2. You are a urologic nurse whose patient has voiced concern over his kidneys lo

Question

2. You are a urologic nurse whose patient has voiced concern over his kidneys losing their function within the past few weeks. He has maintained a log of the past week, recording his urination and fluid intake. He has a history of diabetes mellitus and hypertension, which are treated with medication. (Learning Objectives #3 & #4) a. In your patient interview, how would you define renal failure for your patient? b. Which diseases could be included as possible etiologies for renal failure? c. What data should be included in a complete urinary system assessment? d. How might an accurate urinary output measurement be obtained? e. What is important to remember when collecting a 24-hour urine specimen?

Explanation / Answer

2 a) Failure of the kidneys means the body cannot excrete certain waste products, excess water, and salts or control the body's acidity. There are two types of renal failure- Acute and chronic.
Acute Renal failure is the sudden and often temporary loss of kidney function.
Chronic renal failure is the Irreversable renal damage developing slowly over many years.

2 b) These diseases, conditions may damage the kidneys and lead to kidney failure:

2 c) The following data's should be included in a complete urinary system assessment -

Personal and family history:

Diet History:

Socioeconomic staus:

Current Health Problems:

Physical examination:

Psychosocial Assessment

Diagnostic Assessment:

2 d) The measurement of urinary output is a procedure which requires handling of the urinary collection system, visual assessment and manual data recording.The method includes patient voiding into a container, pouring urine from container into a calibrated measuring device, reading measurement while device is on a level surface, reading the amount at eye level and recording amount voided.

2 e) A 24-hour urine collection is a simple lab test that measures what's in your urine. The test is used to check kidney function. A 24-hour urine collection is done by collecting your urine in a special container(s) over a full 24-hour period. The  important factor to be remembered when collecting a 24-hour urine specimen is :

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