MCN 374 Exam IV Test Exam Review Questions with all Answers verified for accuracy Updated 2024/2025
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Course
MCN 374
Institution
MCN 374
MCN 374 Exam IV Test Exam Review Questions with all Answers verified for accuracy Updated 2024/2025
ARF: Pre-renal - correct answer Decreased perfusion/blood flow to kidneys
Normal kidney function in association tic a systemic condition
E.g. trauma, perinatal asphyxia, septic shock, conges...
MCN 374 Exam IV Test Exam Review
Questions with all Answers verified for
accuracy Updated 2024/2025
ARF: Pre-renal - correct answer Decreased perfusion/blood
flow to kidneys
Normal kidney function in association tic a systemic condition
E.g. trauma, perinatal asphyxia, septic shock, congestive HF,
hemorrhagic shock, dehydration
ARF: Intrinsic - correct answer Damage to kidney tissues
E.g. hemolytic uremic syndrome, glomerulonephritis, viruses,
acute pyelonephritis
ARF: Post-renal - correct answer Urologic anatomic
abnormalities
Outlet obstruction from tumor or stones
ARF: Treatment - correct answer Depends on cause
If severe trauma/dehydratoin, IV fluid 20mg/kg over 5-10mins
Blood products, albumin
Diuretics
Dialysis if poor response to drug management
If no urine output after pushing fluids, look at intrinsic renal
failure
Fluid overload can cause renal failure
Watch potassium and electrolyte levels
Hyponatremia - correct answer Accumulation of fluid and
excess of solute
Especially when kid isn't producing a lot of urine
Hypocalcemia - correct answer Phosphates are retained
Depresses calcium ion concentration in body
Chronic Renal Failure - correct answer Progressive,
irreversible reduction in kidney function
Causes typically differ from adults - congenital
anomalies/obstruction, vesicoureteral reflux (VUR), renal
dysplasia, missing kidneys
Treatment depends on course of disease - medications, diet
therapy, dialysis, progression to ESRD
Effects of Chronic Renal Failure - correct answer Growth
delays - due to anemia, metabolism disturbances, decreased
calorie intake, metabolic acidosis
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