Miscellaneous
A nurse is reviewing data from a diagnostic test. This nurse is using this step in the nursing process.
Assessment
A male patient reports difficulty in starting the flow of urine with a weak urine stream. The nurse would suspect this urinary disorder.
Benign Prostatic Hyperplasia (BPH)
Chronic Kidney Disease (CKD) patients must limit these high-potassium foods.
Tomatoes, bananas, raisins, avocado, potatoes, oranges, spinach, cantaloupe, eggs, tuna
A nurse is assessing a client who has chronic kidney disease for fluid volume increase. This nursing intervention provides the most reliable measure of fluid retention or fluid volume status.
daily weights
A nurse is caring for a patient with a new arteriovenous fistula in the left forearm. The nurse notices coolness and pallor and the patient reports numbness distal to the fistula site indicating potential for this complication.
Venous insufficiency
Before obtaining a daily weight, the nurse should ensure that the patient does this ADL before obtaining the weight.
Void
A male patient with BPH may experience drops of urine leakage due to this type of incontinence.
Overflow incontinence
A nurse is providing dietary counseling to a client with chronic kidney disease (CKD). To manage the client's condition and prevent further kidney damage, this dietary modification should be emphasized as most important by the nurse.
Limit intake of high-potassium foods
The nurse should identify that this modifiable lifestyle behavior is a contraindication for kidney transplant.
alcohol or substance use disorder
The nurse should assess a new AV graft site every 4 hours to assess for blood flow and patency using these two techniques.
Feel the thrill. Auscultate for a bruit.
This is the expected reference range for creatinine.
0.5 mg/dL to 1.3 mg/dL depending on the client’s gender and age.
This is a common complication of BPH.
Urinary Tract Infection (UTI)
Epoetin alfa is a synthetic form of erythropoietin, a substance produced by the kidneys that stimulates the bone marrow to produce red blood cells. An increase of what essential dietary mineral nutrient is needed for the production of hemoglobin and red blood cells by the bone marrow.
Iron
These elevated lab levels are manifestations of impaired kidney function, such as with acute kidney injury.
BUN and creatinine
When discussing the HD treatment regimens, the healthcare team must include these restrictions that may affect quality of life.
Dietary restrictions - (Na, K, Phos). Fluid restrictions. Lifelong commitment to attend 3x/week - affecting social life.
These two interventions can be used to determine if a patient with distended bladder accompanied by discomfort over the area and sense of fullness has urinary retention.
Bladder Scan & Post-void residual (PVR)
This common 5-alpha-reductase inhibitor medication, is used in the treatment of BPH to decrease prostate size.
finasteride
A patient has iron deficiency anemia and a new prescription for ferrous sulfate tablets. The nurse should give this medication with what liquid to enhance absorption.
A nurse is assessing a client and notes hyperkalemia determining that the client is in this phase of acute kidney injury.
Oliguric Phase
A nurse is caring for a client following his first hemodialysis treatment. The client reports a headache, nausea, and restlessness. The nurse should identify these findings as manifestations of this complication.
Dialysis Disequilibrium Syndrome
This test is used to screen for prostate cancer in clients who have BPH. Elevated levels can indicate the presence of prostate cancer and require additional testing.
The prostate-specific antigen (PSA) test
This is an alpha-adrenergic receptor antagonist that relaxes smooth muscle in the urinary tract but does not decrease prostate size, used often for BPH diagnosis.
Tamsulosin
Clients with dumping syndrome following a hemi-colectomy should avoid these foods and choose canned or well-cooked options instead.
avoid fresh fruits
The nurse should notify the provider if the client’s urinary output is less than this amount because this finding indicates a fluid imbalance, decreased circulating fluid volume, and possibly inadequate renal perfusion.
less than 30 mL/hr
Headache and restlessness 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 seizures and coma, and a PRN dose of this anticonvulsant should be administered.
phenytoin