NUR 265 FINAL EXAM REVIEW NEWEST
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!.
what is urosepsis? - -----ANSWER---->condition where a urinary tract infection spreads from the urinary
tract to the blood stream causing a systemic infection & mult organ failure
*LIFE THREATING*
what would be an early signs/symptoms of urosepsis? - -----ANSWER---->-warm & flushed skin
-bounding pulses
what would be a later signs/symptoms of urosepsis? - -----ANSWER---->-tachycardia
-hypotension
-tachypena
-weak pulses
-decreased LOC
-cold, cyanotic, mottled skin
-derased or absent urine output & bowel sounds
what are some latest/end of life sings/symptoms of urosepsis? - -----ANSWER---->-excessive bleeding
,-death
name 2 causes of urosepsis: - -----ANSWER---->-recurrent infections
-poorly treated poly-nephritis
what do you want to assess in a pt with urosepsis? - -----ANSWER---->-LOC
-urine output (decreased)
-skin color & temp (initially warm & flushed, then becomes cold & clammy)
-bleeding due to body consuming clotting factors at a higher rate
when ______decreases _______ also decreases - -----ANSWER---->cardiac output decreases, urine output
also decreases
what would pts VS be with urosepsis? - -----ANSWER---->-hypotension due to vasodilation with sepsis
-tachycardia
-decreased cardiac output
-febrile(warm skin) initally then hypothermic as body starts to shut down (color in hands & feet begin to
change)
what would the nursing dx be for a pt with urosepsis? - -----ANSWER---->altered tissue perfusion related
to inadequate cardiac output
what would the pts ABGs look like with urosepsis? - -----ANSWER---->respiratory alkalosis due to
tachycardia
-leads to metabolic acidosis in later stages due to not enough O2, body shutting down
,what are the st organs to go with sepsis? - -----ANSWER---->renal & liver
*expect to see liver fx test, BUN & creatine to be elevated*
what is lactate? - -----ANSWER---->regulator of metabolism
would you expect to see lactate elevated or decreased with urosepsis? - -----ANSWER---->increase as
muscle & tissue breakdown
*early sign of sepsis*
what are you going to do for the pt with sepsis? - -----ANSWER---->-wash hands
-always use aseptic technique
-administer O2 as needed
-anticipate & prepare for intubation
-obtain blood cultures
-administer antibiotics after cultures are obtained
-administer fluid replacement
What is nephrotic syndrome?
A condition of increased glomerular permeability that allows larger molecules to pass through the
membrane into the urine and then be excreted.
What are key features of nephrotic syndrome?
-
, Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what?
3.5g in 24 hours
What is nephrotic syndrome treated with?
-immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe Prerenal AKI. Give examples.
Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 wisePediatricdoctor. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
