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Hondros Nur 212 Exam 2 with complete solutions 2024_2025
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Hondros Nur 212 Exam 2 with complete solutions 2024_2025
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Hondros Nur 212 Exam 2 with completesolutions 2024/2025
Normal creatinine levels? - ANSWER-Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? - ANSWER-90-120 ml/min
At which GFR level does dialysis begin? - ANSWER-15
S/S of acute glomerulonephritis? - ANSWER-Headache, increased BP, facial
edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria
S/S of chronic glomerulonephritis? - ANSWER-Proteinuria and hematuria
Lab findings for glomerulonephritis? - ANSWER-Increased BUN, CR
Decreased albuminin
Common s\e of hemodialysis? - ANSWER-Hypotension due to all of the blood and
fluids leaving the body
Nephrotic syndrome s\s - ANSWER-SEVERE proteinuria
MASSIVE edema
Hypertension, foamy urine, anasarca, ascites
, Why might medication doses be decreased for a patient with kidney issues? -
ANSWER-Due to medications not being excreted through kidneys
Prerenal causes - ANSWER-Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular
obstructions, severe vasoconstriction
Intrarenal causes - ANSWER-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 - ANSWER-Obstruction to the urine collecting system
BPH
Phases of AKI - ANSWER-Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase - ANSWER-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 - ANSWER-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? - ANSWER-Due to
hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias
occur therefor protecting the heart
Nursing interventions for almost all kidney patients - ANSWER-Fluid restriction
Daily weights
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