Drug Card Heparin (Hep-Lock)

Which laboratory finding is an indirect measurement of a patient’s glomerular filtration rate (GFR)?

An unconscious 32-year-old male has arrived at the ED. Available medical records indicate that 2 years ago he had been receiving 24 units of NPH insulin daily. Which statement best describes how ESRD has most likely affected the patient’s diabetes over the course of 2 years?

A 48-year-old male arrives at the ED complaining of a decreased urine output. Which assessment finding is the most accurate indicator of this patient’s renal function?

Which early major complication of a crush injury should the nurse assess for in this patient?

A 35-year-old woman arrives at the ED complaining of nausea, vomiting, malaise, and a decreased urine output. She recently completed a 2-week course of cephradine (Velosef) for a UTI. Urinalysis reveals a sodium level of 40 mEq/L with a urine specific gravity of 1.0. Urine sediment includes casts, with few red blood cells (RBCs) or white blood cells (WBCs). Other laboratory findings include a serum BUN level of 40 mg/dL and a serum creatinine level of 4 mg/dL. Which condition is suggestive of the patient’s assessment findings?

The nurse knows that end-stage renal disease (ESRD) develops when:

Which finding differentiates decreased renal perfusion from acute tubular necrosis (ATN):

Your patient, with known acute renal failure, has a potassium level of 6.0 mEq/dl. What EKG findings would commonly be seen with hyperkalemia?

During peritoneal dialysis, the dialysate solution has difficulty draining from the abdomen. An appropriate nursing intervention to facilitate drainage would be to:

A 52-year-old diabetic man with a 1-year history of chronic renal failure that is treated with continuous ambulatory peritoneal dialysis is unconscious when admitted to the ED. His blood pressure is 190/100 mmHg; serum potassium level, 7.8 mEq/L; serum BUN level, 200 mg/dL, and serum creatinine level, 10 mg/dL. Available medical records indicate that 2 years ago he had been receiving 28 units of NPH insulin daily. The nurse anticipates that the patient’s hyperkalemia will be treated with:

A client who has been diagnosed with chronic kidney disease is talking to the nurse about his overall health. Which best describes the difference between health promotion and disease management in this situation?

The nurse is caring for a client who has chronic kidney disease. Which of the following medications would the nurse question?

A client with severe, uncontrolled hypertension is being evaluated for chronic kidney disease. The provider checks the glomerular filtration rate and determines that it is 22 mL/min. Which stage of chronic kidney disease does this GFR place the client?

A diabetic client has recently been diagnosed with stage one chronic kidney disease. Which of the following topics must the nurse include when teaching this client?

The nurse is admitting a client with a history of chronic kidney disease. Which of the following lab values is inconsistent with chronic kidney disease?

A provider has ordered a serum creatinine test for a client who is being assessed for chronic kidney disease. The client asks the nurse about the test. Which of the following responses correctly explains serum creatinine?

The nurse is caring for a client who has been diagnosed with chronic kidney failure. Which of the following aspects of this client’s history could have contributed to this?

An 18-year-old has chronic kidney insufficiency and must take an injection of growth hormone. He takes his own injections and his parents bring him to the healthcare clinic every four weeks for follow-up evaluation. What laboratory levels would need to be monitored in a client taking growth hormones?