Name that condition
Nursing Intervention
Hallmark signs + symptoms
Labs
IV therapy
100
fluid intake or retention less than what is needed
What is dehydration
100
first priority, prevent fluid overload, restore normal fluid balance, use a pump or controller when giving IVF, do not give IV K+ by ivp
What is patient safety
100
abd pain (cramping, intermittent or constant), distention, vomiting, constipation, abdominal tenderness, high pitched bowel sounds or diminished or absent
What is intestinal obstruction and paralytic ileus
100
elevated BUN, elevated hgb, hct
What is dehydration
100
short peripheral catheter preferred size for surgery, vein needs to be large enough
What is 18 g
200
occurs within the kidney, crystals develop in urine due to a slow flow, hydronephrosis and swelling of the ureter may follow
What is kidney stones
200
restrictions of fluid and sodium intake, no added salt to foods, explain the purpose of fluid restriction, teach patients foods to avoid and replacement food choices
What is nutrition therapy
200
hematuria, peripheral edema, elevated BP, oliguria
What is glomerulonephritis
200
potassium level >5mEq/L EKG shows peaked T waves, widened QRS waves, ventricular asystole, cardiac arrest
What is hyperkalemia
200
tip resides in the SVC, can dwell for months or years, patient may perform usual ADLs, avoid excessive physical activity that may lead to catheter dislodgment or occlusion
What is a PICC line
300
nodules may be palpable on digital exam, greater incidence as men age, second leading cause of death in american men
What is prostate cancer
300
use EBP catheter related bloodstream infection (CR-BSI) prevention during insertion & care, use best practice for placement, assess, prevent & manage complications
What is infusion therapy
300
weight loss, anemia due to altered erythropoetin production, hematuria, elevated bp, flank pain-dull or aching
What is kidney cancer
300
urinalysis shows leukocytes, bacteria, nitrates, red blood cells, white blood cell casts, urine culture identifies organism cbc shows leukocytosis
What is pyelonephritis
300
CR-BSI
What is catheter related-bloodstream infection
400
typically begins in the lower urinary tract & ascends upward, causes inflammation, leukocytosis, flank pain, fever, dysuria, impaired urinary elimination
What is pyelonephritis
400
measure nose-ear-xiphoid, test pH or obtain x-ray to confirm irrigate with normal saline, check I&O every 4 hrs,
What is NGT
400
hematuria, unilateral spasms of flank pain, pain radiation to lower abd, groin; extreme flank pain that comes slowly or quickly
What is kidney stones
400
proteinuria, (microscopic) hematuria, bacteria bloody or cloudy urine
What is polycystic kidney disease PKD
400
Never place a restraint or opaque dressing over a peripheral site, especially when infusing a vesicant or irritant
What is nursing safety (priority)
500
usually preceded by ascending infection, may be secondary to other systemic disorders, depending on cause the acute episode may resolve
What is glomerulonephritis
500
teach the patient methods of relaxation & comfort using deep breathing, guided imagery, for expected outcome of self-management; prevent infection, constipation, hypertension; drug therapy for cyst infection includes bactrim or cipro; may apply dry heat to abd or flank, cyst can be reduced by needle aspiration
What is PKD pain management
500
moist crackles, increased P, BP, weight gain, dyspnea, pale & cool skin, pitting edema, altered loc
What is fluid overload
500
soduim 147, potassium 2.8, chloride 107, bun 22, cr 6.7 serum osm 302
What is electrolye imbalance
500
nurses are often sued for IV therapy malpractice, how can this be avoided
What is documentation (will also accept monitor & maintain)
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