SI 480 - Exam Review 1

Renal

100

This Renal Disease is progressive and irreversible 

What is CKD?

200

This is the phase in an AKI with elevated K and Na, high specific gravity, and weight gain

Oliguric phase 

300

These are the S/S of Renal Cancer

What are painless hematuria and dull back pain?

400

This is what you must feel and hear prior to beginning IHD? what medications must the RN hold prior to IHD?

Feel Thrill and Hear Bruit, Must hold all antihypertensive meds!

500

A patient undergoing PD is experiencing respiratory distress. What is the nurses initial action? 

Apply O2, drain peritoneal cavity, call provider 

Fluids and Electrolytes

100

U waves on an EKG are indicative of which electrolyte abnormality?

What is hypokalemia?

200

A patients labs includes Na - 129. What precautions are important for the nurse to implement? Name 4 things needed 

Seizure precautions. Padded side rails, patent IV, open airway, oxygen, suction, No pillow beneath, never put anything in their mouth

300

This is the muscle that hypophos primarily affects

What is the Diaphragm? - decreased respiratory drive 

400

These foods are high in potassium (name 5)

What are potatoes, avocados, dried fruits, bananas, beans/lentils, kiwi, leafy greens

500

These cause interoperative fluid shifts (name all 3) 

RAAS system 

Immune response 

Oncotic pressure 

GI

100

this is the point that is tender to the touch in appendicitis 

McBurney's point 

200

These are the Hallmark signs for colorectal cancer (name both) 

Change in bowel habits and rectal bleeding 

300

This is the formation of abnormal pouches in the bowel wall 

What is Diverticulosis?

400

Sudden Mid-epigastric pain is a symptom of which condition?

GI bleed (Esophageal varices) 

500

These are the steps that are to be taken for treating a GI bleed (name them in order) 

1. Maintain airway (Intubation)

2. Maintain adequate perfusion (fluids, blood, volume expanders)

3. administer medications (electrolytes, vasopressin)

4. Stop the bleed 

Liver

100

Name which types of Viral Hepatitis are transmitted fecal-orally and which are parenteral? 

Fecal Oral: Hep A and E (Vowels for Bowels) 

Parenteral: Hep B, C, D

200

This needs to be completed prior to a patient undergoing a paracentesis 

The patient must empty their bladder 

300

This is the stages of liver damage where damage can no longer be reversed

Fibrosis (Fibrotic liver)

400

Name 5 functions of the Liver 

Creates Bile, Manages glycogen/energy conversion, detoxification, albumin production, detoxification, excretes excessive cholesterol, stores vitamins and minerals, enzyme activation (angiotensinogen)

500

Name 3 S/S of Hepatic Encephalopathy and the common Treatment for the disease process 

Tx: Lactulose (need 2-3 BM daily) 

S/S: asterixis, apraxia, altered memory, altered concentration 

Pancreas

100

These labs will be elevated in pancreatitis (please name both)

Amylase and Lipase 

200

This is a common cause of acute pancreatitis

What is sustained use/abuse of ETOH?

300

Name 3 specific interventions the nurse must complete for a patient with Acute Pancreatitis

NPO, NG tube to LIS, Fluid Resus, PCA 

400

A patient presents in the ED with bruising on his abdomen and on his midback. After his labs are drawn, his Lipase and Amylase are elevated. What are the names of the "bruises" this patient presents with? (please give the name and description of both) 

Turners sign - flank bruising 

Cullen's sign - bruising around umbilicus

500

This is an electrolyte that would be important for a nurse to monitor for a patient with pancreatitis

Calcium (hypocalcemia)