Thompson12

A client with acute renal failure develops sever hyperkalemia. What would the nurse anticipate to be used to treat this imbalance? 1) Furosemide (Lasix) 2) Amphojel (aluminum hydroxide) 3) 50% glucose and regular insulin 4) Epoetin (Procrit) 3: Hyperkalemia can develop into an emergency situation (Cardia Arrest). It is important to quickly move the potassium back into the cells by administering 50% glucose and regular insulin, usually in conjunction with some type of base to correct the ...

Because it is an ACE inhibitor (tx HTN while protecting the kidneys) Which patient below is NOT at risk for developing chronic kidney disease? A. 58 year old female with uncontrolled hypertension. B. 69 year old female with diabetes mellitus. C. 45 year old male with polycystic ovarian disease. D. 78 year old female with an intrarenal injury. C. 45 year old male with polycystic ovarian disease. A patient with Stage 5 CKD is experiencing extreme pruritus and has several areas of crystalli...

When a patient's urine dipstick test indicates a small amount of protein, the nurse's next action should be to a. send a urine specimen to the laboratory to test for ketones. b. obtain a clean-catch urine for culture and sensitivity testing. c. inquire about which medications the patient is currently taking. d. ask the patient about any family history of chronic renal failure. ANS: C Normally the urinalysis will show zero to trace amounts of protein, but some medications may give false...

DIF: Cognitive Level: Apply (application) REF: 1056 TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity A 32-year-old patient who is employed as a hairdresser and has a 15 pack-year history of cigarette smoking is scheduled for an annual physical examination. The nurse will plan to teach the patient about the increased risk for a. renal failure. b. kidney stones. c. pyelonephritis. d. bladder cancer. ANS: D Exposure to the chemicals involved with working as a haird...

Normal WBC levels in urine are below 5/hpf, with levels exceeding this indicative of inflammation or urinary tract infection. A urine pH of 6.0 is average; amber yellow is normal coloration, and the reference ranges for specific gravity are 1.003 to 1.030. The patient in the intensive care unit is receiving gentamicin for pneumonia from Pseudomonas. What assessment results should the nurse report to the health care provider? A. Decreased weight B. Increased appetite C. Increased urinary ...

You're developing a care plan with the nursing diagnosis risk for infection for your patient that received a kidney transplant. A goal for this patient is to: A. Remain afebrile and have negative cultures B. Resume normal fluid intake within 2 to 3 days C. Resume the patient's normal job within 2 to 3 weeks D. Try to discontinue cyclosporine (Neural) as quickly as possible A. Remain afebrile and have negative cultures Rationale: The immunosuppressive activity of cyclosporine places the ...

The nurse instructs a client with renal failure who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the menu? 1. Cream of wheat, blueberries, coffee 2. Sausage and eggs, banana, orange juice. 3. Bacon, cantaloupe melon, tomato juice. 4. Cured pork, grits, strawberries, orange juice. 1. The diet for a client with renal failure who is receiving hemodialysis should inclu...

not to dislodge this suture. Depending on the type of anesthesia used, option 2 may be appropriate but is not the priority in this surgery. Although adequate hydration is important to maintain, fluids should not be forced. Testing urine for glucose is not related to this type of surgery. The nurse is assisting in developing a plan of care for a 10-year-old child diagnosed with acute glomerulonephritis. Following review of the plan of care, the nurse determines that which intervention is th...

1) Observe for signs of a secondary infection 2) Provide a high protein, low carbohydrate diet 3) In and out catheterization for residual urine 4) Encourage fluids to 2000 mL in 24 hours 1: Secondary infections are the cause of death in 50-90% of clients with acute renal failure. A low protein diet is most often offered. Catheterizations are avoided. Fluids may be limited if the client is in ARF. A client with acute renal failure develops sever hyperkalemia. What would the nurse anticipa...

A.acetylcysteine. B.dopamine. C.furosemide. D.mannitol. C.furosemide. In general, maintenance of cardiovascular function and _________ are the two key goals in the prevention of acute tubular necrosis (ATN). A.adequate intravascular volume B.intake of a renal diet C.normal potassium level D.normal sodium level A.adequate intravascular volume One of the most useful noninvasive diagnostic tools available for clinicians to monitor fluid volume status is: