Term
| Periods of tachypnea means that the respiration rate is? |
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Definition
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Term
| No Breath sounds in the lower right lobe indicates what? |
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Definition
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Term
| Why do you monitor bilateral breath sounds following a thoracentesis? |
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Definition
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Term
| Which intervention would be inappropriate in performing a tracheal suction? |
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Definition
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Term
| What is the residual you hold for a tube feed and report to a doctor your findings? |
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Definition
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Term
| Symptoms of hypoxemia are? |
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Definition
| Tachycardia, Tachypnea and Restlessness |
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Term
| Wheezes in a patient with asthma occur because why? |
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Definition
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Term
| What intervention that will enahnce the nutritional status of a patient with COPD |
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Definition
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Term
| A sign of right sided heart failure is? |
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Definition
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Term
| A rising PaCO2 level in a COPD patient means? |
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Definition
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Term
| An alternative to manuel chest physiotherapy |
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Definition
| Flutter mucus clearence device |
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Term
| Discharge Planning should include what when teaching about the CPAP ventilation device? |
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Definition
| Works for sleep apnea, basics of how to use it |
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Term
| What are some normal age-related changes in older adults that make them susceptible to cardiovascular disease? |
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Definition
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Term
| A DVT that ould predispose the patient to a development of a more serious condition, what is the condition? |
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Definition
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Term
| Burning, aching, pain in the legs when walking to the mailbox these symptoms are relieved with rest |
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Definition
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Term
| Define Poikelothermy, Pallor, Pulselessness |
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Definition
Poikelothermy- coolness of the body parts
Pallor - Pale
Pulselessness - occlusion distal to the clot |
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Term
| Adequate Capillary Refill |
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Definition
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Term
What is a positive Homan's sign?
What is the Allen test? |
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Definition
Homans - Dorisflexion with pain in the calf or popilteal
Allens - perfusion of the hand |
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Term
| Describe what +3 edema is |
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Definition
| Depressions of 1/2 - 1 inch |
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Term
| Ulcerations on the surface of the patients toes is assessed as what? |
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Definition
| PAD or Chronic Venous Insufficiency |
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Term
Following an angiogram, you will make a point of care to assess and document what? |
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Definition
| Hemmorrhage at site, allergic reaction |
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Term
| Instruction related to a stress test on a treadill would include what? |
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Definition
| Don't smoke, No caffeine, No eating, its going to get harder as you go |
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Term
How does something as simple as walking could help his venous vascular disorder, your response is? |
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Definition
| increases circulation, improves muscle tone |
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Term
How is the Buerger-Allen exercise performed? |
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Definition
| Dangle legs before getting up |
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Term
| Patient with PVD that has continued smoking causes detriental vasoconstriction for up to ______ after only one cigarette |
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Definition
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Term
| A factor that aggravates vascular disease |
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Definition
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Term
| When caring for a patient with elastic stockings, the nurse should? |
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Definition
| Apply in the morning, take off at night. Make sure they are clean and not stretched |
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Term
| A patient with aterial insuddiciency should be instructed to? |
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Definition
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Term
| When injecting low-molecular weight heparin for anticoagulant therapy you should? |
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Definition
| Not aspirate and Not massage |
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Term
| Teaching plan for the use of warfarin |
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Definition
| Check INR weekly, take same time of day everyday |
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Term
| Nursing care for a client who returned from a vein ligation and stripping? |
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Definition
| Check for tissue perfusion |
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Term
| An antiplatelet edication that can bring on symptoms of tinnitus |
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Definition
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Term
| An obese patient complains of sudden discomfort in her leg, the leg is cold and pale, with no pedal or popliteal pulse, what is your assessent? |
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Definition
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Term
| An important postoperative sign to report iediately hen carin g for a patient with an endarterectoy ith a synthetic graft is? |
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Definition
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Term
| Raynaud's disease has a nursing diagnosis of " Ineffective tissue perfusion related to vasoconstriction" is being given discharge instructions. The nurse should caution the patient to? |
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Definition
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Term
| Patient teaching for the patient ith varicose veins should include? |
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Definition
watch weight, stockings, don't stand for to long, elevate legs
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Term
| What is a Normal adult's bloodpressure? |
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Definition
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Term
| The nurse explains that hypertension in older adults is |
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Definition
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Term
| Modifiable risk factor for hypertension include? |
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Definition
| Weight, Diet, Exercise, Smoking Cessation |
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Term
| Hypertension headaches characteristically occur where? |
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Definition
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Term
| A patient has hypertension and reports no symptoms. To encourage medication compliance, the nurse cautions the patient that uncontrolled hypertension can lead to sudden alterations in health that include? |
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Definition
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Term
You explain that treatment of secondary hypertension primarily focuses on what? |
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Definition
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Term
Hypertension is evaluated to confirm consistent blood pressure readings over? |
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Definition
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Term
What dietary teaching would be included while taking hydrochlorothiazide (HCTZ) for hypertension? |
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Definition
| Increase potassium intake |
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Term
| A 38 year old black obses diabetic patient is being evaluated for the use of propranolol (Inderal) in controlling his HTN. The nurse points out that a contraindication for that drug's use in this patient would be his? |
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Definition
| Diabetes, because it decreases blood glucose and suppress the usual signs of hypoglycemia |
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Term
| An 89 year old patient is taking an antihypertensive edication. Hoe care teaching by the nurse would include instructing the patient to? |
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Definition
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Term
| The nurse should instrcut the patient who is started on verapail (Calan) for his elevated BP to monitor his? |
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Definition
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Term
| A patient is prescribed an angiotensin-converting enzyme inhibitor, enalapril (vasotec). The nurse instructs the pt. to? |
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Definition
| watch for changes in urinary output, monitor pulse |
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Term
| An 87 year old patient is taking fluroseide (Lasix) for elevated bloof pressure. The nurse knows that older patients are at risk for |
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Definition
| hypokalemia, decreased blood volume |
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Term
| A patient on diuretic therapy for his HTN reprots experienceing uscle weakness. The nurse explains that this symptom is related to |
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Definition
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Term
| A patient being evaluated for the cause of hypertension reports experiencing HDL, 68 mg/dL and LDL, 82 mg/dL. The nurse reports this finding as |
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Definition
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Term
| The nurse points out the DASH diet has the advantages of |
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Definition
| lowers BP in HTNers and reduces the risk for non HTNers |
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Term
| The nurse reminds a patient that bradycardia is a side effect of which medication |
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Definition
Digoxin,
Beta Blockers "olols" - atentolol, propranolol
Calcium channel blockers verapail, nifedipine, diltizam
ganglionic blockers - meconytaine |
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Term
| In a teaching plan for a hypertensive patient, the nurse would include |
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Definition
| diet, exercise, watch sodium and alcohol intake |
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Term
| The nurse cautions that beta blockers work by |
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Definition
| block beta effects of catecholamines |
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Term
| When a patient reports drosiness fro his antihypertensive medications, the nurse ould include a nursing intervention instructing a patient to |
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Definition
| take at night, stay away from dangerous activites |
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Term
| A patient who has been taking methyldopa (Aldomet) for his HTN presents to the eergency departent ith a severe heachache, blurred vision, and a bloof pressure of 200/94 mm Hg. The nurse would suspect |
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Definition
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Term
| The patient with HTN comes to the ER and is experiencing nausea and vomiting and is restless and confused. His vitals are BP 220/130, P 120 and R 24. Based on these assessents the nurse would conclude that the patient is experiencing? |
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Definition
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Term
| The nurse caring for a patient with HTN crisis will place priority on? |
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Definition
| Rapidly decreasing BP to a non-life threatening level and bring it slowly to a normal range |
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Term
| What should the nurse do before infusing a brevity flow tube feeding using a large syringe you should? |
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Definition
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Term
| The nurse assess a risk factor that increases the chances of developing oral cancer, which is |
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Definition
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Term
| The hoe health nurse observes the patient ith esophageal cancer tilt his head back hile eating, which could result in |
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Definition
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Term
| After adinistering prothazine (Phenergan) for nausea, the nurse takes extra precautionary implementaion because of the coon side effect of antiemetics which is |
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Definition
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Term
| The gial for your patient with gastritis who has experienced nausea, vomiting and diarrhea is to have to return to a normal elimination patterns. which best reflects this goal |
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Definition
| They have normal bowl elimination |
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Term
| What is the process when you collect several stool specimens that are to go to the laboratory? |
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Definition
Parasites - warm
Pathogens - Cold |
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Term
| Your 44-year-old client admitted with severe diarrhea and fatigue, which has been going on for several days, why would diarrhea cause chronic fatigue? |
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Definition
| Because it interferes with absorption of nutrients and can lead to malnutrition and anemia |
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Term
| The most appropriate way to ensure effectiveness of Stool softeners to promote normal elimination of feces would be? |
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Definition
| Try high fiber foods, drinking at least 8 glass of water, and exercise first. To only use for occasional constipation, if they are used regularly they will interfere with normal elimination |
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Term
| The best indication that a client with intestinal obstruction has achieved normal hydration would be? |
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Definition
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Term
| Following abdominal surgery, your patient ust cough and take deep breaths. How can you best achieve this with your patient? |
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Definition
| Splint Pillow, Incentive Spirometery |
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Term
| What are risk factors in an older man that puts him at risk for developing diverticulosis? |
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Definition
| Age, obesity, constipation and emotional tension |
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Term
| What client teaching should be included about avoidance to promote self-care of Client with diverticulitis? |
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Definition
| Avoid spicy foods, seeds and opiods. |
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Term
| What complication would the nurse monitor for after a liver biopsy? |
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Definition
| Hemmorrhage and Pneumothorax |
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Term
| What sign would be a contraindication for the need of increased fluid intake? |
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Definition
| Increased abdominal girth |
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Term
| The Occupational Health and Safety Administration (OSHA) has a requirement that all health care providers have the vaccination for? |
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Definition
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Term
| The nurse will evaluate that dietary teaching is successful when the patient on a low-sodium diet selects: |
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Definition
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Term
| The nurse reports the observation that would indicate blocked flow of bile from the liver to the intestine, which is |
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Definition
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Term
| A facial characteristic that is a sign of fluid retention is |
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Definition
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Term
| When a pt comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine, the nurse suspects that this pt. has |
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Definition
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Term
| The hoe health patient who has cystitis has been put on the drug phenazopyridine (Pyridium) and should be cautioned about |
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Definition
| Red, Orange Urine that stains clothes |
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Term
| Your are caring for a pt with acute glomerulonephritis. The inflammation of the capillary loops in the glomeruli leads to |
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Definition
| Increased BP, decreased Cardiac Output, proteinuria, Renal Failure |
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Term
| When the nurse caring for a patient with an AV fistula in the forearm assesses that there is an absence of a "thrill" hen palpating the venous side of the fistula, the nurse should |
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Definition
| Call the charge nurse, bc it's occluded |
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Term
| The patient on dialysis asks hy he is receiving aluinum hydroxide gel (Amphojel) for his renal disorder. The nurse explains that Amphojel will |
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Definition
| Binds with phosphate, raises serum calcium |
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Term
| You become alarmed when the dialysis patient who is taking gentamicin (Garamycin) states |
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Definition
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Term
| Erythropoietin is a hormone produced by the kidney. When the patient is in chronic renal failure, loss of this hormone will result in |
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Definition
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