This topic contains a solution. Click here to go to the answer

Author Question: The nurse is caring for a client admitted to the medicalsurgical unit with hypervolemia that has ... (Read 71 times)

torybrooks

  • Hero Member
  • *****
  • Posts: 500
The nurse is caring for a client admitted to the medicalsurgical unit with hypervolemia that has resulted from renal failure. Which medications does the nurse anticipate will be prescribed for this client based on the diagnosis?
 
  Standard Text: Select all that apply.
  1. Furosemide (Lasix)
  2. Hydrochlorothiazide (Microzide)
  3. Epoetin alfa (Procrit)
  4. Polystyrene sulfate (Kayexalate)
  5. Sodium bicarbonate

Question 2

The nurse is caring for clients on a renal failure unit and recognizes which are indications for diuretic therapy?
 
  Standard Text: Select all that apply.
  1. Confusion and ataxia
  2. Visual and auditory hallucinations
  3. Blood pressure of 200/98 mmHg
  4. Generalized edema and decreased urine output
  5. Pinpoint pupils and extreme paranoia



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

carlsona147

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

Correct Answer: 1,2
Rationale 1: Loop diuretics are often given to treat the hypervolemia that accompanies renal failure.
Rationale 2: Thiazide diuretics are often given to treat the hypervolemia that accompanies renal failure.
Rationale 3: Epoetin alfa (Procrit) is used to treat anemia, not hypervolemia, associated with renal failure.
Rationale 4: Polystyrene sulfate (Kayexalate) is used to treat hyperkalemia, not hypervolemia, associated with renal failure.
Rationale 5: Sodium bicarbonate is used to treat the acidosis, not hypervolemia, associated with renal failure.
Global Rationale: Loop and thiazide diuretics are often given to treat the hypervolemia that accompanies renal failure. Epoetin alfa (Procrit) is used to treat anemia, not hypervolemia, associated with renal failure. Polystyrene sulfate (Kayexalate) is used to treat hyperkalemia, not hypervolemia, associated with renal failure. Sodium bicarbonate is used to treat the acidosis, not hypervolemia, associated with renal failure.

Answer to Question 2

Correct Answer: 3,4
Rationale 1: These manifestations could be caused by nonrenal pathology, and there is no evidence of indications for diuretic therapy.
Rationale 2: Visual and auditory hallucinations could be caused by nonrenal pathology, and there is no evidence of indications for diuretic therapy.
Rationale 3: Hypertension is an indication for diuretic therapy.
Rationale 4: These are signs of renal failure and edema, which are indications for diuretic therapy.
Rationale 5: Pinpoint pupils and extreme paranoia could be caused by nonrenal pathology. There is no evidence of indications for diuretic therapy.
Global Rationale: Hypertension is an indication for diuretic therapy. Generalized edema and decreased urine output are signs of renal failure and indicate the need for diuretic therapy. The other clinical manifestations are typically caused by nonrenal pathology and do not indicate the need for diuretic therapy.




torybrooks

  • Member
  • Posts: 500
Reply 2 on: Jul 23, 2018
Excellent


frankwu0507

  • Member
  • Posts: 322
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

 

Did you know?

In the ancient and medieval periods, dysentery killed about ? of all babies before they reach 12 months of age. The disease was transferred through contaminated drinking water, because there was no way to adequately dispose of sewage, which contaminated the water.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

Did you know?

Eat fiber! A diet high in fiber can help lower cholesterol levels by as much as 10%.

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

For a complete list of videos, visit our video library