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concept of nursing 1
Collaborative Care of Acute Kidney Injury and Chronic Kidney Disease
| Question | Answer |
|---|---|
| Which menu items would the nurse remove from the meal tray of a patient with chronic kidney disease who is not currently receiving dialysis? | -bananas -Hard boiled eggs |
| A patient with CKD, who receives hemodialysis three times weekly, has a urine output of 200 mL for the day. The nurse calculates the recommended daily fluid intake for this patient to be __ mL of fluid. | 800 |
| Which nutritional food group limitations would the nurse recommend to a patient with CKD and renal osteodystrophy in order to help manage the diagnosis? | -Protein - Phosphorus |
| What is the recommendation regarding the use of diuretics for a patient with acute kidney injury (AKI) during the oliguric phase? | Not recommended, may be harmful |
| A patient with late stage chronic kidney disease (CKD) wants to know why active-form vitamin D has been prescribed. How would the nurse explain the use of this drug therapy to the patient? | “The kidney is no longer activating vitamin D, which will prevent calcium from being absorbed.” |
| The nurse instructs a patient with CKD and mineral bone disorder to take which medications with food in order to maximize function? | -Vitamin D -Calcimimetics -Phosphate binders |
| A patient who will soon begin dialysis requests more information about how dialysis will fit into their life. The patient would like to remain involved with work (full-time) and family activities, including day trips. | -- |
| Which statement by the nurse is most appropriate? | “Continuous ambulatory peritoneal dialysis (CAPD) is the best option for you.” |
| Some patients may feel weak and have low blood pressure immediately following hemodialysis (HD). How would the nurse explain the mechanism that caused these symptoms to the patient? | Rapid fluid shifts can occur during HD as fluid is removed from the body. |
| A 93-year old patient with end-stage renal disease (ESRD) refuses dialysis. The patient’s family insists the patient cannot make that decision on their own. | -- |
| he nurse talks with the patient and determines that the patient is mentally stable and does not want aggressive treatment. The patient states they would like a peaceful, dignified death. | -- |
| Clinically, the patient has continued to lose weight despite the worsening of peripheral edema. Which action should the nurse take to support the patient’s request? | Explain to the family that the patient is competent. Treatment would be burdensome to the patient and is not what the patient desires. |
| Which issues would the nurse take into consideration when discussing dialysis versus kidney transplantation as management strategies for a patient with end-stage renal disease? | -The physical ability to receive a kidney transplant. -The patient’s mental competency to make the decision. -The reasoning behind the patient’s decision regarding their treatment. |
| A patient undergoing hemodialysis will likely have an arteriovenous fistula or graft. Which specific safety precautions would the nurse take to care for these patients, in regards to their dialysis access? | -Interventions to prevent clotting of the vascular access -Meticulous aseptic technique to prevent infection of vascular access -Peripheral venous access and venipuncture should be in the contralateral extremity |
| -- | -Blood pressure measurements should be in the contralateral extremity |
Created by:
Lightnning54
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