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NURS 642 Exam 3 newest 2024 study guide questions and correct answers | maryville university
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NURS 642 Exam 3 newest 2024 study guide questions and correct answers | maryville university
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NURS 642 Exam 3 newest 2024 study guidequestions and correct answers | maryville
university
Symptoms of Interstitial Nephritis Correct Answer Fever,
Rash, WBC casts
AKI Workup Correct Answer Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US
AKI Managment Correct Answer Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet
Meds to avoid for AKI Correct Answer NSAIDs
Diuretics
ACE-I
ARBS
AKI Diagnosis Correct Answer Rapid rise in increase
serum creatinine
Inability to maintain acid-base balance
,Inability to maintain fluid balance
Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
AKI S&S Correct Answer Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub
Pericardial Effusion
Cardiac Tamponade
Arrhythmias
Abdominal Pain/Ileus
Bleeding d/t platelet dysfunction
Encephalopathy, altered sensorium, asterixis, seizure
oliguria defined as UOP <500mL/D or <20mL/hr
(0.5mL/kg/hr)
Prerenal AKI DDx Correct Answer Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
, NSAIDs, ACEIs, ARBs
Postrenal AKI DDx Correct Answer Obstruction (BPH,
Bladder Tumor)
Intrinsic Renal Disease DDx Correct Answer ATN:
NSAIDS, Antibiotics, Contrast, Rhabdo, Chemo, Multiple
myeloma, hemolysis , hyperuricemia, cyclosporine
Acute Glomerulonephritis: Immune complex, SLE,
Endocarditis, AntiGBM, Good pasture syndrome
AKI Lab Findings Correct Answer Elevated Serum
BUN/CREAT
Hyperkalemia
Hyperphosphatemia
hypocalcemia
increased anion gap
acidosis
FENa: <1% prerenal, >1% ATN
BUN:CREAT >20:1- prerenal, postrenal, acute
glomerulonephritis
<20:1 ATN, AIN
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