Nephrotic syndrome & has been taking prednisone for 3 days

o Sore throat - risk for infection

Client reports urinary urgency and dysuria - addition findings for UTI
o Pyuria - WBC in urine
ESWL for treatment of calcium phosphate kidney stones
o Strain all of the clients urine
Evaluating the clients status after dialysis, what should be assessed first
o Vital signs - ABC
Nurse is obtaining a voided urine culture and sensitivity for manifestations of UTI
o Instruct the client to initiate the flow of urine before collective the specimen
Hemodialysis is contraindicated in which client
o A client who cannot receive anticoagulants: prevent clot formation
Discharge teaching for a client who has chronic kidney disease
o I will decrease my intake of foods high in phosphorus
Planning care for a client who has acute glomerulonephritis
o Weigh the client daily - monitor fluid retention
Finding placing the client @ risk for seizures
o A rapid decrease in fluid - cerebral edema & ICP
Arteriovenous shunt placed in left arm, which requires intervention by the preceptor
o Measuring blood pressure in the shunted arm every 4 hours
Cyclosporine for a client who had a kidney transplant 2 days ago
o You will need to continue taking this medication to protect your new kidneys
Client scheduled for intravenous urography - nurses priority intervention
o Determine if the client has an allergy to iodine or shellfish
Admission assessment on a client who has severe chronic kidney disease, expected finding
o Tachypnea - metabolic acidosis
Client reports costovertebral angel tenderness, nausea, vomiting
o WBC 15,000
Urge urinary incontinence
o Set an interval for toileting based on previous voiding pattern
Reduced intake of potassium for a client who has chronic kidney disease
o One large apple
Post op assessment following nephrectomy
o Blood pressure
Continent internal ileal reservoir following surgery
o You must insert a catheter through your stoma to drain the urine
Laboratory findings for acute kidney injury
o BUN 30
o Urine output 40 ml
o Hematocrit 30%
Acute kidney injury, what lab values to report
o Serum creatinine 4.0
Continuous bladder irrigation, detect output obstruction
o Check irrigation tubing for kinks
Teaching for a client who has chronic kidney disease, understanding
o I will weigh myself each morning
Client scheduled to undergo ESWL for Urolithiasis

o Apply electrodes for cardiac monitoring

Possible indications of delay functioning of transplanted kidney
o Urine output 30ml/2 HOURS
Monitor for signs of nephrotoxicity
o A client who is receiving gentamicin for treatment of wound infection - aminoglycoside can
injure cells of renal tubes, causing necrosis
Risk factor for chronic pyelonephritis
o Diabetes
New diagnosis of acute pyelonephritis
o Avoid the use of NSAIDs for pain - cause further damage
BUN 196 NA 152 K 7.3 - - intervention
o Infuse regular insulin in dextrose 10% water
Third peritoneal dialysis, what to report
o Cloudy dialysate effluent - - peritonitis
Admission assessment of a client who has acute glomerulonephritis
o Dark colored urine