NGN: Renal EAQ Case Study
Study online at https://quizlet.com/_e200do
Renal - Patient 1
H&P
Day of Admission
0800: A 22-year-old female client was
transferred to the emergency depart-
ment (ED) approximately 20 minutes af-
ter being found unresponsive at the bot-
tom of a staircase in a large warehouse.
It is not known how long the client lay on
the floor. She was found by a custodian
who was reporting to work. The police
who responded to the scene reported
that the area smelled of cocaine. The
client has a history of illicit drug use in-
cluding cocaine and methamphetam
Intravenous (IV) mannitol
Sodium bicarbonate
Monitor for signs of compartment syn-
drome
After reviewing the client's medical Creatine kinase laboratory test
record for the first 24 hours after admis- Renal replacement therapy (RRT)
sion, the nurse expects that which pre-
scriptions will be included in the treat- Rationale:
ment plan? Select all that apply. Rhabdomyolysis is a syndrome that oc-
curs with the breakdown of skeletal mus-
Intravenous (IV) mannitol cle. Muscle injury can be related to trau-
Sodium bicarbonate ma, burns, or compression. Illicit use
Monitor for signs of compartment syn- of serotonergic drugs such as cocaine
drome and methamphetamines can trigger hy-
Creatine kinase laboratory test pertonicity, seizure activity, and agitation,
Renal replacement therapy (RRT) leading to muscle breakdown. A marked-
Renal angiography ly elevated serum creatinine kinase level
Intake and output every 4 hours and the presence of tea-colored urine
IV cisplatin are findings suggestive of rhabdomyoly-
sis. The patient meets the criteria for sev-
eral stages of acute kidney injury (AKI).
According to the Kidney Disease Improv-
ing Global Outcomes (KDIGO) Criteria
1/7
Study online at https://quizlet.com/_e200do
Renal - Patient 1
H&P
Day of Admission
0800: A 22-year-old female client was
transferred to the emergency depart-
ment (ED) approximately 20 minutes af-
ter being found unresponsive at the bot-
tom of a staircase in a large warehouse.
It is not known how long the client lay on
the floor. She was found by a custodian
who was reporting to work. The police
who responded to the scene reported
that the area smelled of cocaine. The
client has a history of illicit drug use in-
cluding cocaine and methamphetam
Intravenous (IV) mannitol
Sodium bicarbonate
Monitor for signs of compartment syn-
drome
After reviewing the client's medical Creatine kinase laboratory test
record for the first 24 hours after admis- Renal replacement therapy (RRT)
sion, the nurse expects that which pre-
scriptions will be included in the treat- Rationale:
ment plan? Select all that apply. Rhabdomyolysis is a syndrome that oc-
curs with the breakdown of skeletal mus-
Intravenous (IV) mannitol cle. Muscle injury can be related to trau-
Sodium bicarbonate ma, burns, or compression. Illicit use
Monitor for signs of compartment syn- of serotonergic drugs such as cocaine
drome and methamphetamines can trigger hy-
Creatine kinase laboratory test pertonicity, seizure activity, and agitation,
Renal replacement therapy (RRT) leading to muscle breakdown. A marked-
Renal angiography ly elevated serum creatinine kinase level
Intake and output every 4 hours and the presence of tea-colored urine
IV cisplatin are findings suggestive of rhabdomyoly-
sis. The patient meets the criteria for sev-
eral stages of acute kidney injury (AKI).
According to the Kidney Disease Improv-
ing Global Outcomes (KDIGO) Criteria
1/7
