NR 283 Final Exam
Questions and Complete
Solutions Graded A+
What do these cause?
Nephrotoxins
Ischemia
Pyelonephritis
Hypo perfusion
Hypotension
Severe circulatory shock
Heart Failure
Mechanical obstructions - Answer: Pre renal AKI
Calculi, blood clots and tumors are mechanical obstructions that block urine flow beyond the kidneys
cause what? - Answer: Acute renal failure
Drugs, chemicals and toxins that cause tubule necrosis and obstruction of blood flow is termed as? -
Answer: Nephrotoxins
What are these clinical manifestations for?
Polyurea
Lethargy
Oliguria
Uremia
Fluids, electrolytes and wastes are retained in the body
, Anuria - Answer: Chronic Kidney Disease
What is the glomerular filtration rate (GFR) for CKD stage 5/ end stage renal disease? - Answer: 15
ml/min or less
What is a normal reading of a specific gravity in urine for someone who is hydrated? - Answer: 1.30
If a patient came in dehydrated, what would you expect their specific gravity to be in their urine? -
Answer: 1.035 or higher
What hormone is produced by the renal system when there is high hypertension? - Answer: Renin-
blocking drugs (beta-adrenergic blocking drugs)
When a patient has a bladder tumor, they are most likely to have what kind of acute renal injury? -
Answer: Post renal, this can be caused by a mechanical obstruction
Patients with obstruction of the renal artery causing renal ischemia exhibit hypertension. What is one
factor that may contribute to hypertension? - Answer: Increased renin release
People who have to have dialysis have a lack of _______. - Answer: Erythropoiten
Why do patients receive erythropoietin during dialysis? - Answer: Increase hemoglobin levels in patients
with ESRD and anemia
During an assessment with a patient with renal insufficiency, the nurse asks specifically about a history
of what? - Answer: Hypertension
These are causes of what?
H. pylori
An inadequate blood supply
Vasoconstriction caused by stress, smoking, or shock
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