Question

15 Points 20 Points Section I Indications Section II Nursing Interventions Section III Potential Complication Section IV Outcome/Evaluation Section V Patient Teaching 20 Points 20 Points 25 Points Section I Why is this test indicated? What disease process can be identified/confirmed by completing this test? Be sure to include normal values. (Please use your de Wit textbook for normal values) Section II What do you have to do to prepare the patient? NPO? Check for anticoagulants? (Use critical thinking skills to apply to what you will be doing) Section III List potential complications for which you would assess the patient Section IV You can choose good or bad outcomes for evaluation Section V List teaching points about the test that are important for the patient to know for their own safety and will contribute to a positive outcome 1/20 Huy

Answer 1

#. Indications (symptoms) :-

- feeling dehydrated

- fatigue

- swelling (edema)

- shortness of breath

- confusion

#. Nursing interventions :-

Ctient education :

- Confirm the patient’s identity using two patient identifiers according to facility policy.

- Explain to the patient that the serum creatinine test is used to evaluate kidney function.

- Tell the patient that the test requires a blood sample.

- Explain to the patient that he may experience slight discomfort from the tourniquet and the needle puncture.

- Instruct the patient that he doesn’t need to restrict food and fluids.

- Notify the laboratory and the practitioner of medications the patient is taking that may affect test results; they may need to be restricted.

#. Implementation

Perform a venipuncture and collect the sample in a 3 or 4 ml clot activator tube.

Handle the sample gently to prevent hemolysis.

Send the sample to the laboratory immediately.

Apply direct pressure to the venipuncture site until bleeding stops.

Assess the venipuncture site for hematoma formation; if one develops, apply pressure.

Inform the patient that he may resume his usual medications that were discontinued before the test, as ordered.

#. Outcome /Evaluation :-

Normal Results

In men, 0.8 to 1.2 mg/dl (SI, 62 to 115 pmol/L)

In women, 0.6 to 0.9 mg/dl (SI, 53 to 97 pmil/L)

Abnormal Results

Elevated levels generally indicate renal disease that has seriously damaged 50% or more of the nephrons.

Elevated levels may also indicate gigantism and acromegaly.

#. Complications

Hematoma to the puncture site.