Question

A 28-year-old female is hospitalized after being kicked in the left kidney during a soccer game. She is admitted to the critical care unit for observation. The nurse knows that one of the most important assessments of kidney and fluid status is the patient’s weight. In the critical care unit, weight is monitored __________. a. As needed b. Once per shift c. Daily d. Weekly The patient starts to deteriorate and the practitioner wants to accurately measure the patient’s body fluid status. Which of these values can be used to accurately assess the fluid volume status? (choose all that apply) a. Central venous pressure b. Intracranial pressure c. Pulmonary artery occlusion pressure d. Cardiac index e. Pulse oximetry f. Mean arterial pressure Diagnostic Procedures The practitioner also orders some lab work to be collected on the patient. One of the tests ordered is a serum creatinine. What is creatinine? a. A byproduct of protein and amino acid metabolism b. A byproduct of muscle and normal cell metabolism c. The concentration or dilution of vascular fluid and measures the dissolved particles in the serum d. Measures how well the kidneys remove creatinine in the urine One of the other labs the practitioner orders is a blood urea nitrogen

Answer 1

* DAILY WEIGHT CHECKING IS THE BEST MONITORING OF FLUID STATUS OF THE PATIENT.No need of weight checking once per shift. Changes will occur daily. *CENTRAL VENOUS PRESSURE MEASUREMENT IS HELPFUL TO KNOW FLUID LEVEL STATUS IN ICU . Intracranial pressure monitoring is help to know pressure inside the skull by the coordination of cerebral blood flow and cerebrospinal fluid.Cardiac index is used to know Cardiac output along with the surface area of the patient.Pulmonary Artery Oclusion pressure also helps to know fluid status but it's through an insertion of Pulmonary catheter. *CREATININE IS THE BY-PRODUCT OF MUSCLE AND NORMAL CELL METABOLISM. OTHERS ARE;A BY-PRODUCT of protein and amino acid metabolism is Urea. *The concentration or dilution of vesicular fluid and measures the dissolved particles in the serum- Is a technique to determine Hydrodynamic Volume Fraction. *Measures how well the kidney remove creatinine in the urine_ Glomerular Filtration Rate.