Treatment Options
This treatment is considered the standard approach to treat ESRD.
What is hemodialysis?
True or False:
ESRD mortality rate has decreased in the United States over the last 10 years.
False
The nurse should be mostly concerned and should monitor the patient for this hemodialysis side effect.
What is hypotension?
This electrolyte affects the heart and should be the nurse's highest priority when assessing patients with ESRD.
What is Potassium?
The renal diet should be low in phosphorus, sodium, and this electrolyte
What is potassium?
This treatment mainly uses medications to treat symptoms of ESRD.
What is conservative medical management?
Participants in the study mentioned in this presentation were in this age group.
65 years or older
The nurse reviews serum labs for the ESRD patient and is mostly concerned with which of the following results?
Ca 8.7
K+ 6.4
Ph 4.4
BUN 34
K+ 6.4
The following are signs and symptoms of ESRD except:
- nausea and vomiting
- hypotension
- decreased urinary output
- edema
Hypotension
The nurse gives this advice to the ESRD patient regarding the consumption of fluids.
What is fluid restriction?
Hemodialysis requires the patient to go for treatment this many times per week.
Three times (3x) a week
What is the definition of ESRD?
The chronic, gradual loss of kidney function.
ESRD patients should avoid this type of over-the-counter pain reliever.
What are NSAIDs / Ibuprofen?
True or False:
The nurse should not worry about weight gain or hypertension in the ESRD patient.
False
True or False:
Vitamin D and Calcium supplements should be added to the ESRD patient's diet plan.
True
True or False:
Conservative Medical Management does not require a commitment for several weekly appointments
True
When faced with uncomfortable conversations about end of life care, the nurse should NOT ________
Avoid or change the topic
Assuming a patient's kidney function and overall health is consistently declining, when should a nurse intervene and suggest the patient switch from conservative medical management to hemodialysis?
NEVER. It is not the nurse's place to make that decision.
Classic signs of ESRD are hypertension, peripheral edema, nausea & vomiting, and a significant decrease in urinary output. A decrease in this serum lab that relates to kidney function would also alert the nurse that the patient will most likely receive the diagnosis.
What is GFR (glomerular filtration rate)?
A nurse walks into the ESRD patient's room and notices the patient eating a banana and saying "I love bananas, it is my favorite fruit." What action(s) should the nurse take?
Take the banana away and educate the patient on potassium consumption.