NUR265 EXAM 1 STUDY GUIDE
Renal
***The most important assessment finding to report to the Dr post-renal surgery is decreased UO <30
ml/hr
***For a pt newly admitted with ARF, the nurse should:
· Raise HOB 30-45˚
· Take VS
· Establish IV access
· Call admitting Dr for orders
***The most common and INITIAL manifestation of ARF: Oliguria
***Pts acquire ARF after episodes of shock because of decreased blood flow
through kidneys.
***The most likely cause of an increased BUN in ARF: decreased renal blood
flow, which in turn increases plasma urea level
***For an increase K level, Kayexalate given to exchange sodium for potassium
ions in the colon, thus decreasing the serum potassium level.
***If a pt with ARF has a high K level, the nurse should monitor for cardiac arrest.
***A pt with ARF is prescribed an increased carb, decreased protein diet to
prevent ketosis.
***In the Oliguric phase of ARF, pt should be assessed for pulmonary edema.
***Nursing measures for a pt with an external cannula in forearm for
hemodialysis include: using the unaffected arm to take BP
***If pt develops HA, confusion, and nausea during 1st hemodialysis Tx the nurse
, should: assess for Disequilibrium syndrome.
***Sx of Chronic Renal Failure includes:
· Crackles
· Increased BP
· Weight Gain
Note: these are all signs of excess fluid volume.
***Disadvantage of long-term peritoneal dialysis: time consuming
***Dialysis solution for peritoneal dialysis warmed primarily to encourage serum
urea removal
***Appropriate assessment while dialysis solution dwelling in pt’s abdresp
status
***If consistent blood-tinged solution draining from pt with permanent peritoneal
cath who is undergoing dialysisabd vessel damage
***If diasylate solution stops before all solution runs out during dialysisturn pt
from side to side
***During Dialysis:
· Monitor BP bc hypotension can be a complication
· Monitor I & O
· Monitor weight
Renal
***The most important assessment finding to report to the Dr post-renal surgery is decreased UO <30
ml/hr
***For a pt newly admitted with ARF, the nurse should:
· Raise HOB 30-45˚
· Take VS
· Establish IV access
· Call admitting Dr for orders
***The most common and INITIAL manifestation of ARF: Oliguria
***Pts acquire ARF after episodes of shock because of decreased blood flow
through kidneys.
***The most likely cause of an increased BUN in ARF: decreased renal blood
flow, which in turn increases plasma urea level
***For an increase K level, Kayexalate given to exchange sodium for potassium
ions in the colon, thus decreasing the serum potassium level.
***If a pt with ARF has a high K level, the nurse should monitor for cardiac arrest.
***A pt with ARF is prescribed an increased carb, decreased protein diet to
prevent ketosis.
***In the Oliguric phase of ARF, pt should be assessed for pulmonary edema.
***Nursing measures for a pt with an external cannula in forearm for
hemodialysis include: using the unaffected arm to take BP
***If pt develops HA, confusion, and nausea during 1st hemodialysis Tx the nurse
, should: assess for Disequilibrium syndrome.
***Sx of Chronic Renal Failure includes:
· Crackles
· Increased BP
· Weight Gain
Note: these are all signs of excess fluid volume.
***Disadvantage of long-term peritoneal dialysis: time consuming
***Dialysis solution for peritoneal dialysis warmed primarily to encourage serum
urea removal
***Appropriate assessment while dialysis solution dwelling in pt’s abdresp
status
***If consistent blood-tinged solution draining from pt with permanent peritoneal
cath who is undergoing dialysisabd vessel damage
***If diasylate solution stops before all solution runs out during dialysisturn pt
from side to side
***During Dialysis:
· Monitor BP bc hypotension can be a complication
· Monitor I & O
· Monitor weight
