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Final Exam NR574 NR 574 Questions and Verified Answers| 100% Correct- Chamberlain(2024/2025) $11.49   Add to cart

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Final Exam NR574 NR 574 Questions and Verified Answers| 100% Correct- Chamberlain(2024/2025)

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Final Exam NR574 NR 574 Questions and Verified Answers| 100% Correct- Chamberlain(2024/2025)

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  • October 3, 2024
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Final Exam NR574 NR 574


1. Hepatorenal syndrome (HRS): functional form of renal failure that

occurs pri- marily in pt with cirrhosis and ascites.

2. Type 1 hepatorenal syndrome is characterized by...: -rapidly progressive

renal impairment

-doubling of initial serum Cr to greater than 2.5mg/dL over a period less

than 2 weeks

-without liver transplant prognosis is very poor

3. Type 2 hepatorenal syndrome is characterized by...: -moderate form of

renal failure

-serum Cr levels between 1.5 to 2.5 mg/dL

reduction in GFR with elevation in serum

creatinine

-associated with a more indolent course and improved survival



,compared to type 1

4. Risk Factors of hepatorenal syndrome: Dilutional

hyponatremia Previous episodes of ascites

Presence of esophageal

varices Poor nutritional

status

Infections such as spontaneous bacterial peritonitis

Severe urinary sodium retention (urine sodium < 5

milliequivalents/liter [mEq/L]) Large-volume paracentesis without

albumin replacement

Acute alcoholic hepatitis

Low mean arterial blood pressure (map <80 mm Hg)

5. subjective clinical presentation of hepatorenal syndrome: Most clients

with HRS have a known diagnosis of acute or chronic liver disease and

present with nonspecific symptoms including:




,-dysgeusia (altered taste perception)

-malaise

-fatigue

-decreased urine output.

6. objective clinical presentation of hepatorenal syndrome: HRS has no

char- acteristic physical exam findings.

It is important to assess the client for stigmata of chronic liver disease

including:

-spider nevi

-scleral icterus

-lower extremity edema

-asterixis

-abdominal distention

-fluid wave

-paraumbilical hernia




, -bruits.

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