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AACN PCCN Review: Renal Exam Questions And Correct Answers

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AACN PCCN Review: Renal Exam Questions And Correct Answers Functions of the kidneys - answera. Excretion of Metabolic Wastes b. Urine Formation c. Acid-Base Balance Regulation d. Electrolyte Regulation e. Fluid Regulation f. Blood Pressure Regulation g. Erythropoietin Secretion/Anemia Regul...

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  • October 15, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AACN
  • AACN
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sirjoel
©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM



AACN PCCN Review: Renal Exam
Questions And Correct Answers



Functions of the kidneys - answer✔a. Excretion of Metabolic Wastes
b. Urine Formation
c. Acid-Base Balance Regulation
d. Electrolyte Regulation
e. Fluid Regulation
f. Blood Pressure Regulation
g. Erythropoietin Secretion/Anemia Regulation

How are the kidneys related to anemia - answer✔Erythropoietin Secretion/Anemia Regulation


Low 02 --> kidneys stimulate hormone production of Erythropoietin


Erythropoietin go to bone marrow --> stimulate Stem Cells to turn into red blood cells -->
increase 02 carrying capacity


This is why COPD patients have higher H&H


WHY renal failure patients are anemic

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Epoetin, Procrit,--> synthetic forms of the hormone to help stimulate bone marrow to become
stem cells and produce Red blood cells

Blood work to assess renal function - answer✔Blood Urea Nitrogen
Creatinine
Serum Electrolytes
Hgb & Hct
Serum Albumin
Serum Osmolality

Renal function tests - answer✔b. Urine Assessment
Volume & Concentration
Urinalysis
Renal Clearance Studies
c. Diagnostic Tests
KUB X-ray
Renal Arteriography
IVP
CT
Ultrasound
Biopsy

Acute versus Chronic Renal Failure - answer✔a. Acute renal failure affects many body systems.
b. Chronic renal failure affects EVERY body system


New names: Acute Kidney Disease and Chronic Kidney Disease (replacing failure for disease)

Chronic Kidney Disease - answer✔Chronic Renal Failure (CRF) is a permanent, irreversible
condition in which the kidneys cease
to remove metabolic wastes and excessive water from the blood. (ESRF, ESRD, CRD, CKD)

Azotemia - answer✔Nitrogenous Waste Products in the Bloodstream

, ©SIRJOEL EXAM SOLUTIONS
10/14/2024 11:14 PM
Uremic Syndrome - answer✔Systemic and Laboratory Manifestations of ESRD

Stages of Renal Failure - answer✔1. Diminished Renal Reserve
2. Renal Insufficiency
3. End Stage Renal Disease (ESRD) - Affects every system in the body

Renal Failure Medcations - answer✔hypertensive drugs
phosphate binder --> RF has high phosphate levels
Calcium supplement --> when phosphate goes up, calcium goes down
Bicarbonate


all drugs just treat symptoms

Acute Kidney Disease - answer✔A sudden deterioration in renal function usually associated with
the loss of the kidney's ability to concentrated urine, as well as the retention and accumulation of
nitrogen wastes.

Acute Kidney Disease pathophysiology - answer✔Decreased Glomerular Filtration Rate -->
Interstitial Inflammatory Changes --> Tubular Lumen Obstruction --> Oliguric < 400 mL/day


Some patients can be non-Oliguric, Large Amt of Dilute Urine

Causes of Acute Kidney Disease - answer✔severe hypertension
severe hypotension
heart failure
nephrotoxic agents
contrast induced
complications of infection


Perfusion issues

Pre Renal Disease - answer✔PRERENAL: PERFUSION ISSUE

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