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Nur 212 (Hondros) Exam study guide with a complete solution
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Nur 212 (Hondros) Exam study guide with a complete solution
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Nur 212 (Hondros) Exam study guide witha complete solution
Normal creatinine levels? - ANS Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? - ANS 90-120ml/min
At which GFR level does dialysis begin? - ANS 15
S/S of acute glomerulonephritis? - ANS Headache, increased BP, facial edema,
malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria
S/S of chronic glomerulonephritis? - ANS Proteinuria and hematuria
Lab findings for glomerulonephritis? - ANS Increased BUN, CR
Decreased albuminin
Common s\e of hemodialysis? - ANS Hypotension due to all of the blood and fluids
leaving the body
Nephrotic syndrome s\s - ANS SEVERE proteinuria
MASSIVE edema
Hypertension, foamy urine, anasarca, ascites
Why might medication doses be decreased for a patient with kidney issues? - ANS
Due to medications not being excreted through kidneys
Prerenal causes - ANS Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular
obstructions, severe vasoconstriction
Intrarenal causes - ANS 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 - ANS Obstruction to the urine collecting system
BPH
Phases of AKI - ANS Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase - ANS 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 - ANS 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
Why would calcium gluconate be given to a patient with AKI? - ANS Due to
hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur
therefor protecting the heart
Nursing interventions for almost all kidney patients - ANS Fluid restriction
Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? - ANS
Decrease the flow rate
What is given to excrete potassium? - ANS Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? - ANS
It must be completely STERILE
What is a major complication from peritoneal dialysis? - ANS Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should the
nurse do? - ANS Slow down the infusion rate
At what temperature is peritoneal dialysis given? - ANS Must be warmed to body
temperature
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