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HONDROS NUR 212 EXAM 2 QUESTIONS AND ANSWERS
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HONDROS NUR 212 EXAM 2 QUESTIONS AND ANSWERS
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HONDROS NUR 212 EXAM 2 QUESTIONS AND ANSWERSNormal creatinine levels? - Answers-Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? - Answers-90-120ml/min
At which GFR level does dialysis begin? - Answers-15
S/S of acute glomerulonephritis? - Answers-Headache, increased BP, facial edema,
malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria
S/S of chronic glomerulonephritis? - Answers-Proteinuria and hematuria
Lab findings for glomerulonephritis? - Answers-Increased BUN, CR
Decreased albuminin
Common s\e of hemodialysis? - Answers-Hypotension due to all of the blood and fluids
leaving the body
Nephrotic syndrome s\s - Answers-SEVERE proteinuria
MASSIVE edema
Hypertension, foamy urine, anasarca, ascites
Why would calcium gluconate be given to a patient with AKI? - Answers-Due to
hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur
therefor protecting the heart
Nursing interventions for almost all kidney patients - Answers-Fluid restriction
Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? - Answers-
Decrease the flow rate
What is given to excrete potassium? - Answers-Kayexelate
Why might medication doses be decreased for a patient with kidney issues? - Answers-
Due to medications not being excreted through kidneys
Prerenal causes - Answers-Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular
obstructions, severe vasoconstriction
Intrarenal causes - Answers-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 - Answers-Obstruction to the urine collecting system
BPH
Phases of AKI - Answers-Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase - Answers-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 - Answers-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
What is an important thing to remember for the process of peritoneal dialysis? -
Answers-It must be completely STERILE
What is a major complication from peritoneal dialysis? - Answers-Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should the
nurse do? - Answers-Slow down the infusion rate
At what temperature is peritoneal dialysis given? - Answers-Must be warmed to body
temperature
What medication can cause an IBS flare up? - Answers-Sulfasalazine (anti-inflammatory
medication)
Treatment goals for CKD? - Answers-Treat hyperkalemia, HTN, and mineral/bone
disease
Potassium enriched foods? - Answers-Bananas, tomatoes
Why would a patient with CKD have pruritus? - Answers-Due to uremic frost (urea
crystallizes on skin)
cure for ulcerative colitis - Answers-illiostomy, removal of colon, J-pouch
issues for Crohns can happen from where? - Answers-From mouth to anus
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