August 25th, 2020 
link to textbook:
https://ufile.io/7xmsrjkb
Read
Medical-Surgical Nursing 10 edition by Lewis, Dirksen, Heitkemper, & Bucher
Read Chapter 45 (UTI)
Read Chapter 46 (Chronic Kidney Disease)
Instructions:
Each question needs to be referenced. Each question must be answered in-depth.
Quiz Instructions
Mrs. Nygyen is a 60-year-old patient who has been diagnosed with chronic kidney disease. Mrs. Nygyens past medical history includes diabetes mellitus type 2, osteoarthritis, and hypertension.
Please answer the following questions regarding the Case Study.
Question 1
When performing an initial assessment, which body systems does the nurse recognize are impacted by chronic kidney disease?
Question 2
Upon intake assessment, the nurse notes that Mrs. Nygyen has very dry skin and mucous membranes, mild ecchymosis to the lower extremities, and lung crackles bilaterally. Vital signs include blood pressure of 160/90, pulse 90, respirations 22, and temperature 99.0 F.
What assessment data collected by the nurse would indicate that Mrs. Nygyens neurological system has been impacted by chronic kidney disease?
Question 3
The following day, the nurse performs another assessment. At that time, Mrs. Nygyens skin assessment includes yellowish discoloration, mild ecchymosis to the lower extremities, urea crystals on eyebrows, dryness, decreased turgor, and rash to the groin area.
Which finding(s) alerts the nurse to the development of advanced uremic syndrome?
Question 4
What interprofessional team members should be considered as part of Mrs. Nygyens plan of care?
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