Heidi L. Rands
Pamela S. Williams RN, MSN
October 13, 2011
Axia College Material
Read each scenario and write a 25- to 50-word answer for each question following the scenarios. Use at least one reference per scenario and format your sources consistent with APA guidelines.
Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replace several blocked vessels in her heart. On her first day postoperatively, it was noted that she had very little urine output. 1. What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom? * * Ms. Jones’ kidneys are impaired. The kidneys regulate their own blood flow as well as GFR. The
…show more content…
He has noticed that he is not urinating more than once a day. 5. Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body? * * Mr. Hodge’s already has Chronic Renal Failure, added volume of retention because of vascular disease, affects the heart and kidneys. His body is no longer able to eliminate the metabolic toxic wastes his body is producing as the byproducts of the metabolic processes occurring in every cell of his body. * 6. As his chronic renal failure worsens, what other symptoms and signs might occur in his respiratory, digestive, nervous, and urinary systems? * * Mr. Hodges may experience symptoms such as yellowness under the skin, water retention, and hypertension as well as skin irritation. He may also develop pulmonary edema or become dyspneic. Mr. Hodges has chances of suffering from poor urine output, GI bleeds, liver disease, and even seizures. * 7. What is causing Mr. Hodges’s kidney disease? * * When the amount of these metabolic wastes accumulates in the system, they begin to poison every cell in the body. This is how it affects the functions of the other organs in the different systems of the body. So as long as Mr. Hodges does not improve his urine output, he will deteriorate even if he is bombarded with drugs. Worse yet, the drugs will also aggravate his condition because their metabolites will also become