Session: NUR 209

Scenarios: Acute Kidney Injury

Simulation Admission Ticket MS-29- Filiberto Haggett- Acute Kidney Injury
OBJECTIVES:

 Use current technology and evidenced-based information to support clinical decision-making.

(SLO – 2, 5 )
 Use effective communication skills with individuals, families, peers, and other health care
providers. (SLO 3- 6)
 Apply knowledge from the health sciences and humanities in the care of adults experiencing
endocrine, gastrointestinal, neurological, musculoskeletal, genitourinary, and life threatening
Name: problems. (SLO 1, 2 )
 Apply the teaching-learning process to promote, maintain, and restore health of individuals
Date: and families. (SLO- 4, 6 )
 Use basic management and leadership skills that assure safe, efficient, and cost effective care.
Instructor: SLO - 5 )
 Integrate and implement ethical and legal principles in the role of the nurse within an acute
care setting. (SLO-7, 8 )

Please review the following PRIOR to your simulation experience:

How to complete an initial assessment and evaluate data
How to document findings and interventions
How to request lab results and interpret findings
How to maintain contact isolation
How to insert a urinary catheter using aseptic technique
How to insert a nasogastric tube, confirm placement and properly secure tube

MEDICATIONS: Vancomycin, Enalapril, Enoxaparin, Hydromorphine, Oxycodone/acetaminophen, NaCL, Calcium gluconate, Regular insulin, D50, Sodium
polystyrene sulfonate

Answer these questions prior to Simulation Session (Attach answers to this ticket for admission to simulation session. Without this ticket and
completed questions you will not be allowed to participate in the scheduled scenarios).

1. Describe the pathophysiological changes that occur in acute renal failure.

2. Differentiate between the causes, signs and symptoms, and diagnostic findings in pre-renal, intra-renal, and post renal failure.
3. What fluid and electrolyte disturbances commonly occur in acute renal failure?
4. Discuss the use of sodium polystyrene sulfonate enemas in the treatment of hyperkalemia. Describe the appropriate procedure.
5. Describe complications that can occur as a result of dialysis and identify nursing measures that are designed to prevent these complications.
6. Describe MRSA and its implications for patients who are diagnosed with acute kidney injury.
7. Discuss how patients can be protected from nosocomial MRSA?