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intrarenal causes of ARF can be prevented in a post op pt by
maintaining adequate hydration
which of the following nursing actions is most important for a pt with renal failure
maintain accurate intake output and daily weights
which of the following tests is most accurate for the assessment of renal functions
creatinine clearance
which of the following statements about creatinine clearance is true
24 hr urine collection is needed to run the test
which of the following factors can elevate the BUN level
volume depletion
an effective method for the removal of excess fluid and waste in a hemodialysis unstable pt with acute renal failure is
continuous arteriouvenous hemodialysis
63 yo dialysis pt has gained 10 lbs in the past 3 days. how much retention does this equal
5000 mL (500mL/day)
kussmauls resp in pt with renal failure as compensatory mech for
met acid
greatest risk for renal failure
42 yo with dehydration and infection tx w/ gentamycin
renal failure secondary to urethral stones
postrenal
decreased blood flow through kidney results in
release of renin from kidneys
oliguria
<400mL/24 hr
creatinine clearance 5mL/min=
renal dysfunction
px renal failure secondary to aminoglycoside admin
adjust dose based on peak and trough
53 yo with kidney and urethral stones. danger of developing
postrenal
most common cause of intrarenal failure
ATN
pt with renal failure who have serum bicarb of <15 and pH<7.2 usually tx with
Na bicarb
first-line drug for tx renal insufficiency
furosemide
kayexalate is used to tx hyperkalemia how
reducing the content of K
major risk of peritoneal dialysis
peritonitis
pt with ARF often have anemia secondary to
decreased erythropoeitin levels
pt says "im glad i only have diabetes"
DM can affect your heart if it is not controlled
pt with DM2 what can i do to px heart problems
stop smoking
pt with Dm says i think i have back problems; my feet are getting numb
polyneuropathy
PVD associated with Dm; nurse assessed
dusky skin tone
check feet; DM
prop mirror against wall and check feet
safety hazard
throw rugs
Ha1C
checks pancreas fxn
elderly palpable thyroid gland
normal
prepare pt for thyroidectomy; instruct pt before
how to support neck with hands
insulin infusion
glucose monitoring required ever 1-2 hrss
32 yo admitted to ICU with DKA. in addition to glucose monitoring, which electrolyte
K
which is true of medical management of DKA
?
common symptoms of hypoglycemia include
?
which of the following pt have the greatest risk for developing ARDS from their injury
pt who has received large volumes of fluid and or blood replacement
pt with musculoskeletal injury is at increased risk for compartent sydrome
severe throbbing pain
whcih of the following injuries would result in a greater likelihood of internal organ damage and risk of infection
?
ROM exercises, early ambulation and heparin prophylaxis are interventions to px
DVT
older adult pt who is on fall precaustions is found lying on floor of room. what should nurs do first
?
change of shift report for 28 yo admitted with ruptured appendix includes T 101 P 108 R26 BP 148/78. initial nurising priority
?
pt returene from suregery suite following surgical resection. task to delegate to nursing
?
which could be assigned to the nursing asistant?
?
Author
Anonymous
ID
56053
Card Set
test4
Description
test4
Updated
2010-12-15T02:04:49Z
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