Question                                     Associate Degree Nursing Program: Detroit Lakes CampusNURS 2437: Nursing Clinical II Course Outcome 4: Kidney Dialysis Rotation How HTN and DM disease process led to renal failure?  Describe how the pathophysiology (down to the cellular level) of the underlying disease process has altered the ability of the nephrons of the renal system to function normally.  Correlate the client’s medical history/diagnoses of HTN and DM, to the pathophysiology of the disease causing renal failure.  (Example: if the client has diabetes mellitus, how did this disease change the normal physiology of the nephrons and lead this client to renal failure?)What client data is collected each day prior to initiating dialysis (client monitoring, lab work, etc.?)  Correlate the client’s holistic assessment to the pathophysiology listed above.  Include answer the rational for why this data is collected.How was this client’s vascular system accessed?  What type of vascular access does the client have?  How long has the client had this access?Describe the differences between an arteriovenous shunt/graft, arteriovenous fistula, femoral vein catheterization, and subclavian catheterization.How do the nurses monitor the dialysis access site?  What should the client know in regard to care of the dialysis access site at home?What are a bruit and a thrill?  Why do nurses assess these?  What are the possible causes of not having a thrill or bruit?Describe what assessed related to the bruit and thrill.Refer back to question one answer this question and base answers on the relationship between a health nephron and the job it does compared to how the dialyzer takes the place of the client’s nephrons.  Describe the dialysis process.How is the initial hook-up process accomplished?What is your understanding of how the dialysis process works?  (Remember to think about normal nephrons and how this procedure replaces that normal body function.)How is the client monitored during dialysis and what is the rationale for the monitoring?What are some potential complications of the dialysis process? Include at least 5 examples.How is the “rinse back” procedure accomplished? What post-dialysis monitoring is performed?  Include the rationale for this monitoring.Considering the amount of time that this client needs to spend in dialysis, how has this impacted this client’s life in all aspects?  Discuss this important aspect of care with a client to established a relationship during at dialysis.  The goal is to hear the client perspective on how dialysis impacts his or her daily life.What are a special diet at home? Describe and give rationale for the renal/dialysis diet and how it supports the dialysis process and the client’s continued health.  If the client does not follow this diet, what are some of the consequences that could occur?What are the requirements and necessary results for a client to be placed on the recipient list for a renal transplant?Compare and contrast hemodialysis and peritoneal dialysis.  What are the advantages and disadvantages of each of these procedures? AdvantagesDisadvantagesHemodialysis:  Peritoneal Dialysis:  What are the advantages and disadvantages to home hemodialysis?In working with clients who have chronic renal failure, multiple body systems and functions can be and are impacted.  Discuss the nursing interventions that would implement for the following: (be specific and list at least 4 interventions for each category).Prevention of neurological complicationsPromotion of optimal gastrointestinal functionMonitor fluid and electrolyte balanceMonitor for sign/symptoms of hyperphosphatemiaPromote maintenance of skin integrityMonitor/prevent bleeding complicationsMaintain maximal cardiovascular function  Health Science Science Nursing NURSING 3643 Share QuestionEmailCopy link Comments (0)

Question                                     Associate Degree Nursing Program: Detroit Lakes CampusNURS 2437: Nursing Clinical II Course Outcome 4: Kidney Dialysis Rotation How HTN and DM disease process led to renal failure?  Describe how the pathophysiology (down to the cellular level) of the underlying disease process has altered the ability of the nephrons of the renal system to function normally.  Correlate the client’s medical history/diagnoses of HTN and DM, to the pathophysiology of the disease causing renal failure.  (Example: if the client has diabetes mellitus, how did this disease change the normal physiology of the nephrons and lead this client to renal failure?)What client data is collected each day prior to initiating dialysis (client monitoring, lab work, etc.?)  Correlate the client’s holistic assessment to the pathophysiology listed above.  Include answer the rational for why this data is collected.How was this client’s vascular system accessed?  What type of vascular access does the client have?  How long has the client had this access?Describe the differences between an arteriovenous shunt/graft, arteriovenous fistula, femoral vein catheterization, and subclavian catheterization.How do the nurses monitor the dialysis access site?  What should the client know in regard to care of the dialysis access site at home?What are a bruit and a thrill?  Why do nurses assess these?  What are the possible causes of not having a thrill or bruit?Describe what assessed related to the bruit and thrill.Refer back to question one answer this question and base answers on the relationship between a health nephron and the job it does compared to how the dialyzer takes the place of the client’s nephrons.  Describe the dialysis process.How is the initial hook-up process accomplished?What is your understanding of how the dialysis process works?  (Remember to think about normal nephrons and how this procedure replaces that normal body function.)How is the client monitored during dialysis and what is the rationale for the monitoring?What are some potential complications of the dialysis process? Include at least 5 examples.How is the “rinse back” procedure accomplished? What post-dialysis monitoring is performed?  Include the rationale for this monitoring.Considering the amount of time that this client needs to spend in dialysis, how has this impacted this client’s life in all aspects?  Discuss this important aspect of care with a client to established a relationship during at dialysis.  The goal is to hear the client perspective on how dialysis impacts his or her daily life.What are a special diet at home? Describe and give rationale for the renal/dialysis diet and how it supports the dialysis process and the client’s continued health.  If the client does not follow this diet, what are some of the consequences that could occur?What are the requirements and necessary results for a client to be placed on the recipient list for a renal transplant?Compare and contrast hemodialysis and peritoneal dialysis.  What are the advantages and disadvantages of each of these procedures? AdvantagesDisadvantagesHemodialysis:  Peritoneal Dialysis:  What are the advantages and disadvantages to home hemodialysis?In working with clients who have chronic renal failure, multiple body systems and functions can be and are impacted.  Discuss the nursing interventions that would implement for the following: (be specific and list at least 4 interventions for each category).Prevention of neurological complicationsPromotion of optimal gastrointestinal functionMonitor fluid and electrolyte balanceMonitor for sign/symptoms of hyperphosphatemiaPromote maintenance of skin integrityMonitor/prevent bleeding complicationsMaintain maximal cardiovascular function  Health Science Science Nursing NURSING 3643 Share QuestionEmailCopy link Comments (0)