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NSG 430 – End-of-Term Final Exam
Prep Guide.
WHAT IS THE TREATMENT FOR PERIPHERAL EDEMA?
A. DIURETICS
B. EXOGENOUS ALBUMIN
C. HYPOVOLEMIC FLUID BOLUS
D. ENDOGENOUS RETICULOCYTES
<<<CORRECT ANSWERS >>>B
PERIPHERAL EDEMA IS CAUSED FROM AN INCREASE IN PORTACAVAL PRESSURE FROM
PORTAL HYPERTENSION. ALBUMIN IS A PROTEIN GENERALLY MADE IN THE LIVER, THAT
WILL WORK TO PREVENT FLUID FROM LEAKING OUT OF THE BLOOD VESSELS AND INTO
THE TISSUES.
WHAT IS A NURSING INTERVENTION FOR PATIENTS WITH ASCITIES? (SELECT ALL THAT
APPLY)
A. MEASURING THE ABDOMIN EVERY DAY
B. FLUID BOLUS TO REPLACE LOST FLUIDS
C. MEASURING THEIR CALCIUM LEVELS
D. DAILY WEIGHT
E. DIURETICS
<<<CORRECT ANSWERS >>>A, D, E
MANIFESTED BY ABDOMINAL DISTENSION AND WEIGHT GAIN.
YOU MAY SEE SKIN STRIAE WITH THESE PATIENT.
IF IT IS SEVERE THE UMBILICITUS MAY BE DISTENDED.
THESE PATIENTS CAN HAVE HYPOKALEMIA FROM HYPERALDOSTERONISM OR DIURETIC.
MONITOR PATIENTS POTASSIUM LEVELS.
