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Renal NP NP ASSESMENT Chamberlain College Nursing - Question and answers correctly solved

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Renal NP NP ASSESMENT Chamberlain College Nursing - Question and answers correctly solved Is a UA a more sensitive test for infection in males or females? - correct answer Males S/S acute renal failure/acute renal injury. - correct answer -Rapid decrease in renal function -Elevated serum...

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  • August 16, 2024
  • 18
  • 2024/2025
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  • renal np
  • renal np np assesment chamberlain college nursing
  • renal np np assesment chamberlain college nursing

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Renal NP
Is a UA a more sensitive test for infection in males or females? - correct
answer ✔Males


S/S acute renal failure/acute renal injury. - correct answer ✔-Rapid decrease
in renal function
-Elevated serum creatinine.
-Abrupt onset of oliguria, edema, and weight gain (fluid retention).
-lethargy, nausea, and loss of appetite


Kidneys are the body's regulators of: - correct answer ✔Electrolytes and
fluids.


Water is reabsorbed back into the body by the action of: - correct answer
✔ADH & Aldosterone


Kidneys excrete water-soluble waste products of metabolism such as ______,
______, & ______into urine - correct answer ✔-creatinine
-urea (forms from breakdown of protein)
-uric acid (forms from the breakdown of purine foods)


Define normal urine output and ogliuria - correct answer ✔-1500mls:
Average daily urine output
-<400 mL per day (adults).: Oliguria


Kidneys also secrete several hormones such as:

,What are the roles of these hormones - correct answer ✔erythropoietin (RBC
production)
renin and bradykinin (blood pressure)
prostaglandins (renal perfusion)
calcitriol/vitamin D3 (bone).


What are prostaglandins - correct answer ✔- Group of lipids, with hormone-
like effects, made at sites of tissue damage (injury) & infection (illness)
-_ Control processes such as inflammation, blood flow, formation of blood
clots, & labor induction


Serum Cr lab value - correct answer ✔Male: 0.7 to 1.3 mg/dL
Female: 0.6 to 1.1 mg/dL


When renal function decreases, the creatinine level will: - correct answer
✔Increase


What is creatinine? - correct answer ✔Creatinine is the end-product of
creatine (an amino acid that the body uses to supply the muscles with energy)
metabolism, which comes mostly from muscle.


Serum creatinine may be falsely ___________ in people with low muscle
volume (elderly) - correct answer ✔low/decreased


Elevated Cr values are seen in: - correct answer ✔Renal damage/Failure
Nephrotoxic drugs


Factors that affect the serum creatinine are: - correct answer ✔-Gender
(males have higher levels)

, -Race (African Americans have more muscle mass)
-Muscle mass.


When renal function decreases, does the creatinine clearance increase or
decrease? - correct answer ✔Decrease


Why is Cr clearance ordered? - correct answer ✔To evaluate patients with
proteinuria, albuminuria, and microalbuminuria.


What is the labs value for normal eGFR (stage 1) and eGFR in renal failure
(stage 5)? - correct answer ✔Normal: eGFR greater than 90 mL/min
Renal failure: eGFR less than 15 mL/min (stage 5 chronic kidney disease)


A high BUN may be caused by: - correct answer ✔-ARF
-CHF
-high-protein diet
-hemolysis (GI bleed, trauma)
-drugs


A low BUN can be caused by - correct answer ✔liver damage/ disease.


If a patient has an abnormal BUN level, what is the next lab to check? -
correct answer ✔Check the eGFR


What is BUN - correct answer ✔The BUN is a measure of the kidney's ability
to excrete urea (waste product of protein metabolism).

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