ss oliguria anuria low grade fever hypertension tenderness over the

Ss oliguria anuria low grade fever hypertension

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s/s: oliguria, anuria, low-grade fever, hypertension, tenderness over the transplanted kidney, lethargy, azotemia, and fluid retention treatment: involves increased doses of immunosuppressive meds Chronic : occurs gradually over months to years cause: blood vessel injury from overgrowth of smooth muscles of the blood vessels causing fibrotic tissue to replace normal tissue resulting in a nonfunctioning donor kidney s/s: gradual return of azotemia, fluid retention, electrolyte imbalance, fatigue treatment: conservative (monitor kidney status, continue immunosuppressive therapy) until dialysis is required Multiple Sclerosis: Teaching Client About Visual Changes (RM AMS RN 10.0 Chp 10, Active Learning Template - System Disorder) Patient may be double (diplopia) Teach scanning techniques. Instruct client to visually can his environment by moving his head from side to side Pacemakers: Indication of Malfunction (RM AMS RN 10.0 Chp 29, Active Learning Template - Therapeutic Procedure) 4
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Causes: insufficient pacemaker settings, lead wire placement and function, battery function, myocardial damage and electrolyte imbalance Monitor ECG to ensure heart rate is within programmed parameters. Pace spikes should be adequate in number and occur directly before P or QRS complexes Pacer spikes that occur on the T wave can cause life-threatening arrhythmias. Treatment of complications is related to identifying the cause Pacemaker settings should be manipulated only as prescribed Pneumothorax, Hemothorax, and Flail Chest: Clinical Manifestations of a Tension Pneumothorax (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 25) Expected findings: anxiety, pleuritic pain Physical assessment findings: signs of respiratory distress (Tachypnea, tachycardia, cyanosis, dyspnea and use of accessory muscles) -Tracheal deviation to the unaffected side - Reduce/absent breath on affect side - Asymmetrical chest wall movement - Hyperresonance on percussion due to trapped air (pneumothorax) Polycystic Kidney Disease, Acute Kidney Injury, and Chronic Kidney Disease: Teaching About Polycystic Kidney Disease (Active Learning Template - System Disorder, RM AMS RN 10.0 Chp 59) PKD - congenital disorder where clusters of fluid filled cysts develop in the nephrons. Healthy kidney tissue is replaced by multiple non-functioning cysts - genetic mutation and is hereditary - more common in Caucasians - Instruct the client to monitor blood pressure and weight daily - Instruct the client to notify the provider if she experiences an elevated temperature - Provide the client information on a low-sodium diet - Instruct the client to inform the provider if there are any changes in urine or bowel movements - Instruct the client to take all medications as prescribed Spinal Cord Injury: Preventing Autonomic Dysreflexia (RM AMS RN 10.0 Chp 16, Active Learning Template - System Disorder) The nurse should elevate head of bed until the client is an upright position, which should lower the blood pressure secondary to postural hypertension
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