NUR130 Exam 1: Renal Questions With Correct Answers
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Course
NUR130
Institution
NUR130
NUR130 Exam 1: Renal Questions With
Correct Answers
Housecleaners - answerKidneys are _____________________ of the body
water, electrolytes, byproduct of metabolism, medications, toxins - answerKidneys remove?
BUN and creatinine - answer_________ and ______________ lab results are directly rela...
NUR130 Exam 1: Renal Questions With
Correct Answers
Housecleaners - answer✔✔Kidneys are _____________________ of the body
water, electrolytes, byproduct of metabolism, medications, toxins - answer✔✔Kidneys remove?
BUN and creatinine - answer✔✔_________ and ______________ lab results are directly related
to kidney function
true
**Lab results may be hyper or hypo depending on form of kidney disorder - answer✔✔T/F
highly abnormal lab results are expected when a kidney disease is present
fluid retention - answer✔✔What is most common manifestation of kidney disease?
Hypertension and Anemia - answer✔✔You may also see what diseases w/ renal disorders?
"A WET BED"
Acid-base balance
Water removal
Erythropoesis
Toxin removal
Blood pressure control
Electrolyte balance
D vit. activation - answer✔✔Functions of the Kidneys:
volume and composition - answer✔✔kidneys help to regulate the ______________ and
________________ of extracellular fluid in our body, and excrete waste products from the body
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
hypertension - answer✔✔Our kidneys help control our BP, which is why when they aren't
functioning correctly, we may see?
erythropoietin - answer✔✔Kidneys help to produce ____________________, which helps
produce RBCS
anemia - answer✔✔In kidney failure, there is a deficiency of erythropoietin, which is why we
might see _____________
•Urine studies
upper or lower - answer✔✔Classification of UTI is either _____________ or
________________
renal parenchyma, pelvis, and ureters - answer✔✔Upper UTIs occur in the?
fever, chills, flank pain - answer✔✔Upper UTI symptoms
true - answer✔✔T/F Lower UTI usually has no systemic manifestations
is a UTI that has spread systemically and is life threatening - answer✔✔Urosepsis
False
THEY DO - answer✔✔T/F Pt's with urosepsis do not require medical treatment emergently
true - answer✔✔T/F Pt's with significant bacteriuria may have no symptoms, or may have non-
specific symptoms such as fatigue or anorexia
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
true - answer✔✔T/F characteristic manifestations of a UTI are often absent in older adults
non-localized abdominal pain and a cognitive impairment
*Fever is less likely in older adults - answer✔✔The two most common signs of a UTI in the
older population are?
true - answer✔✔T/F Symptoms of a UTI in infants and young children do not mimic the typical
urinary symptoms of adults, and maybe subtle as a fever alone
is an inflammation of the renal parenchyma and collecting system. - answer✔✔Pyelonephritis
a bacterial source, but can also be caused by a fungi, protozoa or virus that affect the kidney. -
answer✔✔Pyelonephritis is most commonly caused by?
grayish-white - answer✔✔_____________________ areas of the kidneys indicate inflammation
and abscess formation when someone has Pyelonephritis
lower
**and ascends up into the kidneys - answer✔✔Pyelonephritis infection begins in the
_____________ urinary tract
-pregnancy
-having a foley catheter in place
-any urinary dysfunction like reflux urine or BPH
-renal calculi or stones. - answer✔✔Risk factors for Pyelonephritis includes:
•Mild fatigue
•Chills
•Fever
•Vomiting
•Malaise
•Flank pain
•Dysuria
•Urgency
•Frequency - answer✔✔Clinical manifestations of Pyelonephritis:
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
•IV fluids and IV abx - answer✔✔Pt's who have severe N/V or dehydration, due to
Pyelonephritis, are going to need to be hospitalized to get?
14-21 days - answer✔✔Pt's who have milder symptoms of Pyelonephritis can usually be
managed at home, with PO abx for about ___-____ days, and symptoms usually resolve within
72 hours of starting the abx
to make sure the patient understands that they need to complete the entire prescribed dose of abx,
and not just stop it when they start to feel better - answer✔✔What is an important teaching for
abx?
•History & Physical examination
•Laboratory tests:
-Urinalysis
-Urine for culture and sensitivity
-CBC with differential
-Blood culture (if bacteremia is suspected)
•Ultrasonography
•CT urography - answer✔✔Diagnostic studies for acute pyelonephritis include:
pyuria, bacteriuria, and varying degrees of hematuria - answer✔✔laboratory tests such as a UA-
those results with acute pyelonephritis usually indicate:
presence of pus in the urine - answer✔✔pyuria
urosepsis - answer✔✔suspected bacteremia and the pt may go into ________________
spread of infection from the urinary tract to the bloodstream that results in a systemic infection -
answer✔✔urosepsis
•Hospitalization for patients with severe infections and complications
•IV fluids
•Antibiotics
•NSAIDs or antipyretic drugs
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