NUR 280 Comprehensive Review- comp 1, comp 2, comp 3-2022

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1. Cane- place on strong side, move with weak a. Hand grip level at client’s greater trochanter b. Elbows flexed at 15 to 30 degrees c. Hold 4-6 inches from the side of the foot d. Hold in the u... naffected side and move together with the weaker side e. Inspect the cane tips regularly for worn rubber f. For client with 1 upper extremity, hemicanes or quadripod canes are used g. For walker, instruct client to put all 4 points of the walker on the floow before putting weight on the hand pieces. Move the walker forward, followed by the weaker foot and then the unaffected foot. 2. Tumor lysis syndrome- hyperkalemia; cloudy urine a. Potassium and uric acid are released faster than the body can eliminate b. Hyperkalemia, Hyperphosphatemia, Hypocalcemia, and hyperuricemia (leading to AKI) c. Encourage oral hydration; IV rehydration may be prescribed; Monitor renal function; I&O; d. Renal diet – low in potassium; NO (banana, cantaloupe, avocado, potato, spinach, orange, raisins, salmon, beans) and low in phosphate; NO (dairy foods, beans, nuts, lentils, cola, oatmeal, bran, and some bottled iced tea) e. Low purine diet (spinach, seafood and shellfish, asparagus, sardines, anchovies, tuna, mussels, red meat, duck, alcoholic drinks, preserved meats (cold cuts), organ meats, sugar sweetened foods, and limit consumption of naturally sweet fruit juices. f. Good choices (fresh fruits and vegetables with the exception of the above items, rice milk-unenriched, bread, pasta, rice, fish (except salmon), corn and rice cereals g. Diuretics as prescribed (HTCZ – releases K+ but holds Ca+) to increase urine flow to the kidneys h. Allopurinol to increase secretion of purines (increase CONTINUED........ [Show More]

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