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NUR 265 EXAM 1 QUESTIONS AND ANSWERS LATEST 2024 REAL EXAM.

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NUR 265 EXAM 1 QUESTIONS AND ANSWERS

LATEST 2024 REAL EXAM

What is nephrotic syndrome? - ANSWERSA condition of increased glomerular permeability

that allows larger molecules to pass through the membrane into the urine and then be

excreted.



What are key features of nephrotic syndrome? - ANSWERS-*Massive proteinuria*

-*Hypoalbuminemia*

-*Edema (facial and periorbital)*

-Lipiduria

-Hyperlipidemia

-Increased coagulation

-Reduced kidney function



In nephrotic syndrome, severe protein loss in the urine is greater than what? -

ANSWERS3.5g in 24 hours



What is nephrotic syndrome treated with? - ANSWERS-immunosuppressant agents (if

immunity based).

-ACE inhibitors (decreased protein loss in urine)

-statins (improve blood lipid levels).

-Heparin (used to treat vascular effects and improve kidney function)




NUR 265 EXAM 1 QUESTIONS AND ANSWERS LATEST 2024 REAL EXAM

,NUR




Describe the "risk" stage for AKI - ANSWERScreatinine x 1.5 of normal, and GFR reduced

by 25%



Describe the "injury" stage for AKI - ANSWERScreatinine x2 & GFR reduced by 50%



Describe the "failure" stage for AKI - ANSWERScreatinine x3 normal, & GFR reduced by

75% (Cant fix)



Describe Prerenal AKI. Give examples. - ANSWERSDecreased perfusion to kidneys.



-NSAIDs

-Severe dehydration

-Renal artery stenosis

-MI or HF resulting in low ejection fraction and low cardiac output

-Blood/ fluid loss



Describe Intrarenal AKI. Give examples. - ANSWERSTissue damage to the actual kidneys.



-Glomerulonephritis or inflammation of the glomeruli

-Sepsis

-Intrarenal bleeding

-Pyelonephritis



Describe Postrenal AKI. Give examples. - ANSWERSObstruction that occurs after the

kidney.




NUR 265 EXAM 1 QUESTIONS AND ANSWERS LATEST 2024 REAL EXAM

, NUR




-Enlarged prostate (BPH)

-Bladder Cancer

-Kidney stones



How do you determine the mean arterial pressure (MAP)? - ANSWERSSystolic +

(Diastolic*2) /3



What is the MAP needed to perfuse the kidneys? - ANSWERS65 mmHg



What are examples of nephrotoxic drugs? - ANSWERS-NSAIDS

-Metformin

-Diuretics

-Antibiotics (especially -mycin)

-Contrast dye



During the diuretic phase of AKI, what needs to be monitored? - ANSWERSWatch for

dehydration and make sure output is greater than input



What are the dietary restrictions for an AKI patient? - ANSWERS-Low protein

-Low sodium

-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)



What are the 2 most common causes of CKD? - ANSWERS-HTN

-Uncontrolled diabetes




NUR 265 EXAM 1 QUESTIONS AND ANSWERS LATEST 2024 REAL EXAM

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