Acute Kidney Injury
A patient with heart failure is at risk for what type of acute kidney failure?
Prerenal
Classification of CKD Stage 4
Hyperkalemia GFR 15-29
The nurse knows that a fistula is patent if it has the following?
Feel a thrill and auscultate for bruit
What assessment questions would you want to ask someone with suspected acute glomerulonephritis
Any recent sore throat or fever
The nurse is collecting data from a client Which symptom descried by the client is characteristic of an early symptom of BPH?
Decreased force in the stream of urine
GFR
The patient asks why they need to take erythropoietin
CKD can cause anemia and a decrease in the production of RBC the patient will have a low HCT
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is less than the infolw Which action should the nurse take?
Check the level of the drainage bag, Reposition the client, Check for kinks, Good body alignment of the patient
What medication would you want to avoid for a patient with polycystic kidney disease
NSAIDS (nephrotoxic medications)
A client who is refusing to take finasteride for BPH may need education about the following
Can cause erectile disfunction
A patient in acute kidney injury has deep rapid respirations and a ph of 7.28. The respirations are called what?
Kussmaul breathing
A patient with CKD might need to be on the following medications
A phosphate binder, Kayexalate if potassium high, Blood pressure medications
A patient with a fistula complains of pain in the hand below the fistula. The patient is pale, and has diminished pulses. The patient has what complication?
Steal Syndrome
Clinical manifestations of Nephrotic syndrome
Peripheral edema, Proteinuria, Hyperlipidemia, Hypercoagulability, Ascites
A patient getting constant bladder irrigation starts to cramp and complain of abdominal pain. What is the nursing intervention
Check the tube for kinks or large clots
A patient in the oliguric phase of AKI what intervention would the nurse consider
Strict I/O and fluid restriction, assess for edema
A patient getting dialysis for CKD starts complaining of leg cramps and not feeling well. What is the nursing intervention
Give a fluid bolus during dialysis monitor VS
A client getting hemodialysis starts to complain of headache, twitching and seems to be confused. The client is suffering from what condition?
Disequilibrium syndrome
What medication might be prescribed to prevent uric acid kidney stones
Allopurinol
Nursing considerations after lithotripsy
patient may have a stent, Increase fluids, strain urine, Report decreased urine output
A client with AKI has 2500 urine output in 12 hours. The client is showing signs of what phase of AKI
Diuresis, monitor electrolytes, monitor BP (think hypovolemia).
Which complications would the nurse monitor a client hospitalized with end stage renal disease?
Anemia, Dyspnea, Hyperkalemia
A patient taking Prograf, prednisone and Sandimmune for a history of kidney transplant is at risk for what?
Developing cancer assess for lumps bumps or abnormalities related to cancer
What is the best patient education for someone with kidney stones?
Drink extra fluids 2-3Liters
Take pain medication
Strain urine
A client with CBI running post op surgery, the output should be what color
blood tinged drainage with minimal clots