Page 463 - Critical Care Nursing Demystified

448 CRITICAL CARE NURSING DeMYSTIFIED

10. CAT scan results indicate to the nurse that the patient has a normal-functioning
thyroid gland, which can be described as
A. Thyroiditis
B. Thyromegaly
C. Euthyroid
D. Myxedema

Chapter 8

1. Proper pharmacologic management is important in the care of the patient on
hemodialysis (HD). When caring for the HD patient, which of the following med-
ications would the nurse question and hold in a patient with chronic renal fail-
ure until after HD? Select all that apply.
A. Digoxin
B. Folic acid
C. Vitamin B6
D. Os-cal
E. Renagel capsules
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2. A nurse is reviewing the laboratory values in a patient with chronic renal failure.
Which of the following are consistent with a patient before dialysis?
A. Serum creatinine 1 mg/dL
B. Serum potassium 5.8 mEq/L
C. Hemoglobin 13 g/dL
D. Urine creatinine clearance 125 mL/min

3. A patient has been treated with hemodialysis for chronic renal failure (CRF). You
are told in report that the patient has a right upper arm arteriovenous (AV) fis-
tula. Upon assessing this patient it is critical to determine the patency of this AV
fistula by the presence of
A. A murmur and a pulse deficit
B. Silence when auscultating the fistula
C. A bruit and thrill
D. Steal syndrome located in the left upper arm
4. When administering Kayexalate to a patient in ARF, the nurse should be sure to
A. Monitor for Steal syndrome.
B. Observe for a drop in sodium levels.
C. Watch for the return of normal T and P waves.
D. Administer sorbitol and/or cleaning enemas after the medication.