Nutrition Final Exam - Chapter 21: Renal Questions And Answers
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Course
Renal Nutrition
Institution
Renal Nutrition
Nutrition Final Exam - Chapter 21: Renal
Questions And Answers
What is the most common cause of acute renal failure (ARF)? acute tubular necrosis
(ATN)
What should the nurse take into special consideration with a patient with acute renal failure
(ARF)? monitor intake and output closely, take...
Nutrition Final Exam - Chapter 21: Renal
Questions And Answers
What is the most common cause of acute renal failure (ARF)? acute tubular necrosis
(ATN)
What should the nurse take into special consideration with a patient with acute renal failure
(ARF)? monitor intake and output closely, take and record body weight daily, monitor
BUN and creatinine levels
What is BUN and what does it tell us? Blood Urea Nitrogen; measures the amount of urea
in the blood; Directly related to the metabolic function of the liver (since liver is supposed to
metabolize protein into urea) and the excretory function of the kidney (since kidneys are
supposed to excrete urea)
What is Creatinine and what does it tell us? Creatinine is a substance formed from the
metabolism f creatine which is commonly found in blood, urine, and muscle tissue; Indicator of
kidney function
What kind of consequences (issues) can result from after a renal transplantation weight
gain, hyperlipidemia, hyperglycemia, HTN, altered bone health
, Nutrition Final Exam - Chapter 21: Renal
Questions And Answers
What is seen in the oliguric/anuric phaseof ARF? Great reduction in GFR --> less pee is
being made and not enough things are getting filtered out --> accumulate in the body; Increased
BUN and Creatinine; Electrolyte abnormalities (hyperkalemia, hyperphosphatemia, azotemia);
HTN, acidosis, anorexia
What is azotemia? elevated blood urea nitrogen (BUN) = abnormally high levels of
nitrogen-containing compounds, such as urea, creatinine, and various body waste compounds
Nutritional Therapy for after a renal transplantation High kcal because of stress of surgery
and immunosuppressive drugs and restriction of glucose if drugs are causing increased blood
glucose levels
What is usually seen in patients in the diuretic phase of ARF? An increase in GFR -->
high urine output; BUT renal cells cannot concentrate urine (they're working but not very
efficiently) so body is losing lots of fluid --> watch electrolytes and dehydration/maybe IV
Amyloidosis Amyloids are fibrous proteins that accumulates in various organs; Usually
produced by cells in the bone marrow and can be deposited in any tissue
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