Question

7. What happens if JS urine output decreases while he is receiving IV fluids and oral potassium? What would be the nurse's responsibility? 8. Because JS is taking a diuretic and digoxin, what should the nurse include in her teaching plan being sure to state your rationale?

Answer 1

7.Low urine output, or no urine output, occurs in the setting of kidney failure as well as in urinary obstruction. Reduced urine output as a result of kidney failure can be acute, as with toxins or sepsis, or chronic. Chronic renal failure develops over time and can result from poorly controlled diabetes or hypertension.

The risks associated with intravenous potassium chloride are well known. If it is injected too rapidly or in too high a dose, it may cause cardiac arrest within minutes. The effect of hyperkalaemia on the heart is complex – virtually any arrhythmia may be observed.

Registered nurses often work in hospitals or outpatient facilities, where they provide hands-on care to patients by administering medications, managing intravenous lines, observing and monitoring patients' conditions, maintaining records and communicating with doctors.

Typical duties:

assessing and planning nursing care requirements.

providing pre- and post-operation care.

monitoring and administering medication and intravenous infusions.

taking patient samples, pulses, temperatures and blood pressures.

writing records.

supervising junior staff.

organising workloads.