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Burns, Transplants, Renal

Terms in this set (36)

Which laboratory test reports distinguish glomerulonephritis from pyelonephritis?
Elevated serum creatinine and BUN levels
Which treatment option allows for a complete recovery from polycystic kidney disease (PKD)?
Renal transplant
Which changes may be associated with dialysis procedures?
cerebral edema
The nurse is assessing the clinical manifestation reports of four clients. Which client is most likely to have renal trauma?
hypotension, flank bruising, gross hematuria
Which electrocardiographic change indicates worsened hyperkalemia in a client with acute kidney failure?
presence of sine wave
The laboratory reports of a client with kidney disease indicated an increase in the blood urea nitrogen (BUN) levels. Which could be the reason behind this condition?
Increased protein intake and breakdown
Which complication associated with hemodialysis may be overcome by controlling the rate of fluid removal?
muscle cramps
The RN is teaching a nursing student regarding dialysis in chronic kidney disease. Which statement made by the nursing student indicates effective learning?
"Adjustments should be made to a client's fluid intake between dialysis treatments."
Which statement is true regarding polycystic kidney disease in adults?
It is a multisystemic disorder.
A client undergoing treatment for chronic kidney disease is administered calcium supplements. Which condition is being treated?
hypocalcemia
A client is diagnosed with chronic kidney disease that is manifested with hyperkalemia, hypertension, and renal osteodystrophy. The primary health-care provider prescribes a medication to the client. During a follow-up visit, the laboratory reports indicate high levels of potassium in the stools. Which medication is responsible for this report?
Sodium polystyrene sulfonate
Which is an example of a chemical burn?
burns caused by gasoline
Which clinical manifestations present in a client most likely indicates compartment syndrome?
numbness, diminishing pulse, complaints of pain with flexion
Which is true regarding escharotomy?
The procedure helps to relieve pressure and prevent compartment syndrome.
Which is the most likely cause for the development of hyperkalemia in the emergent phase of a burn injury?
plasma leakage through damaged capillaries
Which type of skin graft may eventually require replacement by a permanent grafting?
Allograft
Calculate the resuscitation required in the first 8 hours to a 35-year-old client with 50% total body surface area (TBSA) burns. The weight of the client is 165 lbs and the client does not have any history of respiratory or cardiac conditions. Record your answer using whole numbers.
7500
Which diagnostic test is most appropriate to use in a client with electrical burn injuries
CK-MB levels
Which zone of burn injury has the most contact with the heat source and is the location of the most severe damage?
zone of coagulation
Which condition of the client indicates deep partial-thickness burns?
Damage to the entire epidermis and deeper layers of the dermis
While caring for a client with burns, the nurse elevates the head of the bed. Which best describes the rationale behind this action?
To decrease the work of breathing
While assessing an injured client's condition, the nurse suspects that the client has an inhalational injury. Which clinical findings are likely responsible for the nurse's suspicion?
facial burns, singed facial hair, carbon in sputum
Which is true regarding silver sulfadiazine?
It is used for partial and full thickness burn wounds.
It produces a cooling effect when applied and involves easy, painless application.
It is a broad-spectrum medication and is effective against Candida.
An RN is teaching nursing students about burn center referral criteria according to the American Burn Association. Which point listed by the nursing student indicates a need for further teaching?
"A client with partial thickness burns less than 10% of the total body surface area."
Which assessment finding indicates the need for further evaluation of an infection in a client with polycystic kidney disease?
Tachycardia
Which clinical manifestations are observed in a client during the diuretic phase of acute kidney injury?
Increased glomerular filtration rate
Which factor is considered to be of greatest significance for determining a burn client's survival rate?
Medical history
The RN is teaching a nursing student about peritoneal dialysis in clients with end-stage renal disease. Which statements made by the client indicate the need for further teaching?
"The metabolic clearance of wastes occurs quickly in peritoneal dialysis."
"Peritoneal dialysis requires strict dietary restrictions by the client."
"Longer training sessions are required to teach the client and his or her family members about peritoneal dialysis."
A client reports frequent fevers, chills, vomiting, and a burning sensation during urination. Urine analysis reports are positive for infection, and the histological examination of renal tissue is negative for inflammation of the renal cells. Which treatment method may reduce the risk of pyelonephritis?
Antibiotics
Which type of renal replacement therapy is indicated for clients who are acutely ill with chronic kidney disease?
Continuous renal replacement therapies
The nurse observes decreased serum calcium and hemoglobin, increased blood urea nitrogen (BUN), and creatinine in the laboratory reports of a client. The client also has a medical history of polycystic kidney disease and uncontrolled diabetes mellitus. Which condition is suspected?
Chronic kidney disease
The RN is teaching a community group about burn prevention strategies to be followed to prevent burns at home. Which statement made by someone in the group indicates a need for further teaching?
Smoke alarms should be checked every year.
What is the total body surface area (TBSA) percentage for burns at which a healthy adult client should be resuscitated with fluids for injuries?
20% or greater TBSA
Which sedatives are most appropriate to administer to a client who is in the burn care unit?
Haloperidol, Lorazepam, Midazolam
The nurse is caring for a client who underwent a radical nephrectomy for renal cancer. Which postoperative assessment made by the nurse is most beneficial to the client?
Monitoring the color of the incision
Monitoring for swelling at the incision site
Maintaining proper hydration in the client
Monitoring for excessive drainage from the incisions
A client has a superficial partial-thickness burn. Which is accurate in terms of the healing period of the burn?
7 to 14 days with no scarring
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