OA: Function & Safety
A patient with knee OA needs support while walking. This device can improve stability and reduce stress on the affected joint.
What is a cane?
This degenerative joint condition commonly causes pain with activity and brief morning stiffness.
What is osteoarthritis?
A patient with renal impairment has a potassium level of 6.2 mEq/L. This potentially life-threatening complication is the priority concern.
What are life-threatening cardiac dysrhythmias?
This daily measurement is especially useful for trending fluid retention in a patient with renal disease.
What is daily weight?
A patient's urine output falls to 0.3 mL/kg/hr. This finding indicates abnormally low urine output.
What is oliguria?
A patient with OA becomes fatigued when completing household chores. Alternating activity with planned rest is called this.
What is activity pacing?
A patient reports a grating or grinding sensation when moving an affected joint. This is the clinical term.
What is crepitus?
A patient has several days of vomiting and poor oral intake, followed by declining renal function. This type of AKI is most likely.
What is prerenal acute kidney injury?
During the diuretic phase of AKI, increased urine output places the patient at risk for these two problems.
What are dehydration and electrolyte imbalances?
Before a procedure involving contrast, the nurse should review these two important safety factors related to kidney function and prior reactions.
What are kidney-function assessment and a history of prior contrast reactions?
A patient with hand OA struggles to open containers. This category of device can help maintain independence.
What is adaptive equipment?
These bony enlargements occur at the distal interphalangeal joints in patients with OA.
What is Heberden's nodes
The nurse cannot feel the usual thrill over a hemodialysis AV fistula. This is the priority nursing response.
What is prompt assessment of the access and urgent notification of the dialysis team or provider?
This blood test is commonly trended to assess renal function and may rise as kidney function worsens.
What is creatinine?
A patient with CKD reports increasing weakness, tingling, and itching. These symptoms warrant assessment for worsening renal dysfunction and its complications.
What is possible worsening CKD with associated complications?
A patient with OA asks what type of exercise can support mobility while limiting joint impact
What is low-impact exercise?
A patient presumed to have OA develops a hot, swollen joint with fever and acute illness. This should prompt concern for what?
What is concern for another acute condition?
During hemodialysis, a patient develops dizziness, tachycardia, and hypotension. This complication related to fluid removal is suspected.
What is intradialytic hypotension related to fluid removal?
These two chronic conditions are major risk factors for developing chronic kidney disease.
What are diabetes mellitus and hypertension?
A patient has suspected hypovolemic AKI. If prescribed and not contraindicated, this treatment may help restore circulating volume and renal perfusion.
What are prescribed isotonic IV fluids, when appropriate?
A patient has severe OA pain and substantial loss of function despite appropriate conservative treatment. This treatment option may need evaluation.
What is evaluation for joint-replacement surgery?
For a patient with OA, this functional outcome is a key indicator that the care plan is effective.
What is improved functional independence?
A patient develops postrenal AKI from urinary obstruction. The treatment priority is to address this underlying problem.
What is relief of the urinary obstruction?
During hemodialysis, this process removes excess water from the blood using a pressure gradient
What is ultrafiltration?
A patient with renal failure has potassium 6.0 mEq/L, BUN 110 mg/dL, and creatinine 12 mg/dL. Which abnormality is the most immediate concern?
What is hyperkalemia?