1. What type of renal failure is most often seen with dehydration? Acute Renal Failure.
2. What signs and symptoms noted by the nurse are characteristic of renal failure? Dehydration, blood pressure of 90/60, heart rate of 100 bpm, dry skin with decreased turgor, dry oral mucous membranes are dry, BUN level of 60 and creatinine of 1.2, and dark amber urine with a specific gravity of 1.028.
3. If the blood pressure continued to drop in this patient and the patient developed acute tubular necrosis, what would happen to the kidney tubule? The kidney tubule would be damaged or destroyed.
4. What are the three phases of acute tubular necrosis? Identify two important nursing interventions for each phase. The three phases of acute tubular necrosis are: Initiating phase-injury to tubules occurs; Maintenance phase-GFR decreases, nitrogenous waste increases, urine output decreases; Recovery phase- GFR, urine output, blood levels of nitrogenous wastes return to normal.
-check vital signs
-give more fluid if not indicated, and maintain skin integrity
-check lab values BUN and creatinine level,
-Document intake and output
-check and document that blood levels of nitrogenous wastes and urine output return to normal. -teach...