Alteration in Kidney Function
The pathophysiological change that occurs in acute tubular necrosis is that the _________ _________ because there is injury to the renal tubular cells.
What is glomerular filtration rate decreases?
Clients who have this medical condition are more at risk for developing _______________. They may present with ____________.
What is polycystic kidney disease; cerebral aneurysms; severe headache?
___________refers to the stopping of mechanical ventilation to allow the client to breathe spontaneously, which is accomplished by decreasing the ventilator respiratory rate. This intervention is "B" in the ABCDEF assessment.
What is Spontaneous breathing trials (SBT) ?
Before discharge, the client should be given the opportunity to attend to their physical needs. Emergency department nurses should provide ______, ________, ___________ and ____________.
What is food, beverages, bathing facilities, and grooming supplies?
factors play a role in creating circulatory surge of inflammatory cells and cytokines in status asthmaticus. (there are 3)
What is Mast cells, T lymphocytes and Epithelial cells?
In polycystic kidney disease (PKD), cysts continue to grow & multiply leading to kidney enlargement and kidney damage. The kidney enlargement causes the ________ to _________.
What is abdominal girth to increase?
Malaise (discomfort) and findings of abdominal tenderness, nausea, vomiting, opaque effluent, and a fever all support the complication of _____________ from the peritoneal dialysis treatment/catheter.
What is peritonitis?
What is self-care?
____ and ____ _______ lead to better client outcomes and satisfaction.
What is Collaboration and open communication?
common characteristics of nonallergic asthma include these 3 things.
What is persistence of manifestations, no hypersensitivity to allergens and positive response to corticosteroids?
Most renal calculi begin as plaques in the interstitial tissue of the _____ ______.
What is renal papilla?
instructions related to the prevention of pyelonephritis that should be include in patient teaching. (there are 3)
What is wiping perineal area from front to back after voiding, consuming adequate fluid intake, and completing all the antibiotics as prescribed?
After finding a client unresponsive and after summoning help, the nurse should do this action next.
What is begin chest compressions?
____ _________ with the client's family will reduce anxiety and maintain realistic expectations.
What is Open communication ?
factors that can lead to obstructive sleep apnea include this 4 things.
What is loss of teeth, muscle dysfunction, fatty deposits, and stroke?
Polycystic kidney disease (PKD) is a rare _____ ______that can not be prevented because the child receives a defective gene from one of their birth parents.
What is genetic disorder?
these underlining conditions place a client at risk for urinary retention. (there are 4)
what is multiple sclerosis, Parkinson's disease, constipation, and pelvic organs prolapse?
_____ _____________ _______ __________ is most important in this situation where the death may be unexpected.
What is Communicating with the client and family?
Facilities have specific policies regarding _______ relations during an emergency which must be followed.
What is media?
manifestations of obstructive sleep apnea include these 5 things
What is frequent, loud snoring; 10 seconds or longer of breathing cessation; loud snort after breathing cessation; and many episodes of apnea per night?
The nurse should encourage a client with renal calculi to ________________ because a ______________ is a risk factor for renal calculi.
What is drink plenty of fluids during the day; lack of adequate hydration?
These restrictions for a hemodialysis patient can impact the quality of life. (there are 3)
What is restricting foods high in potassium, sodium, and phosphorous, restricting fluid intake and time constraints?
Using the ABCDE assessment, this area is assessed under the "C" category?
What is heart and blood vessels?
________ is one of the largest contributors to increased confusion and frustration and can lead to clients lashing out. Keeping this under control will assist the nurse in keeping the client calm.
What is pain?
Diagnostic tools used for a client with a thoracic injury includes these 3 diagnostic tests.
What is chest x-ray; ultrasound and focused assessment with sonography in trauma (FAST)?
The recurrence of urinary tract infections is a risk factor for this medical condition.
What is pyelonephritis?
These assessments should be considered when monitoring clients for urinary retention. (there are 3)
What is dribbling of urine, bladder distention and voiding pattern?
During the "__________" part of the report using SBAR, the nurse will include tasks that remain to be completed
What is recommendations?
This color tag indicates the client must be seen first because they have life-threatening injuries but could survive if treated quickly.
What is red?
These are 3 common manifestations of COPD
What is chronic cough, sputum production and dyspnea?
This is important to control in clients who have polycystic kidney disease to slow the progression to end-stage renal disease.
What is blood pressure?
These assessment findings are associated with renal calculi. (there are 3)
What is flank pain, GI upset and Fever?
When assessing a group of clients these clients should be categorized as Emergency Severity Index Level 1.
What is unstable (increased HR, low BP, low o2)?
These color tags are attached to those clients who have minor injuries, have peripheral pulses, do not manifest respiratory distress, and have no signs of hemorrhage. Minor injuries are considered lacerations, contusions, sprains, or strains.
What is green?
These obstructive sleep apnea risk factors and behavioral therapies should be discussed with the client
What is smoking increases the risk of OSA; obesity increases the risk of obstructive sleep apnea; CPAP compliance enhances quality of sleep and positional therapy enhances client comfort.
Disruption of __________ is a psychosocial effect of a UTI.
What is life activities?
These 2 tests may be ordered to determine if a client has urinary retention.
What is postvoid urine residual measurement and bladder scan?
_______ _________ which is the process of evaluating a client for further injuries once the initial lifesaving interventions are accomplished.
What is Secondary Survey?
The client is still alive but there is a severe alteration in their breathing, circulation, or mental status should be giving what color tag?
What is Red?
Teaching for staff to reduce the UTI rates should include these 5 things.
What is promote perineal care that includes wiping from front to back, encourage adequate fluid intake, continue ATB even if symptoms subside, obtain orders to d/c catheters asap and remind clients to urinate right away when they have an urge.
These lab results would be an indication that chronic kidney disease is progressing.
What is increased albumin, decrease GFR, proteinuria and increasing creatinine?
These 2 manifestations would be expected in a client with pyelonephritis.
What is fish-type urine odor and Mental confusion?
Using SBAR reporting, "__________" includes information about the client. example: the client experienced a fall in the bathroom, hit their head, and was admitted at 0800.
What is background?
This color tag is placed on those who are dying or have expired. The injuries are so severe that death is imminent. There is severe alteration or absence of breathing, circulation, and neurological status.
What is Black?
client teaching for a client taking anticoagulants should include these 3 things
what is use soft toothbrush, avoid high-impact activities and wear medical alert bracelet?
A client with renal calculi will present with _____, ______ and ____.
What is severe flank pain, nausea, and vomiting?
These things should be ordered for a client with foul-smelling urine, low-grade fever and painful urination. (there are 4).
What is broad-spectrum antibiotic, WBC count, 0.9% NS and a clean-catch urinalysis and urine culture?
If a sexually assaulted client was exposed to human immunodeficiency virus (HIV), treatment with postexposure prophylaxis (PEP) should take place within __________ of the assault. Priority question is to ask __________.
What is 72 hr.; what day and time did the assault take place?
The _____________________ guides the response to a disaster. It is imperative that a disaster event must be meticulously coordinated in the hospital. The plan must be well-documented and practiced frequently.
What is The Emergency Operations Plan (EOP).
age-related changes increases the client's risk for developing complications of a flail chest include
What is stiffened thorax, osteoporosis, and reduced ability to compensate for gas exchange alterations?
A client who has had _________________________ is at risk for ______________________.
What is recent surgery with general anesthesia; urinary retention?
continuous ambulatory peritoneal dialysis discharge teaching should include: (there are 3)
What is wash hands every time before connecting tubing to the catheter, check BP and follow instructions related to changes based on the results, weigh daily and keep a record of weights?
Prior to a forensic exam, the nurse must _____ _______and provide the client with all the steps in the forensic exam.
What is obtain consent ?
____________ encompasses diverse areas within the facility and regional settings and includes public safety, facilities, logistics, pharmacy, transportation, clinical client care, non-clinical client care, media/public relations, communications, radiation, infection control, and administration.
What is Emergency preparedness ?
Expected changes seen in acute respiratory distress syndrome (ARDS)
What is muscle wasting, cognitive loss, and functional impairment?