Renal System Flashcards
difference between acute renal failure and CRF
ARF often reversible, abrupt deterioration of kidney function. CRF irreversible, slo deterioration of kidney function characterized by increasing BUN and creatinine. Eventually dialysis is required
during the oliguric phase of RF, protein should be severely restricted. What is rationale
toxic metabolites that accumulate in the blood (urea, creatinine), are derived mainly from proteincatabolism
identify two nursing interventions for the client on hemodialysis
do not take BP or perform venipuncture on the arm with the AV shunt, fistula, or graft. Assess access site for the thrill and bruit
what is the highest priority nursin diagnosis for clients in any type of RF
risk for imbalanced fluid volume
a client in RF asks why antacids are being given.
calcium and aluminum antacids bind phosphates and help keep phosphates from being absorbed into bloodstream thereby preventing rising phosphate levels. Must be taken with meals
list 4 essential elements of teaching for clients with frequent UTI
fluid intake 3L/day. good handwashing, void q 2-3 hrs during waking hours, take all prescribed meds, wear cotton undergarments
most important instructions for those with renal calculi
straining urine is the most important intervention. Other interventions include accurate I/O, documentation and admin of analgesics as needed
what discharge instructions should be given to a client who has urinary calculi
maintain high fluid intake of 3-4 L/day. Pursue follow up care (stones tend to reoccur). Follow prescribed diet based on calculi content. Avoid supine position
after transurethral resection of the prostate gland (TURP), hematuria should subside by what postoperative day
day 4
after urinary catheter is removed in the TURP client, what are three priority nursing actions
continued strict I/O, continued observations for hematuria. Inform client burning and freqency may last for a week
post kidney surgery, primary assessments
respiratory status (breathing is guarded due to pain), ciruclatory status (kidney is vascular and excessive bleeding can occur), pain assessment, urinary assessment (most important, UOP)
