Med Final Managing Kidney Disorders
Which type of medication may be used to inhibit bladder contraction in a client with incontinence?
Anticholinergic agent
Major manifestation of nephrotic syndrome
Edema ( commonly around the eyes ) ( Sacrum, ankle , hands ) ( ADB Ascites) Albumin exceeding 3.5 day
The nurse is caring for a patient with a medical history of untreated CKD that has progressed to ESKD. Which of the following serum values and associated signs and symptoms will the nurse expect the patient to exhibit? Select all that apply.
Calcium 7.5 mg/dL; hypotension and irritability, Potassium 6.4 mEq/L; dysrhythmias and abdominal distention, Phosphate 5.0 mg/dL; tachycardia and nausea and emesis
The nurse caring for a client with a urinary diversion notices mucus around the stents and in the client's urine. Which is the appropriate nursing intervention?
Document presence of mucus in the urine.
Which type of incontinence refers to the involuntary loss of urine due to extrinsic medical factors, particularly medications?
Iatrogenic
Which period of acute renal failure is accompanied by an increase in the serum concentration of substances usually excreted by the kidneys?
Oliguria
Manifestations of glomerulonephritis
Protein in the urine , azotemia , hematuria , edema , urine can be cola colored because of protein plugs or casts ( Severe with AKI and oliguria )
What is used to decrease potassium level seen in acute renal failure?
Sodium polystyrene sulfonate
Which is the procedure of choice for men with recurrent or complicated UTIs?
Transrectal ultrasonography
The nurse cares for a client diagnosed with chronic glomerulonephritis. The nurse will observe the client for the development of
anemia
nephrotic syndrome
characterized by massive proteinuria caused by glomerular damage. corticosteroids are the mainstay
glomerulonephritis
inflammation of the glomeruli capillaries of the kidney Group A causes streptococcal
The nurse cares for a client with end-stage kidney disease (ESKD). Which acid-base imbalance is associated with this disorder?
pH 7.20, PaCO2 36, HCO3 14-
GFR less than 15
stage 5: kidney failure
The client's urine output indicates an inadequate response to the initial dosage of Lasix and the nurse should anticipate administering
Lasix 80 mg IVP.
Prerenal failure
Outside of kidney Caused by shock, dehydration, burns, sepsis An episode of ARF is pre renal only if it is reversed when the underlying cause of hypper fusion is corrected HF , MI
