Med Surg II Exam 1 Renal Questions and Answers 100%Correct Solutions.

Med Surg II Exam 1 Renal Questions and Answers 100%Correct Solutions. Med Surg II Exam 1 Renal  Nephrotic syndrome: type or renal failure with increased glomerular permeability and massive proteinuria  Anuria: (absence of) total urine output less than 50 mL in 24 hours  Oliguria: decreased urine output less than 0.5mL/kg/hr or less than 400 or 500 mL in 24 hours  Proteinuria: protein in the urine  Nephron: structural and functional unit of the kidney responsible for urine formation  Patients on dialysis: o Have increased potassium o Foods to AVOID:  Bacon  Ketchup  Hot dogs o Food that is OK:  Lemon juice  Acute glomerulonephritis is caused by: o Infections of the upper respiratory tract o Group A Beta-hemolytic streptococci o Abscess on the tooth o Strep throat  Specific gravity: evaluates the ability of the kidneys to concentrate or dilute solutes in urine o Normal value: 1.010-1.025  Creatinine level: measures effectiveness of renal function o Normal value: 0.6-1.2  Blood urea nitrogen (BUN): serves as an index of renal function o Normal value: 7-18 o Normal value in patient’s > 60 years old: 8-20  Most definitive way to check tumors: biopsy  Nursing priority for patients post needle biopsy or open biopsy: o Assess for bleeding  Labs to check pre-kidney biopsy: o PT & PTT  Nursing interventions post kidney biopsy: o Check site for bleeding o Pressure to area o VS  Be alert for s/s of tachycardia  Rise or fall in BP  Vomiting  Dull, aching, discomfort in the abdomen o Patient must lie on his/her back for 8-24 hours o Immediately report any sign of a backache, shoulder pain, dysuria, s/s of bleeding  What can CNA’s do & what can’t they do for patients: o CAN: ambulate patient’s awaiting discharge o CANNOT: assess, teach, or measure patients.