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1. Identify and explain the specific pathophysiology

1. Identify and explain the specific pathophysiology of hypertension in pregnancy 2. Identify seven (7) assessment results related to hypertension in pregnancy 3. Identify three (3) appropriate medical therapies (including classification of medications, diet, treatments, and/or activities) that may be utilized for hypertension in pregnancy 4. state five (5) nursing interventions for hypertension in pregnancy 5. State three (3) potential healthcare information items (reinforcement of client teaching) related to medical therapies and/or nursing interventions of hypertension in pregnancy. 6. Explain why metabolic acidosis develops in renal failure. Why does Kussmaul breathing occur? 7. What effect does Acute renal failure have on erythropoietin production? What medication would be administered for treatment? 8. In regards to lab vales and Renal Failure. List 3 labs that would be increased and 3 labs that would be decreased. 9. In acute renal failure, what electrolyte is of concern? Is it due to its elevation or decrease? Name 2 medications/treatments for this. 10. Name a medication classification that would be held prior to dialysis. 11. A patient was admitted with poor circulation, uncontrolled diabetes, a history of renal failure and diarrhea. What acid-base imbalance is the patient high risk for: A. respiratory acidosis B. metabolic acidosis C. metabolic alkalosis D. respiratory alkalosis 12. A nurse is assisting with the care of a client who has diabetic ketoacidosis. The nurse should anticipate that the clients condition will be treated initially with which of the following IV solutions. A. dextrose 5% in 0.45% sodium chloride B. 0.45% sodium chloride C. 0.9% sodium chloride D. Dextrose 5% in 0.9% sodium chloride 13. DW is a 60-yr old male patient who has been taking prednisolone 60mg daily due to complications related to chemotherapy. He was admitted to the med-surg unit with the following lab results: Serum glucose level: 534, ABG: pH 7.33, PaCO2 37, HCO3- 20. Taking into consideration all 4 results, what disorder to you think this patient is presenting with? (disorder, not acid-base imbalance) 14. An 80 yr-old female patient was admitted to the medical-surgical unit due to a bowel obstruction. A nasogastric tube was inserted and she was placed on low intermittent suctioning for 3 days. Her heart rate is 92. She exhibits weakness and hyper-reflexia. Lab results: Na+ 145; K+ 2.2, ABG: pH 7.58, PaCO2 49, HCO3- 33 Based on the information available, determine the potential acid base imbalance AND electrolyte imbalance diagnosis: 15. Explain how nasogastric suctioning can contribute to this metabolic Alkalosis. 16. Your patient is admitted to the intensive care unit following a Motor vehicle accident 2 days ago. He sustained a head injury and is comatose. ABG’s reveal the following: pH 7.34; PaCO2 48 mm/Hg; HCO3- 32 mEq/L What type of acid base imbalance is present? Is it compensated? Partially compensated? or not compensated? 17. Identify two types pharmacologic therapy would the nurse expect to be ordered for treatment of respiratory acidosis? Indicate medication action as to why it would help this condition 18. A 70-yr-old man was admitted with severe congestive heart failure. He had not been feeling well for the past week and has had vomiting the past 5 days. He is hyperventilating and distressed. Labs as follows: Na 127, K+ 5.2 ABG: pH 7.58; PaCO2 21, HCO3- 19 Indicate the acid base imbalance and the rationale for your choice.

 
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