Page 1813 - Saunders Comprehensive Review For NCLEX-RN

Introduction

Pyramid to Success

Pyramid Points focus on acute kidney injury and chronic kidney disease, dialysis
procedures, urinary diversions, and postoperative care following urinary or renal
surgery. Be familiar with medical conditions and diagnostic tests that place the client
at risk for acute kidney injury. Focus on the major problems associated with kidney
failure and the rationale for the prescribed treatment modalities. Be familiar with the
complications associated with hemodialysis and peritoneal dialysis, the specific
assessment data related to complications, and the expected treatment. Focus on the
care of a peritoneal catheter and hemodialysis access devices, the complications
associated with these access devices, and the appropriate nursing interventions if a
complication is suspected. Review assessment data indicating rejection following
kidney transplantation. Be familiar with care for the client following prostatectomy
and treatment measures for the client with urinary or renal calculi.

Client Needs: Learning Objectives

Safe and Effective Care Environment

Consulting with the interprofessional health care team
Establishing priorities
Identifying conditions and diagnostic procedures that increase the risk of
developing renal problems
Identifying the guidelines related to kidney organ donation
Maintaining asepsis related to wound care and dialysis access devices
Maintaining confidentiality related to the renal disorder
Maintaining standard and other precautions related to care for the client
Preventing injury related to complications of the disorder
Upholding client rights
Verifying that informed consent related to diagnostic and surgical procedures
has been obtained

Health Promotion and Maintenance

Performing urinary and renal physical assessment techniques
Providing client instructions regarding prescribed treatments related to the
urinary or renal disorder

1813