100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS 425 FINAL (combo -- exam 2) fully solved & verified for accuracy. $12.99   Add to cart

Exam (elaborations)

NURS 425 FINAL (combo -- exam 2) fully solved & verified for accuracy.

 1 view  0 purchase
  • Course
  • NURS-425 -
  • Institution
  • NURS-425 -

NURS 425 FINAL (combo -- exam 2) fully solved & verified for accuracy.

Preview 4 out of 32  pages

  • October 11, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS-425 -
  • NURS-425 -
avatar-seller
GUARANTEEDSUCCESS
NURS 425 FINAL (combo -- exam 2) fully
solved & verified for accuracy

causes of acute glomerulonephritis - answer d/t GABHS; can occur
d/t strep or skin infection that isn't treated or kid didn't finish abx
course; typically see renal finding 10-21 days post GABHS; recovery
and recurrent is possible; can be acute or chronic


what happens w/ acute glomerulonephritis - answer immune
complexes trapped in glomerular capillary loop causing obstruction,
edema, and vasospasm; antigen-antibody reaction from infectious
agent (strep) and activate WBCs causing inflammation of capillary
wall; cause decrease in GFR r/t removal of waste and excess fluid


SSAs of acute glomerularnephritis - answer COKE/TEA COLOR
URINE EMPHASIS; urinalysis shows proteinuria (foamy urine); pink
colored urine (hematuria); HTN; edema (face, hands, abd, eyes);
fatigue; fever; coke/tea colored urine; HA d/t high BP; increased BP
and RR (dyspnea, crackles)


common age for glomerularnephritis - answer school-agers (6-7
y/o); rare in <2 y/o


risk factors for glomerularnephritis - answer pneumonia; strep;
viral infection; SLE (lupus); HTN; DM; nephrotoxic drugs (NSAIDs,
"MYCIN", tylenol); excessive high intake of protein and sodium


lab results for glomerulonephritis - answer increased BUN and
creatinine; urinalysis (high specific gravity, proteinuria, hematuria,
tea color); BMP shows increased K, Mg and decreased Na; CBC
shows increased WBC; decreased albumin

,SSAs of fluid imbalance complication w/ glomerulonephritis - answer
decreased GFR; dysuria; urine color changes; proteinuria; increased
BP and RR; dyspnea; edema


interventions for fluid imbalance w/ glomerularnephritis - answer
seizure precautions; o2 and position; daily wt; I&O; abd girth; small
frequent meals low in K and Na (avoid watermelon, ham, green veg,
potatoes, bananas); diuretics and anti-HTN meds; RESTRICT FLUIDS


SSAs of nutrition complication w/ glomerulonephritis - answer
decreased hct and hgb; decreased pre/albumin; anorexia


nutrition interventions r/t glomerularnephritis - answer RESTRICT
FLUIDS, K, and NA; tx nausea and pain; skin integrity (d/t edema);
frequent small meals w/ favorite foods; daily wt, I&O


meds for glomerularnephritis - answer furosemide, aldactone (k-
sparing); b-blocker; ACEI; anti-HTN and diuretics


what happens in body w/ nephrotic syndrome - answer alterations
in glomerular membrane to allow protein to pass in urine
(proteinuria) --> decreased protein/albumin in blood --> decrease in
colloidal osmotic pressure in capillaries --> fluid moves to
interstitial space and cavities --> stimulates RAAS, ADH, and
aldosterone to be released


risk factors, cause, common age for nephrotic syndrome - answer
2-7 yo; unknown etiology; can be immune, biochemical, or
congenital (rare and usually end in death); secondary etiology is
glomerular damage r/t other disease


labs/diagnostics and their results for nephrotic syndrome - answer
24 hr urine collection (look at PRO, SG, color of urine) shows PRO in
urine > 3+-4+ (low PRO in blood), SG >1.020, and urine dark and
frothy; hyperalbuminuria (a lot of albumin in urine); hyperlipidemia

,(worry about possible stroke); increased hct and hgb; high Na and
K; increase OR decreased GFR; kidney biopsy only if no response to
meds


dx of nephrotic syndrome - answer kidney biopsy only if no
response to meds


SSAs of nephrotic syndrome - answer PROTEINURIA EMPHASIS;
increased or decreased GFR (different from AGN); decreased UO w/
frothy dark urine; dysuria, hematuria, proteinuria, increased K and
increased Na (different from AGN); increased BP and RR w/ dyspnea
and crackles; edema of eyes, hands, abd (ascites), JVD; lethargy;
seizure precautions; anorexia; activity intolerance


SSAs of fluid imbalance w/ nephrotic syndrom - answer increased
wt, edema, ascites, HTN, anorexia, decreased activity tolerance;
dysuria; frothy and dark urine


interventions for fluid imbalance d/t nephrotic syndrome - answer
meds (steroids, albumin, lasix); rest; I&O; daily wt; evaluation of
labs; watch for infection; educate on avoiding recurrences


SSAs of nutrition problem w/ nephrotic syndrome - answer
abnormal BMP, abnormal Fe (IRON) levels


diet for nephrotic syndrome - answer low-mod protein; no extra
Na; low fat


SSAs of infection r/t shock w/ nephrotic syndrome - answer fever;
increased WBC; increased HR and RR; hypoxia signs; malaise;
increased WOB; late sx are low BP, low UO, poor perfusion, pale and
cool skin, weak pulses

, possible causes of infection r/t shock w/ nephrotic syndrome -
answer pneumonia, peritonitis, cellulitis


interventions for infection r/t shock w/ nephrotic syndrome - answer
blood/urine/wound cultures; IV abx; VS trends; give O2; need higher
level of care; watch for shock complications


meds for nephrotic syndrome - answer furosemide; albumin to
increase plasma volume and decrease edema; steroids (prednisone)
-- if positive response need to taper and if negative response other
immunosuppressant needed; possible chemo


how to know if steroids effective tx for nephrotic syndrome - answer
decreased PRO in urine and gain of PRO and albumin in blood


risk for infection w/ nephrotic syndrome d/t... - answer low PRO in
blood (these pts are immunocompromised)


SSAs of renal disease - answer decreased GFR; dysuria; urine color
changes; proteinuria


interventions for renal disease - answer begin dialysis if needed
(PD 1st, then HD) tx cause of dehydration; assess VS (watch for
increased BP); daily weight; I/Os; neuro (LOC, seizure precautions);
tx electrolyte imbalances; cardiac monitoring; watch for infection


why possible dialysis w/ renal disease? - answer bc uric acid
buildup, K too high, metabolic acidosis


labs for renal failure - answer urinalysis; BMP (focus on k, mg);
ABG (metabolic acidosis): CBC (not producing erythropoietin); drug
test

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

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

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

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 GUARANTEEDSUCCESS. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $12.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

81989 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$12.99
  • (0)
  Add to cart