University:
West Coast University
Course:
NURS 484 | Capstone
Academic year:

2021
Views:

173

Pages:

2
Author:

sommatosmby

ckd case Terms in this set (35) The nurse is teaching the client The client acknowledges that renal replacement therapy will need to about progression of chronic be initiated immediately to rid the body of waste and maintain fluid kidney disease (CKD). Which balance. evaluation statement documented by the nurse indicates the client's understanding of the disease process? Based on the client's symptoms, The client has uremia and may need to start dialysis. what should the nurse suspect? Which additional symptoms should Nausea the nurse ask about? (Select all Decreased attention span. that apply. One, some, or all Itching options may be correct.) The nurse reviews the client's Hypertension medical history. What part of the Polycystic kidney disease. medical history should the nurse Diabetes Mellitus consider relevant to the client's current history? (Select all that apply. One, some, or all options may be correct.) Which lab value would the nurse Glomerular filtration rate (GFR) of 9 mL/min/1.73m2. be most concerned about? The client's hemoglobin level is 7.8 Obtain an order to start an erythropoietin stimulating agent (ESA). g/dL (78 g/L). What action should the nurse take? What is the correct interpretation of these ABGs? Metabolic acidosis (compensated). After the nurse completes the Blood pressure of 178/92 mmHg. assessment, what findings are most Respiratory rate of 28 breaths per minute. important to report to the Bibasilar crackles. healthcare provider (HCP) ? Edema (Select all that apply. One, some, or all options may be correct.) Which assessment finding indicates Serum phosphorous of 4.0 mg/dL (1.29 mmol/L). to the nurse that the desired outcome of the calcium acetate has been achieved? Which assessment should the bp nurse perform to determine if the desired outcome of the losartan has been achieved? Which assessment data indicates Conjunctival sac returns to a reddish-pink color. to the nurse that the desired outcome of the epoetin alfa has been achieved? Based on these problems, which Encourage the client to ask questions and discuss fears about nursing intervention should be diagnosis. included in the client's plan of care? Which intervention is most Hold the dose of potassium chloride and contact the HCP to report the important for the nurse to serum potassium level. implement? Which intervention is most Call and speak directly with the healthcare provider (HCP). important for the nurse to implement? What action should the nurse take Document both phone calls and the HCP's prescriptions. based on the response from the Notify the charge nurse and activate the chain of command. healthcare provider (HCP) phone Hold the potassium chloride. call?

Chronic Kidney Disease Case Study

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