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Hondros NUR 212 Exam 2 (2023 – 2024) Questions With Verified Answers By Expert
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Hondros NUR 212 Exam 2 (2023 – 2024) Questions With Verified Answers By Expert
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Hondros NUR 212 Exam 2 (2023 – 2024) Questions With Verified Answers By Expert Normal creatinine levels? - Male: 0.6 -1.2 Female: 0.5 -1.1 Normal GFR? - 90-120ml/min At which GFR level does dialysis begin? - 15 S/S of acute glomerulonephritis? - Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria S/S of chronic glomerulonephritis? - Proteinuria and hematuria Lab findings for glomerulonephritis? - Increased BUN, CR Decreased albumin in Common s \e of hemodialysis? - Hypotension due to all of the blood and fluids leaving the body Nephrotic syndrome s \s - SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites Why might medication doses be decreased for a patient with kidney issues? - Due to medications not being excreted through kidneys Prerenal causes - Due to decreased blood flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstrict ion Intrarenal causes - Due to damage to the gumeruli, interstitial tissue or tubules (parynchymal damage) Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric complications, and malignant hypertension Post renal causes - Obstructi on to the urine collecting system BPH Phases of AKI – Oliguric Diuretic Recovery (if not then CKD may develop) Oliguric Phase - Urinary changes (output less than 400ml/day) Lasts 10 -14 days Neck veins distended, bounding pulse, edema, hypertension Increased potassium (causing heart issues!) Diuretic Phase - Daily urine output 1 -3 liters may reach 5L or more Monitor for hyponatremia, hypokalemia, and dehydration as well as hypotension This phase may last 1-3 weeks Why would calcium gluconate be giv en to a patient with AKI? - Due to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur therefor protecting the heart Nursing interventions for almost all kidney patients - Fluid restriction Daily weights If there is abdominal pain during hemodialysis what should the nurse do? - Decrease the flow rate What is given to excrete potassium? - Kayexelate What is an important thing to remember for the process of peritoneal dialysis? - It must be completely STERILE What is a major complication from peritoneal dialysis? - Peritonitis If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? - Slow down the infusion rate At what temperature is peritoneal dialysis given? - Must be warmed to body temperature What medication can cause an IBS flare up? - Sulfasalazine (anti -inflammatory medication) Treatment goals for CKD? - Treat hyperkalemia, HTN, and mineral/bone disease Potassium enriched foods? - Bananas, tomatoes Why would a patient with CKD have pruritus? - Due to uremic frost (urea crystallizes on skin) cure for ulcerative colitis - illiostomy, removal of colon, J -pouch issues for Crohns can happen from where? - From mouth to anus Common signs/symptoms of Croh n's disease and ulcerative Colitis - diarrhea, weight loss abdominal pain, fever and fatigue drug classes used to treat IBD - corticosteroids - decreases inflammation immunosuppressants - suppresses immune response antimicrobials - prevent or treat second ary infection aminosalicylates - decreases inflammationThe benefits of buying summaries with Stuvia:
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