Assessment
Nursing Interventions
Dialysis
Kidney Disease
Renal Disorders
100
Name 5 Kidney Functions
Urine Formation Excretion of Waste Regulation of Electrolytes Regulation of Acid-Base Balance Control of water balance Control of BP Renal Clearance Regulation of RBC production Synthesis of Vit D to active form Secretion of prostaglandins Regulates calcium and phosphorous balance
100
When assessing a patient complaining of pain in the suprapubic area, the nurse would correlating this finding to pain in the ____.
Bladder
100
Unlike hemodiaylsis, peritoneal dialysis uses ___ as a semi permeable dialyzing membrane.
Peritoneal Membrane
100
Management of ESKD includes:
Meds Diet Dialysis
100
What are causes of chronic glomerulonephritis?
Acute Nephrotic Syndome Hypertensive Nephrosclerosis Hyperlipidemia
200
GFR decreases every year after the age of 40. True or False.
True
200
Micturition is normally and painless function that occurs ___ times in a 24 hr period.
8
200
What is the purpose of PD
Removes toxins from blood Used for patients that cannot tolerate HD
200
The client in ESKD can take magnesium based antacids. True or False.
False. Can lead to Mag toxicity
200
What are expected findings of a patient with Chronic glomerulonephritis? Name 3.
Hyperkalemia Metabolic Acidosis Anemia Hypoalbuminemia Increase in Phorphorous Decrease in Calcium Mental Status Changes Impaired Nerve Conduction
300
Older adults are more prone to develop ___ and ____ because increasing age is also associated with diminished sensation for thirst.
Hypernatremia, Fluid Volume Deficit
300
Prostate Cancer signs and symptoms mimic BPH. True or False.
True
300
If the peritoneal drain does not drain properly the nurse should do what?
Reposition patient Raise HOB
300
The nurse understands that the goal of renal diet is to
Lower the intake of protein to decrease BUN.
300
Name 3 expected findings of a patient with Nephrotic Syndrome.
Increase in protein in urine Hypoalbumemia Edema Hyperlipidemia
400
Vaginal and urethral tissues atrophy in aging women due to decreased ____ levels.
Estrogen
400
The specific gravity is an expression of the concentration of a liquid in comparison to water. Water has a specific gravity of ___ and normal urine specific gravity is ___.
1.000, 1.010
400
What is the diet for a patient on dialysis?
Restriction of Sodium, Protein, Potassium, Phosphorous and decrease fluid intake
400
Worsening S/S of renal failure include
N/V, Change in urine output, ammonia odor on breath
400
Phases of Acute Kidney Injury
Initiation Oliguria Diuresis Recovery
500
Before an MRI of the urinary system the patient must avoid ____, ____, and ___ at least 2 hrs prior.
Alcohol, Caffeine, and Smoking
500
Common tests of renal function include: Name 2
Renal Concentration Test Creatinine Clearance Serum Creatinine BUN
500
What is the highest priority for a patient with a permanent dialysis access?
Protection of the access
500
Neurological may occur so the patient must be observed for ___, __, ___ and ___.
Twitching, HA, delirum and seizure activity
500
Acute Kidney Injury treatment is aimed at ____ and a goal of ____
Replacing renal function and minimizing long term loss of renal function
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