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The nurse should check the catheter for ______ or _______ in the tubing. These obstructions can affect the flow of urine causing pooling in the tubing that could backflow into the bladder leading to infections.
What is twisting or kinks?
Following HD treatment _________ levels are reduced by the process of diffusion during dialysis.
What is potassium?
An ______ of both ____ and ______ is an expected finding of chronic kidney disease.
What is elevation; BUN and creatinine?
The nurse should work with the client to develop a schedule for fluid restrictions, and should attempt to include the client’s _____ _______when possible to promote satisfaction.
What is favorite beverages ?
A client should do this to prevent a reoccurrence of renal calculi.
What is drink plenty of fluids during the day?
Findings that indicate complications of peritonitis{there are 6}
What is increased discomfort, abdominal tenderness, nausea, emesis, opaque effluent, and temperature?
In acute tubular necrosis, the glomerular filtration rate _________ because there is injury to the _______ _____ cells.
What is decreases; renal tubular?
A rise in this level in a patient with CKD.
What is albumin?
Renal calculi begin as plaques in the interstitial tissue of the ______ ____.
what is the renal papilla?
What is recurrence of UTIs?
Client who are in acute kidney injury will have an ____ ______ as damage to the kidneys leads to a build-up of nitrogenous wastes in the blood.
What is elevated BUN?
A client in ER with kidney stone has severe flank and abdominal pain, distended abdomen, and anuria. The nurse should _____ first then _______ {there are 2}
What is notify the health care provider first then administer pain medications as prescribed?
Clients who had _______________________ are at risk for urinary retention.
What is recent surgery with general anesthesia?
In polycystic kidney disease cysts continue to grow and multiply leading to kidney enlargement causing the ________ _______ to _______.
What is abdominal growth; increase?
________ and _________ ______to the arteriovenous fistula site are possible indicators of venous insufficiency and should be immediately reported to the provider.
What is Pallor and numbness distal?
This is a rare genetic disorder that can not be prevented.
What is polycystic kidney disease?
_____ _______ control is important to control in clients who have PKD to slow the progression to ESRD
What is blood pressure?
Discharge teaching to prevent further complications for a client with pyelonephritis should include ____, ____ and____ {there are 3}
What is wipe peri area from front to back, consuming adequate fluid intake and complete all antibiotics prescribed?
The client should reduce foods ____ _______ because _________ clearance is impaired in the client who has end-stage kidney disease.
What is high in potassium; potassium?
The minimum amount of urine needed to rid the body of metabolic waste products is ______, producing less is a manifestation of __________
What is 400 mL; acute kidney injury?
A client taking ciprofloxacin for a UTI should report any _______ _______ like swelling or inflammation of the _________ due to the risk of ____ _____.
What is tendon discomfort; tendons; tendon rupture?
________ is associated with nephrotoxic adverse effects.
What is vancomycin?
The nurse should instruct the client to avoid high-oxalate foods, such as ___ or _______ nuts including ___, _______ and _______, to decrease the risk of stone formation.
What is peanuts or tree; almonds, cashews, and hazelnuts?
These conditions place a client at increased risk for urinary retention {there are 4}
What is multiple sclerosis, Parkinson's disease, constipation and pelvic organs prolapse?
___ and _______ are manifestations of disequilibrium syndrome, which occurs during or after hemodialysis due to the rapid shift of fluids, pH, and osmolarity between fluid and blood that occurs. This condition can cause cerebral edema leading to ____ and ______, and a PRN dose of the anticonvulsant ______ should be administered.
What is headache and restlessness; seizures and coma; phenytoin?
Clients who have polycystic kidney disease (PKD) are more at risk for developing _________. A _________ is a clinical manifestation of a ________.
What is cerebral aneurysm; headache; cerebral aneurysm?
The nurse should recognize that _________ can be a manifestation of a ________ or ______ ________.
What is hematuria; bladder or kidney infection?
A client who has renal calculi presents with ______, ________ and ______.
What is severe flank pain, nausea, and vomiting?
Ciprofloxacin can cause ____ and _______. The client should monitor and report ______ pain or inflammation.
What is tendinitis and tendon rupture; tendon?
These restrictions should be discussed with a client end-stage kidney disease that is starting hemodialysis. {there are 3}
What is restrict foods high in potassium, sodium and phosphorus; restrict fluid intake, time constraints due to spending 4 hours at dialysis center?
A client who performs intermittent self-catheterization should _______________ and store it in a clean container after each use.
What is wash the catheter using soap and water?
The nurse should document the client has _______, which is urine output between ____ and _____ of urine in 24 hr.
What is oliguria; 100 mL and 400 mL ?
Manifestations of peritonitis include _________, _____, _____,______, ________, and ____.
What is abdominal tenderness or pain, anorexia, nausea, vomiting, restlessness, and confusion?
The nurse should auscultate the arteriovenous (AV) graft site for the presence of a _______ or palpate the site for a _______ every ________ to assess for blood flow.
What is bruit; thrill; 4 hours?
Pain during inflow of the dialysate is a common adverse effect when clients begin peritoneal dialysis. _________ the solution decreases discomfort.
What is warming?
The nurse should perform these assessments in a client with urinary retention {there are 3}.
What is dribbling of urine, bladder distension and voiding patterns?
Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the bone marrow to produce red blood cells. _____ ______ is needed for the production of hemoglobin and red blood cells by the bone marrow.
What is increased iron?
Aluminum-based formulas are also a phosphate binder, helping to ____ ________ _____ in clients who have CKD.
What is lower serum phosphorus levels?
__________ is a serious complication of pregnancy that can lead to ______.
What is Pyelonephritis; preterm labor?
____________ is strongly correlated with the formation of urolithiasis.
What is family history?
A client who is performing peritoneal dialysis at home may experience _________ during inflow of the dialysate during the ________ of therapy.
What is abdominal pain; first few weeks?
These are assessment findings associated with renal calculi{there are 3}
What is flank pain, GI upset and fever?
The nurse should encourage the client to consume at least _______ of fluids per day to dilute the urine, increase hydrostatic pressure behind the stone, and move the calculi down the urinary tract.
What is 3,000 mL?
______ is an infection of the inside lining of the abdomen, is a common complication that can occur in clients undergoing peritoneal dialysis.
What is peritonitis?
_________ increases uric acid levels, which can lead to uric acid stone formation
What is Gout?
________can lead to an increased concentration of stone-forming substances in the urine.
What is dehydration?
_____ ______ is beneficial in preventing kidney stones, as it helps dilute substances in the urine that can form stones.
What is regular hydration?
These two tests are preferred to determine urinary retention {there are 2}.
What is postvoid urine residual measurement, and bladder scan?
Pyelonephritis manifestations include ____ and ______.
What is fish-type urine odor and mental confusion?
These orders would be ordered for a patient with fever, painful urination and foul-smelling urine. {there are 4}
What is clean-catch UA & urine culture; NS infusion at 100ml/hr.; WBC count; and broad-spectrum antibiotics?
These finding may be associated with urinary retention. {there are 4}
What is voiding 30mL frequently; distended bladder; tenderness over the symphysis pubis; and report of feeling pressure?
These are indications for urinary catheterization. {there are 3}.
What is an open perineal wound; measurement of residual urine after urination; and relief of urinary retention?
Expected findings of end-stage renal disease. {there are 3}
What is pruritus, bone pain and slurred speech?
A client with chronic kidney disease should restrict ____, _____ and ______.
What is sodium, phosphorus, and protein?