Consider the RIFLE criteria outlined in this chapter and Ms S's presentation to the ICU and her subsequent management with CRRT. Which stage of the criteria was met in the context of RIFLE for Ms S?
What will be an ideal response?
Suggested response: RIFLE criterion ‘F' is the stage for Ms S's diagnosis of acute renal failure. This is because her urine output since catheterisation was 20 mL in total and represents, according to urine output criteria, an oliguric state. Her serum creatinine measure of 165 micromol/L is compared to the GFR criteria and is almost twice normal for a female, with many labs having a normal range for an adult female of 44–80 micromol/L.
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The nurse is caring for a patient who is to receive a transfusion of packed red blood cells. The patient has a 22-gauge IV in his arm with 0.9% normal saline infusing
What intervention will the nurse perform before obtaining the packed red blood cells from the blood bank? a. Identify the blood group, type, and expiration date with another nurse. b. Insert an 18- or 20-gauge angiocatheter into the patient's other arm. c. Program the IV infusion pump so that the transfusion will complete within 4 hours. d. Obtain a new microdrip tubing and extension tubing from the clean utility room.
A 45-year-old woman has sought care from her primary care provider because she has been experiencing signs and symptoms of perimenopause
The nurse at the clinic has undertaken to perform some health education around this life transition for the patient. When doing so, what should the nurse teach the patient? A) Menopause is considered to be a pathophysiological phenomenon. B) Production of estrogen and progesterone ceases during menopause. C) Pregnancy is possible until 1 year after the cessation of menstruation. D) The symptoms associated with perimenopause can be avoided by making lifestyle changes.
The nurse is caring for an older client who is receiving phenytoin. Which nutrition-related points does the nurse teach the client? Select all that apply.
1. "Notify the provider for difficulty swallowing." 2. "Sometimes you will not have a good appetite." 3. "Make sure to eat food rich in B vitamins." 4. "Your favorite foods may not taste good anymore." 5. "Get a few minutes of sunshine every day."
Studies are currently underway to determine mortality risk of ziprasidone. Findings indicate that ziprasidone has additional mortality risk related to which of the following?
a. slightly prolonging the cardiac QT interval, increasing susceptibility to arrhythmias b. exacerbation of the sleep apnea commonly observed with long-term use of these drugs c. lack of improvement in "negative" symptoms, even after long-term use of these drugs d. development of diabetes that sometimes accompanies long-term use of these drugs