Show:
Assessment
Planning & Implementation of Interventions
*WILD*
Labs & Diagnostics
Outcomes, Discharge Planning & Evaluation
100
A condition in which the heart contracts at a rate greater than 100 beats per minute
What is tachycardia
100
A client with ARF should initially receive a diet low in this
What is protein
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
After the nurse performs an evaluation on this client which finding may need more attention: 1. Foley bag draining towards gravity 2. Patient sitting in the chair looking outside the window 3. Distended neck vein 4. Respiration rate of 16
What is 3. Distended neck vein
200
Abnormal accumulation of fluid in interstitial spaces
What is edema
200
Patients with Acute Renal Failure should be monitored for this life-threatening fluid/electrolyte imbalance
What is Hyperkalemia
200
The organ that filters waste and extra fluid from the blood
What is the kidney
200
The client diagnosed with ARF has a serum potassium level of 6.8mEq/L. Which collabortaive treatment would the nurse anticipate for this client: 1. Administer a phosphate binder 2. Type and cross match for whole blood 3. Assess the client for leg cramps 4. Prepare the client for dialysis
What is 4. Prepare the client for dialysis.
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? 1. Drink 2 liters of fluid and urinate 2. Eat breakfast and go to bed 3. Check blood sugar and do a urine dipstick test 4. Weigh yourself and take your blood pressure
What is 4. 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
Pruritus is a symptom of ARF due to the build up of toxins in the bloodstream. Which of the following would be the priority client teaching point: 1. Teach client to use pillows, foam wedges, and pressure reducing devices to minimize pressure injury. 2. Teach client/caregiver to keep fingernails short and instruct to use mitts if necessary. 3. Instruct client/caregiver to wear clothing made only of synthetic or man made materials. 4. Have client/caregiver demonstrate the proper application of caustic ointments to aid in the relief of itch.
What is 2. Teach client/caregiver to keep fingernails short and instruct to use mitts if necessary.
400
The kidneys are responsible for producing erythropoietin (EPO), a hormone that stimulates red blood cell production. In kidney disease, this condition results from a reduction of red blood cell production
What is anemia
400
This medication, given to acute renal failure patients with fluid/electrolyte imbalance, works by exchanging sodium ions for potassium ions in the intestinal tract
What is Kayexalate/sodium polystyrene sulfonate
400
This type of renal failure results from pyelonephritis (kidney infections)
What is Intrarenal Acute Renal Failure
400
This long, thin, plastic tube is inserted through the skin and kidney and into the renal pelvis to reestablish drainage and eliminate waste from the body
What is a percutaneous nephrostomy tube
400
Which statement by the client/caregiver best indicates understanding of the dietary needs of the patient with ARF: 1. "The diet will consist of low-fiber foods." 2. "The diet will consist of low-potassium foods." 3. "The diet will consist of low- carbohydrate foods." 4. "The diet will consist of spinach, bananas, yogurt and beans."
What is 2. "The diet will consist of low-potassium foods."
500
This type of renal failure results from diminished kidney function caused by sepsis
What is Prerenal acute renal failure
500
This amount is the specific fluid restriction for patients with Acute Renal Failure
What is the amount of output + 500 cc/day
500
B.F.'s BUN lab value is 30. This could be an indication of prerenal failure and renal failure. What other easily correctable condition could this be an indication of?
What is dehydration
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 3. Maintain fluid and electrolyte balances within acceptable limits.