renal 13

Uremic bone disease, often called renal osteodystrophy, develops from the complex changes

in calcium, phosphate, and parathormone balance.

A client with end-stage renal disease is scheduled to undergo a kidney transplant using a sibling donated kidney. The client asks if immunosuppressive drugs can be avoided. Which is the best response by the nurse?

"Even a perfect match does not guarantee organ rejection."

The nurse expects which of the following assessment findings in the client in the diuretic phase of acute renal failure?

Dehydration

A nurse assesses a client shortly after living donor kidney transplant surgery. Which postoperative finding must the nurse report to the physician immediately?

urine output of 20ml / hr

A client with renal failure is undergoing continuous ambulatory peritoneal dialysis. Which nursing diagnosis is the most appropriate for this client?

Risk of infection

Bone disease and metastatic and vascular calcifications occur due to

retention of phosphorus, low serum calcium levels, abnormal vitamin D metabolism, and elevated aluminum levels.

A male client has doubts about performing peritoneal dialysis at home. He informs the nurse about his existing upper respiratory infection. Which of the following suggestions can the nurse offer to the client while performing an at-home peritoneal dialysis?

Wear a mask when performing exchanges

The nurse is caring for a patient with end-stage kidney disease in the hospital and smells a fetid odor from the patient's breath. What major manifestation of uremia will be present?

Hypocalcemia with bone changes

An investment banker, with chronic renal failure, informs the nurse of the choice for continuous cyclic peritoneal dialysis. Which is the best response by the nurse?

"This type of dialysis will provide more independence."

normal serum creatinine

0.7 - 1.5

normal BUN level

8-23

A client with chronic renal failure (CRF) is admitted to the urology unit. Which diagnostic test results are consistent with CRF?

Blood urea nitrogen (BUN) 100 mg/dl and serum creatinine 6.5 mg/dl

A client admitted with a gunshot wound to the abdomen is transferred to the intensive care unit after an exploratory laparotomy. I.V. fluid is being infused at 150 ml/hour. Which assessment finding suggests that the client is experiencing acute renal failure (ARF)?

Urine output of 250 ml/24 hours

The diuretic phase of acute renal failure is characterized by

increased urine output, hypotension, and dehydration.