Acute Kidney Failure And Metabolic Acidosis Essay Paper

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Acute Kidney Failure And Metabolic Acidosis Essay Paper

Question

A nurse is caring for a patient who has communicable diseases influenza. Which of the following isolation precautions should the nurse take? 1. Ensure air in the clients room is filtered through HEPARIN filter 2. Double bag the clients trash before removing it from the room 3. Wear a surgical mask when within 1m (3ft) of the client 4. Place the client in a negative pressure room with 6 to 12 air exchange per hour

A nurse is assessing a client who has acute kidney failure and is in a state of metabolic acidosis. The nurse should monitor for which following manifestation? 1. Hyperreflexia 2. Hypotension 3. Bounding peripheral pulse 4. Cool skin

Expert Answer

This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts. Acute Kidney Failure And Metabolic Acidosis Essay Paper

Step-by-step

Step 1/2
The isolation precautions the nurse should take for a patient with influenza are 3. Wear a surgical mask when within 1m (3ft) of the client, and 2. Double bag the client’s trash before removing it from the room. Option 1, filtering the air through a HEPARIN filter, is not a standard precaution for influenza. Option 4, placing the client in a negative pressure room, is appropriate for certain highly contagious airborne diseases like tuberculosis, but not for influenza.
Step 2/2
In a client with acute kidney failure and metabolic acidosis, the nurse should monitor for the manifestation of 4. Cool skin. Metabolic acidosis can cause peripheral vasoconstriction and decreased blood flow to the skin, leading to cool or clammy skin. Hyperreflexia is a sign of neurological hyperexcitability and is not typically associated with metabolic acidosis. Hypotension and bounding peripheral pulse are more commonly associated with metabolic alkalosis.
Explanation:
1, ensuring air in the patient’s room is filtered through a HEPARIN filter, is not a standard precaution for influenza. HEPARIN filters are typically used in specific settings, such as during certain medical procedures, to filter blood and prevent blood clots. Option 2, double bagging the client’s trash before removing it from the room, is a standard precaution for any patient who has an infectious disease. This is to minimize the risk of spreading the infection to others. Option 3, wearing a surgical mask when within 1m (3ft) of the client, is a standard precaution for influenza. This is because influenza is primarily spread through respiratory droplets when an infected person talks, coughs, or sneezes. Option 4, placing the client in a negative pressure room with 6 to 12 air exchanges per hour, is not a standard precaution for influenza. Negative pressure rooms are typically used for patients with highly contagious airborne diseases, such as tuberculosis or measles, to prevent the spread of infectious particles to others. In terms of the second question, the nurse should monitor for signs and symptoms of metabolic acidosis in a patient with acute kidney failure. Metabolic acidosis is a condition where there is an accumulation of acid in the body due to an imbalance in the body’s pH. This can cause a variety of symptoms, including cool or clammy skin, which is the correct answer. Hyperreflexia, or exaggerated reflexes, is not typically associated with metabolic acidosis. Hypotension, or low blood pressure, and bounding peripheral pulse, where the pulse is felt strongly and easily, are more commonly associated with metabolic alkalosis, which is a condition where there is too much base in the body, leading to an imbalance in the body’s pH.
Final answer
The first question asks about isolation precautions for a patient with influenza, and the correct answers are wearing a surgical mask and double-bagging the patient’s trash. The use of a HEPARIN filter and negative pressure room are not standard precautions for influenza. The second question asks about manifestations of metabolic acidosis in a patient with acute kidney failure, and the correct answer is cool or clammy skin. Hyperreflexia is not typically associated with metabolic acidosis, while hypotension and bounding peripheral pulse are more commonly associated with metabolic alkalosis Acute Kidney Failure And Metabolic Acidosis Essay Paper

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