Renal Diagnostics
Diagnostic tests that confirm cystitis (2)
Urinalysis and Urine culture
A patient with fever, flank pain, and CVA tenderness likely has this condition.
What is pyelonephritis?
Potential adverse effect of trimethoprim/sulfamethoxazole (Bactrim)
What is Steven Johnson's Syndrome?
Lab values which indicate kidney dysfunction (2)
What are BUN and Creatinine?
What is GFR?
Important interventions for a patient who is undergoing a creatinine clearance test
What are collect all urine for 24 hours and keep it on ice?
A patient with ileal conduit has a stoma that is red, beefy, and moist. These findings are indicative of ____.
What is good perfusion?
Cardiac dysrhythmias, seizures, and tendon rupture are adverse effects of this drug class
What are Fluoroquinolones?
Indications that an AV fistula is patent
What are palpation of a thrill and auscultation of a bruit?
Most common cause of death in patients with CKD.
What is cardiovascular disease?
Form of contrast medium which cannot be administered to a patient with renal dysfunction
What is IV contrast?
A patient with recurrent uric acid stones should be advised to limit their consumption of which dietary component?
What are purines (i.e., beer, sardines, anchovies, and organ meats)?
A patient with an allergy to cephalosporins are at an increased risk for allergic reactions to this class of antibiotic.
What are penicillins?
Cloudy dialysate is indicative of _________.
What is an infection?
A patient with CKD develops metabolic acidosis. Which lab value confirms this?
What is low serum bicarbonate (HCO3)?
Intervention to prevent hemorrhage in a patient post renal biopsy
What is lay the patient on the affected side for 30min-1 hour?
The nurse is caring for a patient post-lithotripsy to breakup a kidney stone. The patient complains of burning upon urination. What should be the action of the nurse.
What is inform the patient that this is an expected symptom post-lithotripsy?
This medication should be used in conjunction with Kayexalate if a patient has hyperkalemia with EKG changes.
What is IV Calcium Gluconate?
Potential complication of hemodialysis
*Hint: often experienced at the patient's first dialysis treatment*
What is dialysis disequilibrium syndrome?
Drugs which should not be administered to CKD patients due to the risk of serious complications (absent reflexes, decreased mental status, dysrhythmias, hypotension, and respiratory failure)
What are magnesium-based laxatives?
Nursing intervention for a patient pre-renal ultrasound
What is drink fluids to have a full bladder?
Patient teaching to prevent urinary incontinence for a client with an orthotopic neobladder
What are Kegel exercises?
What is bowel necrosis?
Diet for a patient receiving hemodialysis.
What are low sodium, low potassium, and moderate protein?
A red flag in the early postoperative period after a renal transplant.
What is a sudden decrease in urine output?