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Galen Advanced Medsurg Nur265 EXAM 1 with correct answers
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- Galen College Of Nursing
Galen Advanced Medsurg Nur265 EXAM 1 with correct answers
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Galen Advanced Medsurg Nur265 EXAM1 with correct answers
AKI S/S - ** VERIFIED ANSWERS **✔✔oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below 65
AKI in xray dx - ** VERIFIED ANSWERS **✔✔infiltration (fluid in lungs)
AKI ABG results may read - ** VERIFIED ANSWERS **✔✔respiratory alkalosis (spao2 below 88%)
example of pre renal AKI - ** VERIFIED ANSWERS **✔✔dehydration, blood loss, decreased cardiac
output, heart failure; infection; NG suction, sepsis, V/D
Example of intra renal AKI - ** VERIFIED ANSWERS **✔✔myoglobinuria,BPH, tubular necrosis,
nephrotoxocity; acute polynephtiits, contrast
Example of post renal AKI - ** VERIFIED ANSWERS **✔✔bladder neck obstruction, bladder
cancer; calculi; tumor
Duiretic phase (3rd phase) of AKI - ** VERIFIED ANSWERS **✔✔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) - ** VERIFIED ANSWERS **✔✔creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
, Normal urine output per hour - ** VERIFIED ANSWERS **✔✔30 mL/hr
normal potassium levels - ** VERIFIED ANSWERS **✔✔3.5-5.0 mEq/L
Normal Sodium levels - ** VERIFIED ANSWERS **✔✔135-145 mEq/L
Diet for AKI patients - ** VERIFIED ANSWERS **✔✔mod protein
high carb
Complication of AKI - ** VERIFIED ANSWERS **✔✔Preicarditis
Nephrotoxic agents include - ** VERIFIED ANSWERS **✔✔contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis - ** VERIFIED ANSWERS **✔✔protein 40 g/day
diet:AKI patient without dialysis - ** VERIFIED ANSWERS **✔✔protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria - ** VERIFIED ANSWERS **✔✔decreased urine production
400mL/day or less
How many stages of Kidney failure are there? - ** VERIFIED ANSWERS **✔✔5 stages ( defined by
GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
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