
A client in the intensive care unit is started on continuous venovenous hemofiltration (CVVH). Which finding is the cause of immediate action by the nurse?
 
  a. Blood pressure of 76/58 mm Hg
  b. Sodium level of 138 mEq/L
  c. Potassium level of 5.5 mEq/L
  d. Pulse rate of 90 beats/min

Question 2

The charge nurse of the medical-surgical unit is making staff assignments. Which staff member should be assigned to a client with chronic kidney disease who is exhibiting a low-grade fever and a pericardial friction rub?
 
  a. Registered nurse who just floated from the surgical unit
  b. Registered nurse who just floated from the dialysis unit
  c. Registered nurse who was assigned the same client yesterday
  d. Licensed practical nurse with 5 years' experience on this floor


adf223

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Reply #1 on: Jun 25, 2018
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.


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Destiiny22

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Reply #2 on: Jun 25, 2018
Thank you :)


adf223

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Reply #3 on: Jun 25, 2018
Happy to help you


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