SHADOW HEALTH RENAL SYSTEM
HOURLY ROUNDS COMPREHENSIVE EXAM
STUDY GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● Glomerulonephritis: It is an
Answer: inflammatory reaction in the glomerulus
●● Glomerulonephritis: Antibodies lodge in the ________________,
causing _____________________________________
Answer: glomerulus; scarring and decreased filtering
●● Glomerulonephritis: Main cause
Answer: streptococcus (Group A beta) (attacks the valves in the heart)
●● Glomerulonephritis: Signs/Symptoms
Answer: -flank pain
-oliguria
-hematuria
-proteinuria
-periorbital edema
-increased BP
,-FVE
-increased urine specific gravity
-azotemia
-malaise and H/A
●● Glomerulonephritis Signs/Symptoms: Flank pain is
Answer: costovertebral angle tenderness (CVA tenderness)
-tap on back to see how high the infection is in the kidney
●● Glomerulonephritis Signs/Symptoms: Periorbital edema will
Answer: progress to other areas of the body
●● Glomerulonephritis Signs/Symptoms: Azotemia is
Answer: abnormally high BUN and creatinine
●● Glomerulonephritis Signs/Symptoms: Why does the client
experience malaise and H/A?
Answer: toxins
●● Glomerulonephritis: Treatment
Answer: -get rid of the strep or cause
-I & O and daily weights
,-diuretics
-monitor BP
-restrict fluids
-balance activity with rest
-dialysis
-modify dietary needs
●● Glomerulonephritis Treatment: How is fluid replacement
determined?
Answer: 24 hour fluid loss + 500 mL
●● Glomerulonephritis Treatment: How are dietary needs modified?
Answer: -increased carbs
-decreased sodium
-decreased protein (makes BUN go up)
●● Glomerulonephritis Client Teaching: Diuresis begins in
Answer: 1 to 3 weeks after onset
●● Glomerulonephritis Client Teaching: ____________________ may
stay in the urine for _________________
Answer: Blood and urine; months
, ●● Glomerulonephritis Client Teaching: Teach the signs/symptoms of
Answer: renal failure
●● Glomerulonephritis Client Teaching: Signs/Symptoms of renal
failure
Answer: -malaise
-H/A
-anorexia
-nausea
-vomiting
-decreased output
-weight gain
●● Glomerulonephritis Client Teaching: If you notice s/s of renal failure
present....
Answer: call the provider
●● Nephrotic Syndrome: These clients lose a lot more protein than
clients with
Answer: glomerulonephritis
●● Nephrotic Syndrome: Pathophysiology
Answer: -it is an inflammatory response in the glomerulus
HOURLY ROUNDS COMPREHENSIVE EXAM
STUDY GUIDE COMPLETE QUESTIONS AND
SOLUTIONS
●● Glomerulonephritis: It is an
Answer: inflammatory reaction in the glomerulus
●● Glomerulonephritis: Antibodies lodge in the ________________,
causing _____________________________________
Answer: glomerulus; scarring and decreased filtering
●● Glomerulonephritis: Main cause
Answer: streptococcus (Group A beta) (attacks the valves in the heart)
●● Glomerulonephritis: Signs/Symptoms
Answer: -flank pain
-oliguria
-hematuria
-proteinuria
-periorbital edema
-increased BP
,-FVE
-increased urine specific gravity
-azotemia
-malaise and H/A
●● Glomerulonephritis Signs/Symptoms: Flank pain is
Answer: costovertebral angle tenderness (CVA tenderness)
-tap on back to see how high the infection is in the kidney
●● Glomerulonephritis Signs/Symptoms: Periorbital edema will
Answer: progress to other areas of the body
●● Glomerulonephritis Signs/Symptoms: Azotemia is
Answer: abnormally high BUN and creatinine
●● Glomerulonephritis Signs/Symptoms: Why does the client
experience malaise and H/A?
Answer: toxins
●● Glomerulonephritis: Treatment
Answer: -get rid of the strep or cause
-I & O and daily weights
,-diuretics
-monitor BP
-restrict fluids
-balance activity with rest
-dialysis
-modify dietary needs
●● Glomerulonephritis Treatment: How is fluid replacement
determined?
Answer: 24 hour fluid loss + 500 mL
●● Glomerulonephritis Treatment: How are dietary needs modified?
Answer: -increased carbs
-decreased sodium
-decreased protein (makes BUN go up)
●● Glomerulonephritis Client Teaching: Diuresis begins in
Answer: 1 to 3 weeks after onset
●● Glomerulonephritis Client Teaching: ____________________ may
stay in the urine for _________________
Answer: Blood and urine; months
, ●● Glomerulonephritis Client Teaching: Teach the signs/symptoms of
Answer: renal failure
●● Glomerulonephritis Client Teaching: Signs/Symptoms of renal
failure
Answer: -malaise
-H/A
-anorexia
-nausea
-vomiting
-decreased output
-weight gain
●● Glomerulonephritis Client Teaching: If you notice s/s of renal failure
present....
Answer: call the provider
●● Nephrotic Syndrome: These clients lose a lot more protein than
clients with
Answer: glomerulonephritis
●● Nephrotic Syndrome: Pathophysiology
Answer: -it is an inflammatory response in the glomerulus
