Labs
____________ is a measurement of the kidney's ability to concentrate and excrete urine.
Urine specific gravity
This procedure is done to break up small kidney stone
Lithotripsy
Urinary ___________ is the inability to urinate or effectively empty the bladder
Retentioin
A pt is dx with a UTI, what is the highest priority for this pt?
The nurse is teaching the client to perform peritoneal dialysis. The nurse reviews which essential action that will help to prevent the major complication of peritoneal dialysis?
Maintain strict aseptic technique during connection and disconnection
A client with a chronic UTI is scheduled for a number of lab test, The nurse would note that which test result best evaluates whether the kidneys are being adversely affected
BUN and Creatinine
Your monitoring a client who had a kidney biopsy for postop complications. What is the pt at risk for?
Bleeding/Hemorrage
In clients with renal failure, a precipitate, referred to as __________, may form on the skin.
Uremic frost
The nurse had admitted a client with uremia. The nurse questions the client about a hx of what health problem?
ESRF
How do you check for AV fistula patency?
Auscultate for a bruit and feel for a thrill
What is the lab ranges for the following: BUN
Creatinine
K+
BUN 10-20
Creatinine 0.6-1.2/ 0.7-1.4
K+ 3.5-5.0
Describe how to collect a 24 hour urine test
Discard the first voided urine, write the time down on the container, collect all voided urine thereafter for 24 hours. If any urine is discarded the test must start over.
Name 3 s/s of disequilibrium syndrome
Nausea, vomiting, change in LOC, seizures, agitation
A client develops a renal disorder, after taking vancomycin, a nephrotoxic drug. The nurse adds a standardized care plan to the client medical record for which kidney disease?
Acute renal failure
What is uremic frost?
a precipitation of crystallized urea in the skin when the kidneys fail to excrete this waste.
In acute renal failure and chronic renal failure, what does your ABG look like?
PH decreased
PaCo2 decreased or WNL
HcO3 decreased
Metabolic acidosis
A pt is getting ready to undergo a Retrograde pyelogram, what complications is this pt at risk for?
Sepsi and UTI
Anemia is a complication of dialysis, what medications can be given to increase RBC besides blood and iron?
Epogen
A nurse is caring for a client who has a left renal calculus and an indwelling urinary catheter. Which of the following data collection findings is the priority for the nurse to report to the provider?
A) Flank pain that radiates to the lower abdomen
B) Client report of nausea
C) Absent urine output for 1 hr
D) Blood WBC count 15,000/mm3
C) Absent urine output for 1 hr
Your pt develops disequilibrium syndrome after receiving hemodialysis. What action should you take?
A) Administer an opioid medication
B) Monitor for hypertension
C) Determine LOC
D) Increase the dialysis exchange rate
C) Determine LOC
Will the follow labs be increased or decreased in chronic renal failure?
BUN Creatinine K+ Phos Mag
Hbg Hct RBC
BUN increased creatinine increased
K+ increased Phos increased
Mag increased Hbg decreased
Hct decreased RBC decreased
What does a Voiding cystourethrogram test help diagnose?
helps diagnose vesicoureteral reflex, a condition in which urine flows the wrong way, from the bladder back up to the kidneys. The doctor can also see the size of your bladder and how well it can drain
You pt suddenly becomes short of breath, lethargic, has 4+ pitting edema, JVD, K+ 6.7, having frequent PVCs, you call the doctor, what do you anticipate him saying to you?
Get pt ready for dialysis
Name 2 nephrotoxic medications
Vancomycin, NSAIDs, ACE inhibitors, Iodine, Aminoglycosides,
What is CRRT? Does it run fast or slow?
continuous renal replacement therapy- For those experience AKI who cannot tolerate hemodialysis that are unstable. It is ran slowly.