16 Questions
What are the symptoms of air embolism during hemodialysis, and what are the nursing interventions to be taken?
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.
What are the nursing considerations for patients undergoing renal biopsy?
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.
What are the nursing interventions for patients with nephrotic syndrome?
Sodium restriction, corticosteroids, and anticoagulants.
What is the difference between prerenal, intrarenal, and postrenal AKI?
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.
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
Strict I&Os and monitoring of the stoma site are required; patient teaching about complications such as infection, obstruction, and stones is necessary.
What are the symptoms of nephrolithiasis, and what are the nursing considerations for patients with this condition?
Symptoms 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.
What are the nursing interventions for patients with electrolyte imbalances, especially potassium and magnesium?
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.
What is Torsades de Pointes, and what are the nursing interventions for patients with this condition?
Torsades de Pointes is a condition where the heart beats irregularly due to QT prolongation, low magnesium, and hypo/hypercalcemia; nursing interventions include left side positioning, trendelenburg, and 100% oxygen on non-rebreather.
What are the nursing interventions for air embolism during hemodialysis?
Position the patient on the left side and administer 100% oxygen on non-rebreather
Which electrolyte imbalances require urgent treatment for hyperkalemia with EKG changes?
Potassium and calcium
What is a nursing consideration for patients undergoing renal biopsy?
Positioning the patient prone during the procedure
Which medications should be questioned in patients with renal dysfunction?
NSAIDs and thiazide diuretics
What are the nursing considerations for patients undergoing cystectomy or ileal conduit?
Strict I&Os and monitoring the stoma site
What are the clinical manifestations of nephrolithiasis?
Colic pain and hematuria
What are the nursing considerations for AKI?
Assessing for electrolyte imbalances
What are the causes of prerenal AKI?
Reduced blood flow to the kidneys
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
Test your nursing knowledge on renal conditions with this informative quiz! From identifying the different types of acute kidney injury to understanding the nursing considerations for patients with nephrotic syndrome, this quiz covers a range of important topics. Gain a deeper understanding of the interventions needed for patients with renal conditions, including electrolyte monitoring, pain relief, and post-procedure care. Sharpen your nursing skills and improve patient outcomes with this quiz.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
