Question: INSTRUCTIONS: PLEASE HELP ME ANSWER QUESTIONS 1-9. The FIRST SLIDE IS ABOUT THE PATIENT. THE SECOND SLIDE ARE THE QUESTIONS.

PRE-SIM admission Ticket-KEOLA AKANA Acute Renal Failure | Hyperkalemia-Keola Akana Level Advanced medical-surgical Purpose To provide students with the opportunity to assess and manage care for an older adult patient who develops acute renal failure. Overview Keola Akana is a 70-year-old male with a history of heart failure. He was admitted to the medical-surgical unit on Monday for medication adjustment, monitoring, and cardiac rehabilitation. The scenario takes place on Thursday at 1400. During the scenario, Keola experiences signs and symptoms of acute renal failure, including confusion, decreased urine output, and increased serum blood urea nitrogen, creatinine, and potassium levels. Keola’s wife Zoe is in the room with him. She is supportive and patient. During this scenario, students will have the opportunity to assess and manage care for a patient experiencing acute renal failure. 1. What is the pathophysiology of renal failure as it relates to heart failure? 2. What are the clinical manifestations of renal failure? 3. What are primary pharmacological agents are used to manage acute renal failure? 4. What are 2-3 Nursing diagnosis’ related to this patient? 5. What are some of the key points when developing a plan of care for this patient- nursing considerations/nursing role in? Interventions in priority order. 6. What are some of the gerontological considerations with this patient and the diagnosis’? 7. What are cultural/ethnic disparities related to heart failure? 8. What is some primary education/teaching points for patient and wife for CHF and AKI? 9. What are some dietary considerations for this patient?