HONDROS NUR 212 EXAM 2 SOLVED
QUESTIONS AND VERIFIED SOLUTIONS
◉ 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
◉ 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 less 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
◉ Why would calcium gluconate be given to a patient with AKI?
QUESTIONS AND VERIFIED SOLUTIONS
◉ 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
◉ 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 less 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
◉ Why would calcium gluconate be given to a patient with AKI?
