Question

1. A patient develops unexplained heart failure (HF) that remains unresponsive to usual therapy. The nurse should anticipate preparing the patient for all of the following blood test expect:

A. ECG, B. TROPONIN , C. MYOGLOBIN, D. BARRIUM SWALLOW E CARDIAC CATHERIZATION

2. A nurse is caring for a patient who has hyponatremia and metabolic alkalosis with iv fluid volume deficit to his NPO status. which of the following solution should the nurse prepare to infuse?

A. lasted ringers B. dextrose in 10 % water, c. 0.45% sodium chloride D. dextrose 5 % i 0.9 % sodium chloride

3. A 73 year old patient has been hospitalized for 4 days with acute kidney injury (AKI) caused by dehydration. which information will be most important for the nurse to report tot he physician?

A. creatine level 2.9

B. urine out put is 2400 ml in 8 hours

c. BUN is 55

D. GFR is less than 30 ml/min/1.73

Please explain the answers if possible

Answer 1

2. A Patient with hyponatremia and metabolic alkalosis with IV fluid volume deficit to his NPO status - We can in initiate 0.9%Nacl infusion with monitoring of serum sodium and follow up at 6 to 8 h.Hypovolemic hyponatremia improves with 0.9% NaCL.

3. AKI - old age patient with AKI -

Urine output is 2400ml in 8hrs.Which is not normal in AKI.Because Oliguria favours AKI

AKI -Abrupt anuria suggests acute urinary obstruction, acute and severe glomerulonephritis, or embolic renal artery occlusion. A gradually diminishing urine output may indicate a urethral stricture or bladder outlet obstruction due to prostate enlargement.