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A patient is returning from their EGD (Esophagogastroduodenoscopy). What will care consist of?
Holds fluids until gag reflex returns
Provide gargles
Monitor for bleeding, dysrhythmias, perforation
Blood transfusions
If a patient is taking antibiotics reports a rash what do you do?
notify the PCP.
What is the normal BUN range?
10-20 mg/dL
What is the normal creatinine range?
0.6-1.2 mg/dL
A patient with a kidney infection should have limited fluid intake. True or False?
False
A patient with kidney stones reports they have been limiting their fluid intake. What do you
educate them on?
Do not limit water intake. Drink two glasses of water at bedtime and an additional glass at each
nighttime awakening to prevent urine from becoming too concentrated during the night.
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,A patient reports they have 'stopped smoking,' however, you notice a nicotine patch on their
shoulder. What should you educate the patient on?
A nicotine patch has the same affects as smoking nicotine. They didn't really quit.
What should you educate your patient on to help prevent reoccurrence or worsening symptoms
of diverticulitis?
Avoid foods high in sugar and fat.
Drink at least 8-10 8oz glasses of water a day.
Consider taking psyllium, a bulk adding laxative. Psyllium absorbs excess water in the GI tract
and stimulates peristalsis and defecation.
What is diverticulitis?
occurs when small, bulging pouches (diverticula) develop in your digestive tract. When one or
more of these pouches become inflamed or infected, the condition is called diverticulitis.
A patient with constipation develops a sudden fever. What should you do?
Contact PCP. Perforation could have occurred.
What are normal trigylceride levels? What is it a complication of?
Below 150. Peritoneal Dialysis puts patients at risk for higher levels.
Continuous tube feedings should be infused _______ at a rate between _____ and ______.
slowly
20-50ml/hr
Providing Care of a gastrostomy or jejunostomy tube includes...
The nurse washes the area around the tube under the bumper with soap and water or 2%
chlorhexidine gluconate daily and as needed to remove any encrustation.
If soap and water is used, the area is rinsed well with water and patted dry. If chlorhexidine is
used, the area is allowed to air dry.
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,A patient receiving enteral nutrition reports cramping, what should you do?
Slow the rate.
What should you always assess a kidney patient for....
edema in dependent areas like the SACRUM and in the PERIORBITAL region.
What kind of care would you expect for a patient with Acute Glomerulonephritis?
The patient is instructed verbally and in writing to notify the primary provider if symptoms of
kidney disease occur.
Blood pressure, urinalysis for protein, and BUN and serum creatinine levels
To determine if the disease has progressed.
Strict I&Os
Daily Weights
In a hospital setting, carbohydrates are given liberally to provide energy and reduce the
catabolism of protein (this is hard on the kidneys, can worsen proteinuria).
Fluids are given based on the patient’s fluid losses and daily body weight.
Can renal patients receive NSAIDS like Ketorolac?
NO.
What are expected labs to be ordered for a UTI? (Know this one, its a SATA)
Monitor labs
CBC
CMP
UA
Urine C&S
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, What signs and symptoms would you expect to find when assess a patient acute
glomerulonephritis that resulted in heart failure?
Edema with SOB ->
Cough
Dyspnea
Crackles
Urination can be physiologically altered if...
diseases causing demyelination impact the message/signals involved in the release of urine.
What are some risk factors for urinary incontinence?
Age-related changes in the urinary tract
Caregiver or toilet unavailable
Cognitive disturbances—dementia, Parkinson disease
Recent pregnancy/vaginal surgery
Diabetes
Genitourinary surgery
High-impact exercise
Immobility
Incompetent urethra due to trauma or sphincter relaxation
Medications—diuretic, sedative, hypnotic, and opioid agents
Monitor the elderly - Due to decreased GFR
How often should you encourage your patient with urinary incontinence to void?
5-8 times a day (about every 2-3 hours):
First thing in the morning
Before each meal
Before retiring to bed
Once during the night if necessary
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