A patient with chronic kidney disease is prescribed a phosphate binder such as calcium acetate. The nurse understands that this medication is given to: a) Lower serum potassium levels b) Prevent hypocalcemia c) Decrease phosphate absorption and prevent hyperphosphatemia d) Improve renal blood flow.
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- A patient is taking entacapone (Comtan) as part of the therapy for Parkinson’s disease. Which intervention by the nurse is appropriate at this time? a )Notify the patient that this drug causes discoloration of the urine.b )Limit the patient’s intake of tyramine-containing foods.c )Monitor results of renal studies because this drug can seriously affect renal function.d )Force fluids to prevent dehydrationDuring treatment with doxorubicin (Adriamycin), the nurse must monitor closely for which potentially life-threatening adverse effect? a) Nephrotoxicityb )Peripheral neuritisc )Cardiomyopathyd )OtotoxicityWhen teaching the patient about the signs and symptoms of cardiac glycoside toxicity, the nurse should alert the patient to watch fora) visual changes such as photophobia.b) flickering lights or halos around lights.c) dizziness when standing upd) increased urine output.
- Which of the following complication associated with renal failure should cause the nurse to notify the primary care provider for immediate dialysis? A) Hyperkalemia B) Hypertension C) Increased creatinine levels D) Uremia.What patient population might benefit from a calcium sparing diuretic such as HCTZ? A) Elderly female B) Young adult male C) Female toddler D) Male infant Besides blood pressure management, what is another common indication of antiarrhythmics? A) Glaucoma B) Dizziness C) Heart arrhythmia D) Muscle soreness Hypertension is commonly managed with multiple medication types, to include diuretics, beta blockers, and _______________. A) Calcium Channel Blockers B) Nitrates C) ACE Inhibitors D) All of the aboveA patient with a history of hypertension is prescribed enalapril. The nurse should monitor for which potential adverse effect of this medication? a) Hyperkalemia b) Hypertension c) Hypoglycemia d) Dry cough.
- A patient with chronic kidney disease (CKD) is undergoing hemodialysis. The nurse monitors the patient for complications such as: A) Hypovolemia B) Hyperkalemia C) Respiratory alkalosis D) HyperglycemiaA client diagnosed with hypertension is prescribed lisinopril. The nurse should monitor the client for which potential adverse effect associated with this medication? A) Hyperkalemia B) Hypocalcemia C) Hypokalemia D) Hypercalcemia.When preparing an IV solution that contains potassium, the nurse knows that a contraindication to the potassium infusion would be a) diarrhea.b) serum sodium level of 145 mEq/L.c )serum potassium level of 5.6 mEq/L.d) dehydration.
- An opioid analgesic is prescribed for a patient. The nurse checks the patient’s medical history knowing this medication is contraindicated in which disorder?a) Renal insufficiencyb) Se-ere asthmac) Li-er diseased )Diabetes mellitusIII) A Patient has just received an administration of an intravenous potassium too rapidly. a) What signs and symptoms would you assess for? b) What lab values would you suspect for this Patient? c) What treatment would be prescribed for this Patient? IV) An elderly Patient has just been admitted into the Emergency Room with symptoms of confusion, muscle tremors, and a red, swollen tongue. When taking his history, it is revealed he had been discharged from the hospital 2 days ago. He has been on IV therapy for a stomach virus but could not keep down fluids after he was discharged. a) What electrolyte imbalance do you suspect for this Patient? b) What other signs and symptoms might you need to assess for? c) What type of treatment would be appropriate for this Patient?The process by which blood is cleared of metabolic wastes in case of kidney failure is called: a) artificial kidneyb) dialysisc) transplantationd) filtration