9. You know that all but one of the following may eventually result in uremia. Which optionis not implicated?a. glomerular diseaseb. uncontrolled hypertensionc. renal disease secondary to drugs, toxins, infections, or radiations
d. all of the above
Options A, B and C are potential causes of renal damage and eventual renal failure.Individuals can live very well with only one healthy kidney.10. You did the initial assessment on Mr. Kaplan when he came to your unit. What classicalsigns and symptoms did you note?a. fruity- smelling breath.
b. Weakness, anorexia, pruritus
c. Polyuria, polydipsia, polyphagiad. Ruddy complexion
Weakness and anorexia are due to progressive renal damage; pruritus is secondary topresence of urea in the perspiration. Fruity smelling breath is found in diabetic ketoacidosis.Polyuria, polydipsia, polyphagia are signs of DM and early diabetic ketoacidosis. Oliguria isseen in chronic renal failure. The skin is more sallow or brown as renal failure continues.
11. Numerous drugs have been used on Mr. Kaplan in an attempt to stabilize him.Regarding his diagnosis and management of his drugs, you know that:a. The half-life of many drugs is decreased in uremia; thus dosage may have to beincreased to be effective.
b. Drug toxicity is a major concern in uremia; individualization of therapy andoften a decrease in dose is essential.
c. Drug therapy is not usually affected by this diagnosisd. Precautions should be taken with prescription drugs, but most OTC medications are safefor him to use.
Metabolic changes and alterations in excretion put the client with uremia at risk fordevelopment of toxicity to any drug. Thus alteration in drug schedule and dosage isnecessary for safe care.
You are assigned to cardiac clinic to fill in for a colleague for 3 weeks. You begin byreviewing assessment of the cardiovascular system in your mind and asking yourself thefollowing:12. The point of maximum impulse (PMI) is an important landmark in the cardiac exam.Which statement best describes the location of the PMI in the healthy adult?a. Base of the heart, 5th intercostal space, 7-9 cm to the left of the midsternal line.b. Base of the heart, 7th intercostal space, 7-9 cm to the left of the midsternal line.
c. Apex of the heart, intercostal space, 7-9 cm to the left of the midsternal line.
d. Apex of the heart, intercostal space, 7-9 cm to the left of the midsternal line.
The PMI is the impulse at the apex of the heart caused by the beginning of ventricularsystole. It is generally located in the 5
left ICS, 7-9 cm from the MSL or at, or just medialto, the MCL.