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HONDROS NUR 212 EXAM 2| EXAM 2 FOR NUR 212 HONDROS ALL QUESTIONS AND 100% CORRECT ANSWERS WELL ELABORATED| LATEST UPDATE ALREADY GRADED A+$19.99
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1 | P a g e HONDROS NUR 212 EXAM 2| EXAM 2 FOR NUR 212 HONDROS ALL QUESTIONS AND 100% CORRECT ANSWERS WELL ELABORATED| LATEST UPDATE ALREADY GRAD ED A+ Normal creatinine levels? - ANSWER: Male: 0.6 -1.2 Female: 0.5 -1.1 Normal GFR? - ANSWER: 90-120ml/min At which GFR level does dialysis begin? - ANSWER: 15 S/S of acute glomerulonephritis? - ANSWER: Headache, increased BP, facial edema, malaise, low grade fever, weight fain, proteinuria, hematuria, and oliguria S/S of chronic glomerulonephritis? - ANSWER: Proteinuria and hematuria Lab findings for glomerulonephritis? - ANSWER: Increased BUN, CR Decreased albuminin Common s \e of hemodialysis? - ANSWER: Hypotension due to all of the blood and fluids leaving the body Nephrotic syndrome s \s - ANSWER: SEVERE proteinuria MASSIVE edema Hypertension, foamy urine, anasarca, ascites 2 | P a g e Why might medication doses be decreased for a patient with kidney issues? - ANSWER: Due to medications not being excreted through kidneys Prerenal causes - ANSWER: Due to decreased blood flow to kidneys Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe vasoconstriction Intrarenal causes - ANSWER: 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 - ANSWER: Obstruction to the urine collecting system BPH Phases of AKI - ANSWER: Oliguric Diuretic Recovery (if not then CKD may develop) Oliguric Phase - ANSWER: Urinary changes (output l ess than 400ml/day) Lasts 10 -14 days Neck veins distended, bounding pulse, edema, hypertension Increased potassium (causing heart issues!) Diuretic Phase - ANSWER: 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 3 | P a g e Why would calcium gluconate be given to a patient with AKI? - ANSWER: Due to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur therefor protecting the hea rt Nursing interventions for almost all kidney patients - ANSWER: Fluid restriction Daily weights If there is abdominal pain during hemodialysis what should the nurse do? - ANSWER: Decrease the flow rate What is given to excrete potassium? - ANSWER: Kayexelate What is an important thing to remember for the process of peritoneal dialysis? - ANSWER: It must be completely STERILE What is a major complication from peritoneal dialysis? - ANSWER: Peritoniti s If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? - ANSWER: Slow down the infusion rate At what temperature is peritoneal dialysis given? - ANSWER: Must be warmed to body temperature What medication can cause an IBS flare up? - ANSWER: Sulfasalazine (anti -
inflammatory medication)
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