The cpt manual divides dialysis into four subcategories: end-stage renal disease, hemodialysis, perinatal dialysis, and high-end dialysis. True or false
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- A nurse is providing teaching to a client who has chronic kidney failure (CKF) and is scheduled to begin hemodialysis treatments. Which of the following client statements indicates an understanding of the teaching? "I will be sure to weigh myself every week when I start dialysis treatments." "I will be on dialysis treatments until I can start urinating on my own again." "I will only need dialysis treatments when my lab values are abnormal." "I will have to have dialysis treatments two or three times a week."PatientAge: 72 Gender: Male Height: 172 cm Weight: 78 kgThe doctor's order is Potassium Chloride 40meq in 1L to run for 8 hours for the patient. Based on the Renal Drug Handbook 3rd Edition, the right rate of administration of potassium chloride is the following. ● Infusion up to 20mmol potassium per hour except in an extreme hypokalaemic emergency where some units give up to 40mmol/hour with cardiac monitoring● Give IV solution well diluted (not exceeding 40mmol/500mL) for peripheral administration.● Mix IV solutions thoroughly to avoid the layering effect● Some units give more concentrated solution centrally: 100–200mmol/100mL sodium chloride 0.9% or glucose 5%, but at a rate not more than 20mmol/hour Does the doctor's order comply with the renal drug handbook?A patient with end-stage renal disease is admitted with orders for hemodialysis. Which actions should the nurse take to prepare the client for hemodialysis? Select all that apply. 1 .Administer subcutaneous heparin to decrease clotting during dialysis 2. Administer the client's morning doses of carvedilol and lisinopril 3. Check the client's medical records to determine the last post-dialysis weight 4. Obtain a set of client vital signs and the client's current weight 5. Palpate the fistula in the client's arm for a thrill and auscultate for a bruit
- Biopsychosocial AnalysisIdentifying Information: Ursula Norman is a 32-year-old nurse who was brought to anemergency department 6 days after giving birth. She is married and has one child.Presenting Problem: Ms. Norman has been behaving very strangely and has becomeconvinced that she has smothered and killed her baby. Write a biopyschosocial Analysis on Urulysis strenght and recommendationHealth Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Chronic Renal Dysfunction Iron deficiency AnemiaThe nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.
- Based on the information and test results below, is patient suffering from Acute kidney injury or Chronic kidney Injury ? Patient Information Patient Name: Mr Phil D.O.B. 5/5/1962 Gender: Male Mr Eastburn has had hypertension for a number of years for which he has been taking atenolol tablets (25mg daily). He has come for a routine check-up and to get a repeat prescription of his atenolol. Patient history: Mr Eastburn is a lorry driver who often works long hours traveling and has a poor diet and does no regular exercise. He takes no other medication. В.Р. 150/101 mmHg Weight: 90 kg Height: 172 cm Sample collected: Date sample collected: Freshly voided mid-stream urine sample Today Results of dipsticks analysis Patient name: Mr Phil D.O.B 5/5/ 1962Develop a nursing care plan that includes all phases of the nursing process for patients receiving fluid and electrolyte solutions.diuretic, ~electrolyte, ~hyper/hypokalemia ~hyper/hyponatremia List foods choices high in potassium 2. List a few basic nursing interventions required when a client receives either a diuretic or a potassium replacement 3. Describe what milli-equivalents (mEq) denotes 4. Identify common fat and water soluble vitamins and minerals 5. Describe the value of taking iron/calcium and other vitamin supplements and specific patient teaching criteria regarding taking them.
- Question:Make nursing care plan(ncp) for a kidney failure patient Past health history: constipation for the last 7 days accompanied by difficulty of breathing (DOB) and Abdominal pain. Present Health history: chief complaint of Abdominal pain. Prior to admission, facial edema and bipedal edema was notice during physical assessment. Laboratory: Temperature 36°c, Pulse Rate -127, Respiratory Rate- 22,Blood Pressure -120/90,URIC ACID :10.20 mg/dL,CREATININE :1.33 mg/dLA nurse is caring for an older patient with type II diabetes who is living in a long-term care facility. The nurse deter-mines that the patient’s fluid intake and output is approxi-mately 1200 mL daily. What patient teaching would the nurse provide for this patient? Select all that apply.a. “Try to drink at least six to eight glasses of water eachday.”b. “Try to limit your fluid intake to one quart of waterdaily.”c. “Limit sugar, salt, and alcohol in your diet.”d. “Report side effects of medications you are taking,especially diarrhea.”e. “Temporarily increase foods containing caffeine for theirdiuretic effect.”f. “Weigh yourself daily and report any changes in yourweight.”Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Grave’s Disease Chronic Renal Dysfunction Iron deficiency Anemia