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Module 7 Nursing Care of Patients with Renal Disorders

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Module 7 nursing study resource covering disorders of the renal system, patient assessment, nursing care, treatment concepts, clinical interventions, and key topics for nursing exam preparation.

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Module 7 Nursing Care of Patients with Disorders
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of the Renal Systemhttps://www.stuvia.com/u

Science Medicine Nephrology


Module 7: Nursing Care of Patients with Disorders of the
Renal System
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Terms in this set (38)


Pericarditis,
Pericardial tamponade
Bone disease


There are a number of potential complications of ESKD that necessitate a
collaborative approach to care. These include the following:

There are a number of potential
Anemia due to decreased erythropoietin production, decreased RBC lifespan,
complications of ESKD that necessitate a
bleeding in the GI tract from irritating toxins and ulcer formation, and blood loss
collaborative approach to care. These
during hemodialysis
include which of the following? Select all
that apply.
Bone disease and metastatic and vascular calcifications due to retention of
phosphorus, low serum calcium levels, abnormal vitamin D metabolism, and
Pericarditis,
elevated aluminum levels
Pericardial tamponade
Bone disease
Hyperkalemia due to decreased excretion, metabolic acidosis, catabolism, and
Hypokalemia
excessive intake (diet, medications, fluids)


Hypertension due to sodium and water retention and malfunction of the renin-
angiotensin-aldosterone system


Pericarditis, pericardial effusion, and pericardial tamponade due to retention of
uremic waste products and inadequate dialysis

There are four phases of AKI: initiation, True
oliguria, diuresis, and recovery.


False
True




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, https://www.stuvia.com/user/filwe1099salminhttps://www.stuvia.com/user/filwe1099salmin
Module 7 Nursing Care of Patients with Disorders
https://www.stuvia.com/user/filwe1099salmin
of the Renal Systemhttps://www.stuvia.com/u
The recovery period signals the 1% to 3%
improvement of renal function and may
take three to 12 months. Laboratory values
return to the patient's normal level.
Although a permanent _____% to _____%
reduction in the GFR may occur, it is not
clinically significant.

Patients with intrarenal azotemia usually True
have urinary sodium levels greater than
40 mEq/L with urinary casts and other
cellular debris.


True
False

Continuous renal replacement therapies
Hemodialysis
Peritoneal dialysis
Which of the following are types of
dialysis? Select all that apply. Hemodialysis (a procedure that circulates the patient's blood through an artificial
kidney [dialyzer] to remove waste products and excess fluid),
Continuous renal replacement therapies
Hemodialysis Peritoneal dialysis (PD; a procedure that uses the patient's peritoneal membrane
Lymphodialysis [the lining of the peritoneal cavity] as the semipermeable membrane to exchange
Peritoneal dialysis fluid and solutes),
Intermittent renal replacement therapies
Continuous renal replacement therapies (CRRTs) (methods used to replace
normal kidney function by circulating the patient's blood through a hemofilter)
may be performed

For patient with acute kidney failure daily body weight
maintenance of fluid balance is based on blood pressure
which of the following? Select all that serial measurements of central venous pressure
apply. serum and urine concentrations


daily body weight Maintenance of fluid balance is based on daily body weight, serial measurements
blood pressure of central venous pressure, serum and urine concentrations, fluid losses, blood
serial measurements of central venous pressure, and the clinical status of the patient.
pressure
serum and urine concentrations
fluid intake

The oliguric phase of AKI may last 10 to 14 True
days and is followed by the diuretic
phase, at which time urine output begins The oliguric phase of AKI may last 10 to 14 days and is followed by the diuretic
to increase, signaling the patient is in the phase, at which time urine output begins to increase, signaling the patient is in the
recovery phase. recovery phase


False
True

___________ is a procedure that circulates the Hemodialysis
patient's blood through an artificial kidney
[dialyzer] to remove waste products and
excess fluid.

For the patient with acute kidney failure neck
fluid excesses can be detected by the
clinical findings of dyspnea, tachycardia,
and distended ______________ veins.




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