A nurse is reviewing the medication list of a patient with end-stage renal disease (ESRD) who is receiving hemodialysis. The nurse knows that certain medications are used to prevent complications of this disease. Which of the following medications would the nurse question as part of routine therapy for preventing complications of ESRD?
Antihypertensive medications
Antidiuretic hormone (ADH)
Erythrocyte-stimulating agents
Phosphate binders
The Correct Answer is B
Choice A reason: Antihypertensives are routinely used in ESRD to manage hypertension caused by fluid overload and renin-angiotensin system dysregulation. Controlling blood pressure prevents cardiovascular complications like heart failure or stroke, which are common in ESRD due to chronic volume and pressure overload, making this medication appropriate.
Choice B reason: ADH is not used in ESRD, as it promotes water reabsorption, worsening fluid overload in anuric patients. ESRD patients rely on dialysis for fluid balance, and ADH could exacerbate hypertension or pulmonary edema. Its use is more relevant in conditions like diabetes insipidus, not renal failure.
Choice C reason: Erythrocyte-stimulating agents, like erythropoietin, are standard in ESRD to treat anemia caused by reduced erythropoietin production by failing kidneys. These agents stimulate red blood cell production, improving oxygen delivery and reducing fatigue, making them essential for managing ESRD-related anemia and improving quality of life.
Choice D reason: Phosphate binders are used in ESRD to manage hyperphosphatemia by binding dietary phosphate in the gut, preventing its absorption. This reduces the risk of vascular calcification and secondary hyperparathyroidism, common complications in ESRD due to impaired phosphate excretion, making these medications a standard part of therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Insight into mental health problems varies individually and is not a defining feature of voluntary versus involuntary commitment. Both types of patients may lack insight, especially in severe mental illness, making this statement inaccurate as a legal or procedural distinction between commitment types.
Choice B reason: Involuntary commitment, under laws like a 302, restricts a client’s ability to initiate discharge due to assessed danger to self or others. Voluntary clients can request discharge, though medical advice may apply. This legal distinction defines the difference, making it the correct answer.
Choice C reason: Involuntary clients cannot universally refuse treatment, as court-ordered interventions may apply in cases of imminent danger. Both voluntary and involuntary clients have rights to refuse non-emergent treatment, but this is not the primary legal distinction between commitment types, making this option incorrect.
Choice D reason: Aggression is not a defining characteristic of voluntary commitment. Both voluntary and involuntary clients may exhibit aggression, depending on their mental health condition. The distinction lies in legal control over discharge, not behavior, making this statement inaccurate for defining commitment types.
Correct Answer is ["50"]
Explanation
The correct answer is 50 drops per minute
Explanation:
Step 1 is identify the total volume to be infused
50 mL
Step 2 is identify the time in minutes
1 hour = 60 minutes
Step 3 is identify the drop factor for a microdrip set
Microdrip = 60 drops per mL
Step 4 is multiply the volume by the drop factor
50 × 60 = 3000 drops
Step 5 is divide total drops by time in minutes
(3000 ÷ 60) = 50
Result = 50 drops per minute
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