Fundamentals of Nursing, 9e
9th Edition
ISBN: 9780323327404
Author: Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher: Elsevier Science
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Chapter 46, Problem 11RQ
Summary Introduction
Catheterization means insertion of a tube into the bladder through the urethra to drain urine. The indwelling catheter is maintained without obstruction by irrigating with a sterile solution. This irrigation sometimes causes urinary tract infection in a closed urinary drainage system.
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Identify multiple relevant and credible resources related to interventions that alleviate stress in school age patients in relation to hospitalisation and explain their significance as a nursing student
What are examples of key sources of fear and anxiety in school age patients related to hospitalization
Assessment
Nurses' Notes
Vital Signs
Nurses' Notes
1100:
The nurse should Target 1
to prevent Target 2
Client returns to unit from interventional radiology following chest tube
placement for pneumothorax. Client is alert and oriented x4. Client
reports pain as 3 on a scale of 0 to 10 and mainly located at the insertion
site. Vital signs obtained. Chest tube drainage system has 100 mL of
blood in drainage chamber. Intermittent tidaling noted in the water seal
chamber. Chest tube insertion site is dressed, dry, and intact. All chest
drainage system connections secured. Client assisted to a comfortable
position.
Target 1
apply a
nonocclusive
dressing
contact the
provider
place the
drainage tube in
sterile water
Target 2
tension
pneumothorax
infection
*
hemothorax
raise the drainage
hemorrhage
system above the
chest
1700:
Client reports shortness of breath and states, "I feel like the chest tube
may have moved."
Vigorous bubbling noted in the chest drainage systems water seal
chamber. All…
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Fundamentals of Nursing, 9e
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- DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…arrow_forwardDaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?arrow_forwardDaVita Dietitian Reference Manual Module 7-Adequacy of Hemodialysis DISCUSSION QUESTIONS Define the following abbreviations: • UKM • URR . . • Kt/V What are the minimum DaVita outcome goals for Kt/V and URR? How is the DaVita Quality Index calculated for Kt/V? Discuss effect of adequacy on: ⚫ Phosphorus . ⚫ Potassium • Hemoglobin • Appetite, intake and weight ⚫ Albumin . How is residual renal function measured? What term is used for residual clearance of urea? What are advantages and disadvantages of each dialysis access? Which dialyzes the least efficiently and why?arrow_forward
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