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38 Cards in this Set
- Front
- Back
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Hemiplegia and occasional urinary incontinence. |
Offer bedpan every 2 hrs. |
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Recommended predialysis nutrition restriction for CKD client. |
Protein |
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Chronic glomerulonephritis with oliguria - monitor for this electrolyte imbalance |
Hyperkalemia - due to oliguria causing potassium retention |
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Client receiving peritoneal dialysis - output less than input - abdomen distended - what action to take? |
Change client’s position. |
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Manifestations of Acute Tubular Necrosis - following kidney transplant - what interventions? |
Hemodialysis - to stabilize BUN and creatinine levels Biopsy - to determine correct diagnosis Immunosupression - to protect new kidney |
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History of renal calculi - drink how much water |
3.8L/4qt |
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History of UTIs - client statement that needs more education… |
I will use a vaginal douche daily. |
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Manifestation of bladder trauma following motor vehicle crash… |
Hematuria - blood in urine |
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An adverse effect of peritoneal dialysis… |
Peritonitis |
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Client in oliguric-anuric stage of acute kidney injury reports diarrhea, dull headache, palpitations, and muscle tingling/weakness. First action to take… |
Check electrolytes |
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Recommended predialysis nutrition restriction for CKD client. |
Protein |
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Acute pyelonephritis teaching (inflammation of kidneys caused by bacteria) |
Complete the entire cycle of antibiotics |
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Client with continuous bladder irrigation following TURP. What finding to report? |
Vicious urinary output with clots. - could be indication of arterial bleeding. |
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Peritoneal fluid not properly draining during peritoneal dialysis. What should the nurse do. |
Turn client from side to side. |
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A client who is 1 week postoperative following kidney transplant, indication of acute kidney rejection.Client |
High blood pressure. |
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Client statement who has recurrent cystitis that indicates needing further education. (Bladder inflammation) |
I prefer taking tub baths to showering. |
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Female client with pyelonephritis education on wiping after defecation. |
Wipe front to back. |
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Finding to report prior to completing an intravenous pyelogram. |
Vomiting and diarrhea - results in dehydration and can cause renal failure. |
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Client with CKD should limit the intake of what and why? |
Fluids to prevent hypervolemia. |
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How often should intermittent self-catherization at home take place?n |
Every 2-3 hours |
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Client has TURP, no drainage for over 1 hour - what should nurse do? |
Irrigate in dwelling urinary catheter with syringe. |
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A good food choice for someone who has chronic renal failure. |
Protein such as fresh fish or poultry - food with none or very little sodium. |
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Late stage chronic kidney disease dietary teaching - increase this nutrient.elevation |
Calcium due to reduced production of vitamin D, needed for calcium absorption. |
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These values are expected to elevated in someone who has CKD. |
Potassium and magnesium |
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Indication that the client has end stage kidney disease according to the RIFLE classification. |
No urine output w/out renal replacement therapy for more than 3 months. |
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A sign that a client is developing dialysis disequilibrium syndrome. |
Headache |
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Client diagnosed with renal calculi and has sever flank pain. Nursing priority is what? |
Relieve the client’s pain. |
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What should a client expect after having a cystoscopy? Examination of bladder lining and urethra. |
Pink tinged urine. |
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Information that should be included with pretense azotemi as to how it is caused. |
Interference with renal perfusion causes prerenal azotemia. |
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Three ways to prevent future uric acid stones. |
1. Take allopurinol as prescribed 2. Exercise several times a day. 3. Limit intake of foods high in purine. |
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Client with urolithiasis and pain in his thigh. Where is the stone? |
Ureter |
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Calcium oxalate renal calculi education on calcium intake. |
Consume 1,000 mg of dietary calcium daily. |
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Manifestation of urinary tract infection other than burning sensation when urinating. |
Back pain |
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Client receiving peritoneal dialysis. What type of effluent to report. |
Cloudy |
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Client with CKD with persistent nausea and muscle weakness. Laboratory findings expected? |
Hyperkalemia |
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This is needed after a renal biopsy. |
Bed rest. |
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A finding the nurse should expect following a TURP with in dwelling urinary catheter in place. |
Blood tinged urine in drainage bag. |
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What should a nurse include in a client’s plan of care following a nephrostomy? |
Check skin at site for irritation from urine leakage. |
