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Galen Advanced Medsurg Nur265 EXAM 1 questions fully solved & updated
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Galen Advanced Medsurg Nur265 EXAM 1 questions fully solved & updated
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Galen Advanced MedsurgNur265 EXAM 1 questions fully
solved & updated 2024-2025
AKI S/S - answer oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88),
tachycardia; Map below 65
AKI in xray dx - answer infiltration (fluid in lungs)
AKI ABG results may read - answer respiratory alkalosis (spao2
below 88%)
example of pre renal AKI - answer dehydration, blood loss,
decreased cardiac output, heart failure; infection; NG suction,
sepsis, V/D
Example of intra renal AKI - answer myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - answer bladder neck obstruction,
bladder cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - answer Nurse should give 3L-6L
per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
, Best Lab indicator of Kindey function (AKI and CKD) - answer
creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour - answer 30 mL/hr
normal potassium levels - answer 3.5-5.0 mEq/L
Normal Sodium levels - answer 135-145 mEq/L
Diet for AKI patients - answer mod protein
high carb
Complication of AKI - answer Preicarditis
Nephrotoxic agents include - answer contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - answer protein 40 g/day
diet:AKI patient without dialysis - answer protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - answer decreased urine production
400mL/day or less
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