The critical care nurse is caring for a patient with acute renal failure in the oliguric phase. The nurse will closely monitor the patient for which commonly experienced electrolyte imbalance?
A) Hyperkalemia
B) Hypercalcemia
C) Hyperlipidemia
D) Hyperbilirubinemia
Ans: A
Feedback: With a decline in the glomerular filtration rate (GFR), the patient cannot excrete potassium normally. Patients with oliguria and anuria are at high risk of hyperkalemia. Protein catabolism results in the release of cellular potassium into the body fluids, causing severe hyperkalemia. Hyperlipidemia and hypocalcemia are conditions that occur with chronic renal failure. Hyperbilirubinemia is associated with liver dysfunction.
You might also like to view...
During assessment of a newborn, the nurse notes the following symptoms: irregular, rapid respirations accompanied by respiratory grunting, flaring of the nostrils, tachycardia, and cyanosis. The nurse suspects the following problem:
a. No problem: these are normal findings b. Apnea c. Atelectasis d. Hemorrhagic disease
A patient has been taking warfarin (Coumadin) daily and is also taking aspirin (acetylsalicylic acid) for rheumatoid arthritis
A nurse is aware of the actions of these medications and should be most concerned if the patient were to report complaints of a. a loose tooth. b. a urinary tract infection. c. stiffness in the joints. d. easy bruising.
Diabetes insipidus is a rare condition caused by damage to the _____
a. liver b. pancreas c. pituitary gland d. hypothalamus
During marital counseling, a man complains that his wife often "bombards" him with problems as soon as he settles down at home after work, which results in a prolonged argument
The wife admits that she does this but states she feels neglected and that her husband does not take the family problems seriously. She doesn't want her marriage to turn out like her parents' marriage. The wife admits that she sometimes provokes an argument in order to gain her husband's attention. How would a behaviorist most likely explain the wife's actions? A) She has repressed painful memories about her emotionally distant father and is working out her anger at the parent in the marital relationship. B) Her thoughts about her parents' unhappy marriage are a justification for her behavior. C) She has an underlying anxiety disorder. D) The long argument in which she and her husband participate positively reinforces her behavior.