Hondros NUR 212 Exam 2 (2023 – 2024) Questions With Verified Answers By Expert Normal creatinine levels? - Male: 0.6 -1.2 Female: 0.5 -1.1 Normal GFR? - 90-120ml/min At which GFR level does dialysis begin? - 15 S/S of acute glomerulonephritis? - Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria S/S of chronic glomerulonephritis? - Proteinuria and hematuria Lab findings for glomerulonephritis? - Increased BUN, CR Decreased albumin in Common s \e of hemodialysis? - Hypotension due to all of the blood and fluids leaving the body Nephrotic syndrome s \s - SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites Why might medication doses be decreased for a patient with kidney issues? - Due to medications not being excreted through kidneys Prerenal causes - Due to decreased blood flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstrict ion Intrarenal causes - 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 - Obstructi on to the urine collecting system BPH Phases of AKI – Oliguric Diuretic Recovery (if not then CKD may develop) Oliguric Phase - 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 - 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 giv en to a patient with AKI? - Due to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur therefor protecting the heart Nursing interventions for almost all kidney patients - Fluid restriction Daily weights If there is abdominal pain during hemodialysis what should the nurse do? - Decrease the flow rate What is given to excrete potassium? - Kayexelate What is an important thing to remember for the process of peritoneal dialysis? - It must be completely STERILE What is a major complication from peritoneal dialysis? - Peritonitis If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? - Slow down the infusion rate At what temperature is peritoneal dialysis given? - Must be warmed to body temperature What medication can cause an IBS flare up? - Sulfasalazine (anti -inflammatory medication) Treatment goals for CKD? - Treat hyperkalemia, HTN, and mineral/bone disease Potassium enriched foods? - Bananas, tomatoes Why would a patient with CKD have pruritus? - Due to uremic frost (urea crystallizes on skin) cure for ulcerative colitis - illiostomy, removal of colon, J -pouch issues for Crohns can happen from where? - From mouth to anus Common signs/symptoms of Croh n's disease and ulcerative Colitis - diarrhea, weight loss abdominal pain, fever and fatigue drug classes used to treat IBD - corticosteroids - decreases inflammation immunosuppressants - suppresses immune response antimicrobials - prevent or treat second ary infection aminosalicylates - decreases inflammation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Boffin. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.