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Questions and Answers
Questions and Answers
What are the symptoms of air embolism during hemodialysis, and what are the nursing interventions to be taken?
What are the symptoms of air embolism during hemodialysis, and what are the nursing interventions to be taken?
- Symptoms include headache, dizziness, and blurred vision; nursing interventions include right side positioning, trendelenburg, and 50% oxygen on non-rebreather.
- Symptoms include abdominal pain, nausea, and vomiting; nursing interventions include sitting upright, administering IV fluids, and monitoring vital signs.
- Symptoms include SOB, chest pain, R sided HF symptoms, and LOC changes; nursing interventions include left side positioning, trendelenburg, and 100% oxygen on non-rebreather. (correct)
- Symptoms include muscle cramps, fatigue, and irritability; nursing interventions include administering calcium supplements and increasing fluid intake.
What are the nursing considerations for patients undergoing renal biopsy?
What are the nursing considerations for patients undergoing renal biopsy?
- Patient teaching is not necessary as the procedure is minimally invasive; CBC and renal function studies are not required as the procedure is low risk.
- Pre-procedure coag studies are required; CBC and renal function studies are necessary; prone positioning during the procedure is necessary; post-procedure care is required. (correct)
- Patient teaching is not necessary; CBC and renal function studies are not required; prone positioning during the procedure is not necessary; post-procedure care is not required.
- Prone positioning during the procedure is not necessary; post-procedure care is not required.
What are the nursing interventions for patients with nephrotic syndrome?
What are the nursing interventions for patients with nephrotic syndrome?
- Sodium restriction, diuretics, and beta 2 adrenergic drugs.
- Sodium restriction, diuretics, and anticoagulants.
- Fluid restriction, corticosteroids, and anticoagulants.
- Sodium restriction, corticosteroids, and anticoagulants. (correct)
What is the difference between prerenal, intrarenal, and postrenal AKI?
What is the difference between prerenal, intrarenal, and postrenal AKI?
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
What are the symptoms of nephrolithiasis, and what are the nursing considerations for patients with this condition?
What are the symptoms of nephrolithiasis, and what are the nursing considerations for patients with this condition?
What are the nursing interventions for patients with electrolyte imbalances, especially potassium and magnesium?
What are the nursing interventions for patients with electrolyte imbalances, especially potassium and magnesium?
What is Torsades de Pointes, and what are the nursing interventions for patients with this condition?
What is Torsades de Pointes, and what are the nursing interventions for patients with this condition?
What are the nursing interventions for air embolism during hemodialysis?
What are the nursing interventions for air embolism during hemodialysis?
Which electrolyte imbalances require urgent treatment for hyperkalemia with EKG changes?
Which electrolyte imbalances require urgent treatment for hyperkalemia with EKG changes?
What is a nursing consideration for patients undergoing renal biopsy?
What is a nursing consideration for patients undergoing renal biopsy?
Which medications should be questioned in patients with renal dysfunction?
Which medications should be questioned in patients with renal dysfunction?
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
What are the clinical manifestations of nephrolithiasis?
What are the clinical manifestations of nephrolithiasis?
What are the nursing considerations for AKI?
What are the nursing considerations for AKI?
What are the causes of prerenal AKI?
What are the causes of prerenal AKI?
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Study Notes
Study Notes
Nursing Considerations for Renal Conditions
- Torsades de Pointes can occur due to QT prolongation, low magnesium, and hypo/hypercalcemia; nursing interventions include left side positioning, trendelenburg, and 100% oxygen on non-rebreather.
- Air embolism can happen during hemodialysis; symptoms include SOB, chest pain, R sided HF symptoms, and LOC changes; nursing interventions include left side positioning, trendelenburg, and 100% oxygen on non-rebreather.
- Patients with electrolyte imbalances, especially potassium and magnesium, need cardiac monitoring; urgent treatment for hyperkalemia with EKG changes includes insulin/glucose and non-emergent treatment includes dialysis, IV calcium, Na bicarb, beta 2 adrenergic drugs, diuretics, Patiromer, and sodium polystyrene sulfonate.
- NSAIDs and thiazide diuretics should be questioned in patients with renal dysfunction.
- Renal biopsy involves visualizing the kidneys and getting 3 different specimens; nursing considerations include patient teaching, pre-procedure coag, CBC, and renal function studies, prone positioning during the procedure, and post-procedure care.
- Cystectomy involves partial or segment removal of the bladder; ileal conduit involves taking a portion of the ileum to create a tube and stoma for urine drainage; nursing considerations for both include strict I&Os, monitoring the stoma site, and patient teaching about complications such as infection, obstruction, and stones.
- Nephrotic syndrome is characterized by glomerular changes, massive proteinuria, and increased risk for infection, clots, and dehydration; nursing interventions include treating underlying causes, corticosteroids, sodium restriction, diuretics, anticoags, and ACE/ARBS.
- Nephrolithiasis involves forming stones in the kidneys; clinical manifestations include colic pain, N/V, fevers, pallor, diaphoresis, tachycardia, hypotension, hematuria, and foul smelling urine; nursing considerations include pain relief, ambulation, hydration, urine straining, and surgical intervention if necessary.
- AKI has different phases including initiating, oliguric, diuretic, and recovery; nursing considerations include monitoring electrolyte imbalances, dehydration, and urine specific gravity and osmo, and treating severe hyperkalemia with IV calcium, insulin/glucose, Na bicarb, beta 2 adrenergic drugs, diuretics, sodium polystyrene sulfonate, Patiromer, or dialysis.
- Prerenal AKI is caused by reduced blood flow to the kidneys, intrarenal AKI is caused by damage to the kidneys, and postrenal AKI is caused by obstruction of urine flow.
- Acute glomerulonephritis is characterized by sudden onset of symptoms such as micro
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