Question 4 options: |Monitor urine output.| |Ensure an adequate protein intake.| |Monitor blood pressure.| |Encourage ambulation.| Save Question 5 (5 points) A client is admitted with possible renal calculi. The nurse realizes that the diagnostic test this client might need to help with this health problem is: Question 5 options: |Intravenous pyelogram.| |Kidney biopsy.| |24-hour urine.| |Routine urinalysis.| Save Question 6 (5 points) In teaching a client how
“Teach the patient and family the symptoms of infection that should be promptly reported to a primary medical caregiver” (Ackley & Ladwig, 2011, pg. 495). Electrolyte balance should be watch closely in a patient with acute renal failure. Urden, Stacy, and Lough, 2012 state: Electrolyte levels require frequent observation, especially in the critical phase of AKI. Potassium may quickly reach levels of 6.0 mEq/L or higher.
Pathophysiology of Acute Renal Failure Hannah Allison Davidson County Community College Pathophysiology of Acute Renal Failure Acute renal failure, or ARF, refers to the sudden loss of kidney function. Over a period of hours to a few days, the GFR falls, accompanied by a rise in serum creatinine and urea nitrogen. A healthy adult eating a normal diet needs a minimum daily urine output of approximately 400 ml to excrete the body’s waste products through the kidneys. An amount lower than this indicates a decreased GFR. ARF affects 1% of patients on admission to the hospital (Nursing, 2011).
The nephron itself will then restore the vital nutrients and water back into the blood, while retaining the waste products the needs to eliminate, through the proximal and distal tubules. When there are no diuretics in the blood, when tubular reabsorption occurs through the proximal tubule, selective reabsorption of nutrients, such a sodium ions, from the filtrate go back into the blood. So, when sodium ions are reabsorbed by the blood, negative ions such as chloride ions follow due to the charge attraction. The highly concentrated solutes create an osmotic force, so water is also reabsorbed and is also reabsorbed. Then the filtrate goes through the descending loop of Henle, which is permeable to water (water retained back), and then through the ascending loop of Henle, which is permeable to salt (salt is retained back).
The 34 year old also had back pain, most likely lower back pain where the kidneys are located. One of the most significant conditions that were found from examination is her urinalysis; in her urine the medical staff has revealed numerous bacteria and leukocytes which are virtually always found in patients who have Pyelonephritis. 2. Hypoxia presents many different etiologies, but there are two general categories: disease that affect perfusion of the lungs (pneumothorax embolus) and disease of the bronchial tree, (pneumothorax, pulmonary edema, etc.) How was the diagnosis of ARDS made?
According to Schull’s drug handbook (2006), Phytonadione acts on the liver to promote the production of active prothrombin, proconvertin, plasma thromboplastin component, and Stuart factor. In other words, it promotes blood clotting. The safe dose for neonate is 0.5 to 1 mg injected intramuscularly within one hour of birth. Adverse reactions include: hyperbilirubinemia, pain, swelling, tenderness at injection site, and anaphylactoid reactions. Because neonates in the first few hours of life usually don’t have adequate vitamin K in their blood stream, physician often prescribes Phytonadione to prevent hemorrhaging of the newborn.
Renal Replacement Therapy By: Shalandra Williams ITT-Tech Breckenridge School of Nursing Due: 11/17/14 Hemodialysis | | | There are multiple causes for kidney failure and kidney disease. Since the function of the kidneys are needed to maintain body vitality, a series of different treatments and medications may be tried. If treatments are unsuccessful, the option of dialysis is given. There are two forms of dialysis. The two forms of dialysis are hemodialysis and peritoneal dialysis.
It increases chances of peptic ulcers and gastric adenocarcinoma. (Suzanne C. Smeltzer & Brenda G. Bare, 2004) The textbook mentions that a simple blood test can detect H. pylori. If you test positive the treatment of choice is multiple antibiotics, a proton pump inhibitor and H2 blockers for fourteen days. Resistance to H. pylori to metronidazole and clarithomycin is on the rise. The article explains in depth the different tests for H. pylori such as another blood test to recheck needs to be done at least six months after treatment to allow antibodies titers to decrease.
Rapid propulsion of intestinal contents through the small bowel results in diarrhea. (Joyce M. Black, 2008) | Short Term: After 2-3 hours of nursing interventions, the patient will verbalize understanding of causative factors and rationale for treatment regimen.Long Term: After 1-2 days of nursing interventions, the patient will reestablish and maintain normal pattern of bowel functioning AEB passage of semi-solid stools | 1. Establish rapport 2. Assess general condition and vital signs 3. Auscultate abdomen 4.
Hospital Acquired Infection (HAI), or as it is sometimes referred to as Nosocomial infection; is an infection occurring in patients after admission to hospital that was neither present nor incubating at the time of admission. This student will discuss the role of the nurse in preventing hospital acquired infection while on clinical placement, define HAI, and look at the causes of HAI and how it is spread. This student will also show in order to minimise these risks, systems must in place, understood and implemented by all concerned. Plowman (1997) claimed that, 6,000 deaths per year are caused by HAI, with significant financial costs for the NHS and personal costs for patients’ families. Other factors include separation from family, anxiety, sense of isolation and stigma.