100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
NRNP 6550 Final Exam (Latest-2022) / NRNP 6550N Final Exam / NRNP6550 Final Exam / NRNP-6550N Final Exam: Walden University | 100% Correct Q & A |$19.49
Add to cart
nrnp 6550 final exam latest 2022 nrnp 6550n final exam nrnp6550 final exam nrnp 6550n final exam walden university | 100 correct q amp a |
Written for
Walden University
NRNP 6550 - Advanced Practice Care of Adults
All documents for this subject (1)
Seller
Follow
HIGHGRADE
Reviews received
Content preview
,
,Ampicillin
CAUTI:
bacterial: treat with AB for 7 days
Candiduria: fluconazole for 14 days
Discomfort: Pyridium
Management acute complicated bacterial pyelonephritis Correct answer- - Admit
- Aminoglycosides: gentamicin/ tobramycin (not for monotherapy), based on renal
function (trough less than 2 and peak level 5-10mg/L) and do not give for CKD
- Ampicillin
- Cefazolin
- Cefotaxime and Ceftriaxon based on obesity and pulm disease
Urine analysis: glucose and ketones Correct answer- Serum glucose at least 180mg/dl
for glucose to appear in urine
Glucose in ua caused by:
- Fancone Syndrome (bad wall: caused by ahminoglycosides for example)
- DM
- Cushing's
- Vit C can give false negative
Ketones in urine:
- Alcohol
- Diabetic
- Starvation
Acute Kidney Injury Correct answer- -Acute renal function loss with inability to excrete
metabolic waste products (urea nitrogen and creatinine) to inability to maintain fluid and
electrolyte balance.
- Resolves within 3mo
- classified with RIFLE or etiology
RIFLE Correct answer- Risk: creatinine up x 1.5 from baseline, GFR decrease more
than 25% and UO less than 0.5ml/kg/hr for 6hr
Injury: creatinine up x 2 from baseline, GFR decrease more than 50% and UO less than
0.5ml/kg/hr for 12hr
Failure: creatinine up x 1.5 from baseline, GFR decrease more than 25% and UO less
than 0.3ml/kg/hr for 12hr or anuria for 12hr
Loss: Complete loss of renal function for more than 4 weeks
, End-stage Kidney Disease: RRT need for more than 3mo
Prerenal renal failure Correct answer- Most often the cause of RF
- Decreased blood supply; intravascular volume depletion, vasodilatory states
- Increased tubular sodium and water reabsorption, causing: oliguria, decreased urine
sodium, high urine osmolality, increased urine specific gravity
Result:
- low urine volume
- increased urine creatinine with normal serum creatinine
- minimal proteinuria
- serum K moderately increased
- serum phos moderately increased
- serum calcium normal
- normal renal size on US
4. Low Na+
5. Low H2O
6. High osmolality (500 and up)
7. High uric acid
8. Specific gravity: greater than 1,010
9. Urinary sodium: less than 20
10. Sediment*: 0 (hyaline casts)
11. BUN/ creat ratio: greater than 10/1
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller HIGHGRADE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.49. You're not tied to anything after your purchase.
