Nursing outcomes for patient’s with Acute Renal Failure (ARF)

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Posted: 28 Jul 2010 08:57 PM PDT Nursing outcomes for patient's with Acute Renal Failure (ARF); Patient or Family will: Perform ADL without excessive fatigue or exhaustion. Maintain hemodynamic stability. Maintain fluid balance. Remain free from signs or symptoms of circulatory overload. Verbalize the importance of balancing activities with adequate rest periods. Will discuss fears or concerns. Verbalize appropriate food choices according to his prescribed diet. Have Oral mucous membrane will remain intact. Skin integrity will remain intact. Demonstrate skill in managing the urinary elimination problems. Maintain adequate urine output. Verbalize the effect the patient‘s condition has on the family unit. Remain free from signs or symptoms of infection. Avoid or minimize complications. Nursing interventions Acute Renal Failure (ARF) Measure and record intake and output of fluids volume, . Use standard precautions when handling blood and body fluids Follow standard precautions during care because the patient with acute renal failure is highly susceptible to infection. Don’t allow staff members or visitors with upper respiratory tract infections to come into contact with the patient. Weigh the patient daily. Assess hematocrit and hemoglobin level and replace blood components as ordered. Packed red blood cells deliver the necessary blood components without added volume. Whole blood is rarely used. Monitor vital signs. Maintain proper electrolyte balance. Strictly monitor potassium levels. Watch for symptoms of hyperkalemia (malaise, anorexia, paresthesia, muscle weakness, and ECG changes), and report them immediately. Avoid administering medications that contain potassium. Maintain nutritional status. Provide a diet high in calories and low in protein, sodium, and potassium, with vitamin supplements. Give the anorexic patient with small and frequent meals. Prevent complications of immobility by encouraging frequent coughing and deep breathing and by performing passive ROM exercises. Help the patient walk as soon as possible. Provide mouth care frequently to lubricate dry mucous membranes Use appropriate safety measures, such as bed rails and restraints, because the patient with CNS involvement may become dizzy or confused. Provide emotional support to the patient and family. Assess the patient‘s ability to resume normal activities of daily living, and plan for gradually resuming activity . Patient With Hemodialysis check the vascular access site (arteriovenous fistula or subclavian or femoral catheter) every 2 hours for patency and signs of clotting. Don’t use the arm with the shunt or fistula for measuring blood pressure, inserting I.V.s, or drawing blood. Weigh the patient before beginning dialysis. During hemodialysis, monitor vital signs, clotting times, blood flow, vascular access site function, and arterial and venous pressures. Watch for complications, such as septicemia, embolism, hepatitis, and rapid fluid and electrolyte losses. After hemodialysis, monitor vital signs, check the vascular access site, weigh the patient, and watch for signs of fluid and electrolyte imbalances. If the patient requires peritoneal dialysis, position him carefully, elevating the head of the bed to reduce pressure on the diaphragm and aid respiration. Be alert for signs of infection, such as cloudy drainage, elevated temperature and, rarely, bleeding. If pain occurs, reduce the amount of dialysate. Administer prescribed medications after hemodialysis is completed. Many medications are removed from the blood during treatment. Patient Teaching and Home Healthcare Guidelines for patient with Acute Renal Failure (ARF) All patients with Acute Renal Failure (ARF) need an understanding of renal function, signs and symptoms of renal failure, and how to monitor their own renal function. Patients who have recovered viable renal function still need to be monitored by a nephrologist. Note if the restrictions are life-long or temporary. Patients who have not recovered viable renal function need to understand that their condition may persist and even become chronic. If chronic renal failure is suspected, further outpatient treatment and monitoring are needed. Discuss with significant others the lifestyle changes that may be required with chronic renal failure. Reassure the patient and family by clearly explaining all diagnostic tests, treatments, and procedures. Teach the patient that she or she may be more susceptible to infection than previously Tell the patient about his prescribed medications, and stress the importance of complying with the regimen. Stress the importance of following the prescribed diet and fluid allowance. Instruct the patient to weigh him self daily and report changes of 3 lb (1.4 kg) or more immediately. Advise the patient against overexertion. If he becomes Dyspnea or short of breath during normal activity, tell him to report it to his physician. Emphasize rest to prevent overexertion Teach the patient how to recognize edema, and tell him to report this finding to the physician. Teach the patient or significant others about all medications, including dosage, potential side effects, and drug interactions. Explain all dietary and fluid restrictions source : Share on Facebook Tags: Draft, potassium levels, red blood cells, Upper respiratory tract, nursing care, Nursing Care Plan, Auto Related Other Nursing Paracetamol given to babies increases risk of asthma and hay fever EXTERNAL FIXATION NCP | Nursing Care Plan Anorexia Nervosa anatomy and physiology of respiratory system

Why Choosing the Right Nursing College is So Important Posted: 28 Jul 2010 04:19 PM PDT If you are interested in getting into the nursing profession, it goes without saying that you are about to embark on a profession that is quite noble as well as inimitable. We live in a world where ailments and diseases have not been banished by a long shot, which means that there is an acute need for nursing professionals who are dedicated and committed to their work totally. Need for nursing colleges Getting into a good nursing-college is what most nursing students aspire for, and with adequate reason. This logical given the fact that it is in a nursing-college that students of nursing gain the skills and the competencies that are required to excel at the very important job of being an effective nurse. The medical profession is quite incomplete without competent and top of the line nurses and getting ready a pool of nurses to take on diverse nursing challenges is what the main aim of the better nursing-colleges is across the globe. As the number of hospitals as well as medical centers increases and medical care takes on more complex hues and needs, it is incumbent upon nursing-colleges to turn out a veritable army of dedicated nurses. This is the need of the hour and something that the medical system is just crying out desperately for. Choosing the right nursing-college If you want to look at and evaluate a nursing college to join, in order to become a top notch nurse, you would do well to assess the nursing college that you are contemplating to join. For one, you need to be assured about the quality of the faculty that the college has to offer. Transference of learning and knowledge is the best when you have competent and well acclaimed faculty who are quite capable of ensuring that the students are taught most effectively. The second thing that you must look for in a nursing college is the facilities as well as the infrastructure that the college has. This is absolutely imperative because a practical oriented course like nursing needs to be taught not only with theoretical inputs, which are important, but also with an emphasis on practical proficiency and skills development. After all, when a patient needs help, a nurse who has all the knowledge in the head, but is unable to practically apply the knowledge is really not of much help. One of the effective ways to evaluate a nursing college is to look at its history, its standing and reputation as well as feedback from alumni and employers. Sometimes you are able to get rankings of nursing colleges that are part of surveys conducted by independent bodies and agencies. These are also an indicator of how good a nursing college actually is. In any case, it is always advisable to do an independent and very objective assessment of the quality of a professional institution on your own, so that you are not unnecessarily biased or guided by the opinions of others. Similarly, nursing colleges that are attached to large medical colleges and hospitals also have the benefit of providing a large canvas to nursing students in terms of practical exposure and experience that will help in developing their skills. If you’re looking for information about CNA Certification & Training, we have more great tools and resources on our website http://www.yourcnatrainingguide.com Article Source: http://EzineArticles.com/?expert=Karen_P_Williams Read this article: Why Choosing the Right Nursing College is So Important Build A Niche Store Share on Facebook Tags: knowledge, need, nursing profession, veritable army, important Related Other Nursing Nursing Theories: Dorothea Orem’s Self-Care Deficit Theory Nursing Theories: Madeleine Leininger’s Culture Care, Diversity … Exploring Nursing Certificate Programs Your Medical Future » Nurses: An Important Part of the Healthcare … Menoquil Stop Hot Flashes And Menopausal Relief With Menoquil

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Most Important Exams For Nursing Posted: 28 Jul 2010 01:58 PM PDT Nursing is one of the few industries that continues to grow rapidly. It is counted among one of the most rewarding and satisfying careers in the United States. It is a career that offers both women and men numerous alternatives for professional growth and individual happiness. In fact, working as a nurse, you could be the one of the key professionals working along with the physician as the key member of the patient healthcare team. Now in order to be a nurse, there are many different types of nursing programs available. And, therefore with the increase in opportunities and programs, the competition has increased, which in turn has resulted in the introduction of various important examinations. If you are one of those who are looking forward to make a career in nursing then here are some of the important exams that you might have to appear - Nurse Entrance Test: The NET is an entrance test to the associate of science in nursing program. This test is very similar to any other entrance exams, but plays a major role in measuring your knowledge and determines how liable you are to succeed in a nursing program. The areas that are measured includes mathematics, reading comprehension, reading rate, social skills, test-taking learning style, and stress profile. National Council Licensure Examination for Registered Nurses (NCLEX-RN?): It is a standardized national nursing exam for registered nurses and primarily controlled by the National Council of State Boards of Nursing. The exam is very vital for entry level RNs and areas that are measured in the exam are nursing competencies, medical knowledge that are very essential for working as a Registered Nurse. This exam is primarily administered by the Computerized Adaptive Testing. National Council Licensure Examination for Practical Nurses (NCLEX-PN?): It is yet another important examination that is used by the Boards of Nursing to examine the entry-level nursing proficiency of candidates for licensure as Licensed Practical/Vocational Nurses. The areas measured in the exam are verbal skills, which focus on the both word knowledge and reading comprehension; Mathematics, which targets basic calculations, algebra, conversions, geometry, graphs, and Science, which tests chemistry, biology and physics. Certified Emergency Nurse (CEN) Examination: It is another computer-based nursing examination and mainly includes 175 multiple choice questions. Now the key point to note is its score is based on the answers given out of the 150 question, and its passing score is 109. If a candidate scores a passing number, the CEN certification is provided. It is basically considered as one of the major examinations that help in measuring the application of emergency nursing skills and knowledge. CCRN Examination: The CCRN is the most renowned significant care credential in the world. Administered by AACN Certification Corporation, this is one of the most important and critical care nursing certification for Adult, Pediatric and Neonatal Critical Care Nurses. Basically, it is a 3-hour test consisting of 150 multiple-choice items and based on a Role Delineation / CCRN Validation Study. The exam is given via Computer Based Testing and conducted at almost 100 Applied Measurement Professionals, Inc. (AMP) assessment centers all across the United States. Commission of Graduate of Foreign Nursing Schools (CGFNS) Certification Exam: The CGFNS Certification is one of the most vital certifications required by worldwide educated nursing professionals to perform nursing in the United States. The CGFNS Certification is an exam that is generally required to test the knowledge of various areas of nursing. Scoring good marks and passing this examination guarantee that the candidate educated in foreign nations are qualified to meet immigration, licensure, and other vital criteria required in the United States. Though, the examinations mentioned above are not that easy to pass, but with correction preparation, you can easily pass any of these important nursing examinations and enjoy the various rewards of this profession. To know more information about top nursing careers and nursing degree and programs, please visit- NursingSchoolsU.com. Nursing Schools is a complete information directory about top nursing schools and education programs in USA and Canada. Article Source: http://EzineArticles.com/?expert=Erik_R_Johnson