30 Questions
The nurse should monitor fluid status by paying careful attention to fluid intake only.
False
Accurate daily weights and I&O records are not essential in monitoring fluid status.
False
Severe fluid and electrolyte disturbances can be treated with CRRT, but not with HD or PD.
False
The nurse should aim to increase the patient's metabolic rate to promote recovery.
False
Asepsis is essential in managing invasive lines and catheters to reduce the risk of infection and increased metabolism.
True
Fluid balance maintenance in a patient with rhabdomyolysis is based on daily body weight, central venous pressure, and blood pressure.
False
Fluid replacement calculation is solely based on body weight in patients with rhabdomyolysis.
False
Fluid excess detection in patients with rhabdomyolysis may include clinical findings such as bradycardia and clear lungs.
False
Excessive administration of parenteral fluids may lead to pulmonary edema in patients with rhabdomyolysis.
True
There is a unanimous agreement on the use of loop diuretics in acute kidney injury (AKI) patients with rhabdomyolysis.
False
Enforced bed rest contributes to the older patient's failure to consume adequate fluids.
True
Dehydration in older adults is not commonly seen in the community setting.
False
Patients undergoing procedures that require fasting are at risk of dehydration.
True
The main goal of treatment for AKI is to provide excess fluid to prevent complications.
False
Prerenal azotemia is primarily treated by relieving the obstruction causing it.
False
What is a common treatment method to restore adequate renal blood flow in patients with prerenal causes of AKI?
Transfusing blood products
Which procedure involves circulating the patient's blood through an artificial kidney to remove waste products and excess fluid?
Hemodialysis (HD)
What is a potential complication that dialysis aims to prevent in patients with AKI?
Pericarditis
In AKI, what causes severe nutritional imbalances due to inadequate dietary intake?
Impaired glucose use and protein synthesis
What is a key role of fluid and electrolyte balance in patients with AKI?
Preventing complications like hyperkalemia
How does the nurse monitor fluid status in a patient?
By paying attention to fluid intake and urine output
What is one of the indicators of deteriorating fluid and electrolyte status that should be reported immediately to the primary provider?
Increased difficulty in breathing
Which intervention is essential to prevent atelectasis and respiratory tract infections in a patient?
Encouraging deep breathing exercises
How can severe fluid and electrolyte disturbances be treated in patients?
With any of the mentioned treatments: HD, PD, or CRRT
What is an essential aspect of managing high-protein diets for patients with acute kidney injury (AKI)?
Maintaining close monitoring of blood chemistry tests
How is fluid balance maintenance in a patient with rhabdomyolysis primarily monitored?
Daily body weight, central venous pressure, and blood pressure
Which clinical findings may indicate fluid excess in a patient with rhabdomyolysis?
Dyspnea, tachycardia, and distended neck veins
What is a potential consequence of excessive administration of parenteral fluids in patients with rhabdomyolysis?
Pulmonary edema
Which loop diuretics may be prescribed to initiate diuresis in patients with rhabdomyolysis?
Furosemide or bumetanide
What is used as the basis for fluid replacement calculation in patients with rhabdomyolysis?
Parenteral and oral intake, along with urine output and other fluid losses
Test your knowledge on the management of rhabdomyolysis, including maintenance of fluid balance and monitoring strategies. Learn about treatment approaches for patients with crush injuries, compartment syndrome, and heat-induced illnesses leading to myoglobinuria.
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