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Ch 60 Renal/Urinary Assessment
Terms in this set (14)
Best position to auscultate renal vessels in pt w pyelonephritis
Which pt is at risk if the nurse attempts to palpate the pts kidney?
tumor in the kidney
Which age-related change would the nurse associate w a pt's report of nocturia?
Dec ability to concentrate urine
What age-related change would the nurse associate w nocturnal polyuria?
tubular changes: shortens, thickens, dec surface area and length leads to dec ability to filter blood and excrete waste
Which diagnostic test would the HCP prescribe to evaluate renal PERFUSION and GFR without exposing the pt to iodinated constrast dye?
Nuclear renal scan
what are the function of juxtamedullary nephrons?
1. 20% of all nephrons
2. tubes dip deep into MEDULLA
3. concentrate urine during low fluid intake
which H regulates intrarenal blood flow via vasodilation/constriction?
What is the purpose of a KUB?
measure size of both kidneys and detect gross obstruction
which diagnostic test is safe for pts with kidney failure?
Nuclear renal scan- no exposure to iodinated contrast dye
which lab test would the nurse associate w the best indicator of kidney fx?
creatinine excretion- best indicator of renal fx
which statement best describes how the nurse would perform a physical assessment of a pts kidneys and bladder?
inspect for asymmetry in the CVA angle
Which pt does the nurse ID as most likely to experience renal compromise assessed by dec urine production?
A- 25-year history of diabetes mellitus
B-White blood cell count of 13,000/mm3
C- Recent history of myocardial infarction
D. Blood pressure of 92/48 mm Hg for 12 hours
Decreased GFR occurs in patients with DM. And, the ability of the kidneys to self-regulate renal blood pressure and renal blood flow keeps the glomerular filtration rate (GFR) constant. A blood pressure of 92/48 mm Hg is a mean arterial pressure of 62 mm Hg. The kidney has a difficult time regulating GFR with a mean arterial blood pressure less than 65 mm Hg.
A patient with kidney failure whose pulse oximeter reading is 96% reports dyspnea. The nurse assesses that the patient is visibly distressed, with a respiration rate of 32 breaths/minute. What is the appropriate nursing intervention?
Patients with kidney failure are anemic because they cannot produce the hormone erythropoietin. A high oxygen saturation in an anemic client who is showing signs of respiratory distress may still be hypoxemic. Clients who have decreased hemoglobin could have a high percentage of the hemoglobin saturated with oxygen, but because they have a decreased hemoglobin level, not enough oxygen is provided. Administering oxygen is necessary.
A patient with a history of kidney disease is admitted with acute shoulder pain. Which order will the nurse discuss with the prescribing health care provider?
High-dose or long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) can seriously reduce kidney function, so the nurse will discuss this with the prescribing health care provider.
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