Renal Failure
Fill in the blanks.
The earliest sign of renal dysfunction ___________ which is a sign of _______________.
What is mental status changes and uremia?
The number one complication of peritoneal dialysis.
What is infection?
Three descriptions of what a UAP can do.
What is repetitive tasks with predictable results that can be given by verbal direction?
The reading level at which all medical education materials should be geared towards.
What is 5th grade level?
This medication must be taken with food in order to do its job.
What is sevelamer? (phosphate binder)
The number one concern during the diuretic phase of acute kidney injury.
What is fluid volume deficit?
The number one complication of hemodialysis and a medication to prevent it.
What is hypotension and midodrine?
Three examples of what a UAP can do.
What is VS, EKG, ADLs, oral suctioning and oral care?
Three effective methods for education for a patient with low health literacy.
The medication used for anemia of chronic disease and how the RN would know it is working.
What is darbepoetin or erythropoietin and an increase in the patient's RBCs as well as symptom improvement?
The type of renal failure often causes by medications.
What is intrarenal? (e.g. mycins, NSAIDs, contrast)
True or False: The patient should feel for a bruit every day at home.
How to describe this statement: "The LPN lays out the puzzle pieces and the RN puts the puzzle together."
What is the difference between data collection and assessment?
The proper terminology for a medication that works "with" and a medication works "against".
What is agonist and antagonist?
Two classes of medications that might be held if a patient develops acute kidney injury.
What are ACE-I, ARBs, diuretics, and aminoglycosides? (also concern with NSAIDS and enoxaparin too!)
The characteristics of a renal diet.
What is moderate PRO, low K, low Phos, and low Na?
Three nursing interventions when a patient's outflow is less than their inflow.
What is check for kinks/clamps, assess for constipation, have the patient change position?
The terminology to describe when an employee is not used to their full potential based on their job description or scope of practice.
What is underdelegation?
The type of effect if a patient with asthma develops wheezing when starting a beta blocker.
What is an adverse effect? (Med must be stopped!)
The medication used to treat an elevated BUN and creatinine.
What is none? (There is no medication is directly used to treat these numbers...may need fluids if prerenal, time, or even dialysis!)
Identify the effects renal failure has on K, Ca, Phos, and BUN/creat using the correct medical terminology.
What is hyperkalemia, hypocalcemia, hyperphosphatemia, and azotemia?
The best assessment to determine if a patient has been maintaining a fluid restriction.
What is daily weights?
Four things that an LPN can NOT do.
What is IV push meds, anything with a central line, create or initiate a teaching plan, and assessment? (others as well)
What are ABCs, Maslows, Nursing Process, Prioritization Pairs and CURE strategy?
Four medications for the ACUTE management of hyperkalemia.
What is IV calcium gluconate, PO/PR SPS, IV sodium bicarbonate or IV insulin and dextrose?