Exam (elaborations)
N450 exam 1 pt 2 (1)
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- N450 - Ch. 3 - Principles Of Geriatrics
N450 exam 1 pt 2 (1)
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N450 exam 1 pt 2what is a yessir catheter - ANS-a double lumen or tunneled catheter that can function
for 6 months
is PKD likely to affect both kidneys or only 1? - ANS-usually both
can a kidney transplant cure PKD? - ANS-no; it will replace much of the lost kidney
function but won't cure PKD
what is protein dietary management for most renal patients like? - ANS--CRF not on
HD: restrict (40gm/day)
-CRF on HD: increase
-CRF on PD: need more (you loose more with PD_
what are high biologic proteins? - ANS-milk
eggs
meat
what should sodium intake be like for renal patients - ANS-restrict: 2-4 gm / day
should PhosLo be given with food - ANS-yes or its worthless
what foods are high in K? - ANS-citrus
potatoes
tomatoes
dried fruits
beed
chicken
pork
milk
fish
why should salt substitutes be avoided? - ANS-because they contain potassium chloride
(you want K to be restricted)
on average fluids for dialysis patients are limited to ____cc/day - ANS-600
, what do clients with CRF on HD require? - ANS-extra carbs to prevent protein
catabolism
what do pts need to replace when on HD? - ANS-vitamins -> folic acid, FeSo4,
nephrocaps
what is the candidate selection criteria for a kidney transplant recipient? - ANS--medical
problem
-age 2-70
-free of GI disease, diabetes, endocrine
-cancer
-HIV
why are live doners better? - ANS-because of immediate organ availability. and
immediate function
what tests does a kidney doner have to have done? - ANS--24 hr urine for creatinine
clearance
-total proteni
-CBC
_help B and C
-HIV and CMV
-EKG and CXR
what is the most important pre-op testing before a kidney transplant? - ANS-Human
Leukocyte antigen (HLA)
-the more similar the donor and recipient antigens are the better the outcome
what is pre-op nursing care of the patient receiving a kidney transplant? - ANS--dialysis
is required 24 hrs prior to surgery
-recipient often receives a blood transfusion, usually from the donor to increase graft
survival
why is the transplanted kidney placed on the right side? - ANS-less chance of ileus and
easier to biopsy
what is urine like after a renal transplant? - ANS-urine and pink and blood right after
surgery but over a few days returns to normal
what is urine output like after a kidney transplant? - ANS-over diuresis
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