Assessment
Medications
*WILD*
Labs & Diagnostics
Key Patient teaching
100
A condition in which the heart contracts at a rate greater than 100 beats per minute
What is tachycardia
100
This selectively dilates renal vessels. It is also an adrenergic agonist.
What is DOPamine hydrochloride (intropin)
100
Blood in the urine
What is hematuria
100
B. F. has been diagnosed with ARF. Which laboratory values are most significant with diagnosing B.F.'s condition: 1. BUN and creatinine 2. WBC and hemoglobin 3. Potassium and sodium 4. Bilirubin and ammonia level
What is 1. BUN and creatinine
100
A patient may be advised to decrease these two things in their diet.
What are Potassium and Protein
200
Abnormal accumulation of fluid in interstitial spaces
What is edema
200
This medication counteracts contrast dye to prevent it from causing contrast nephropathy.
N-acetylcysteine
200
The organ that filters waste and extra fluid from the blood
What is the kidney
200
Possible diagnostic tests.
What are urine output measurement, UA, blood test, ultrasound, CT scan , kidney biopsy?
200
During discharge teaching for most clients with renal disease, what does the nurse teach the client/caregiver to do at the same time each day?
Weigh yourself and take your blood pressure
300
The phase when a client passes under 400cc/day of urine in 24 hours
What is the Oliguric phase
300
This type of treatment, which corrects many biochemical abnormalities and allows for liberalization of fluid, protein, and sodium intake, may be initiated to prevent serious complications of acute renal failure
What is Dialysis
300
The percentage of nephrons involved in ARF
What is 50%
300
This procedure uses highly focused impulses projected and focused from outside the body to pulverize kidney stones anywhere in the urinary system. The stone usually is reduced to sand-like granules that can be passed in the patient's urine.
What is Extracorporeal shock wave lithotripsy (ESWL)
300
Possible drugs associated with kidney failure
What are aminoglycosides and ACE inhibitors
400
A condition due to the lack of RBC related to the kidney's inability to produce Erythropoietin.
What is anemia
400
This medication, given to acute renal failure patients with fluid/electrolyte imbalance of potassium.
What is Kayexalate/sodium polystyrene sulfonate
400
May be a part of a patient's orders in order to avoid fluid overload.
What is Fluid Restrcition
400
The sample may have the following characteristics: -muddy brown -Red tinged -proteins present -foul smelling
What is a Urine Analysis of ARF
400
Placed to drain urine from your kidney into a collection bag outside of your body. It is placed through your skin and into the kidney.
What is a nephrostomy tube.
500
The stage in ARF where a person doubles their previous 24 hour urine output. These large amounts of urine output can last for several weeks and lack concentration and regulation of wast products.
What is Secondary stage or Diuretic stage
500
They assist in balancing/correcting fluid volume overloads.
What are Diuretics
500
The amount of output a person has + 500cc
What is the specific fluid restriction for patients with Acute Renal Failure
500
B.F. is diagnosed with ARF. Which signs and symptoms would indicate to the nurse that the client is in the recovery period? Select all that apply 1. Increased alertness and no seizure activity 2. Increase in hemoglobin and hematocrit 3. Denial of nausea and vomiting 4. Decreased urine specific gravity 5. Increased serum creatinine level
What are 1, 2 and 3. Increased alertness and no seizure activity, an increase in hemoglobin and hematocrit and denial of nausea and vomiting.
500
What would be an expected outcome goal for the client with ARF: 1. Normal stools return after steatorrhea 2. Decreased H and H with decreased blood loss 3. Maintain fluid and electrolyte balances within acceptable limits 4. Decreased viral load
What is Maintain fluid and electrolyte balances within acceptable limits.