Renal Rescue
4000

A client with chronic kidney disease becomes increasingly confused and short of breath. Assessment reveals bilateral crackles and generalized edema. Laboratory results show potassium 6.7 mEq/L, BUN and creatinine significantly elevated, and metabolic acidosis. The client has produced only 100 mL of urine during the past 12 hours. 

Based on these findings, identify the treatment the nurse should anticipate AND give three clinical findings that support the need for this treatment.

What is dialysis?

Any three of the following:

  • Hyperkalemia
  • Fluid overload/pulmonary edema
  • Metabolic acidosis
  • Neurologic changes/uremia
  • Severe oliguria/anuria
  • Accumulation of nitrogenous wastes/elevated BUN and creatinine