NR 341 Complex adult health Exam 3 Questions with 100% Correct Answers

Renal Failure Correct Answer Occurs when kidneys cannot remove the body's metabolic wastes or perform regulatory functions. Acute Kidney Injury Correct Answer rapid loss of renal function due to damage to the kidneys Causes of AKI Correct Answer Hypovolemia Hypotension Infections decreased cardiac output and heart failure Obstruction of the kidney or lower urinary tract Blood clot or renal stones (rare) Obstruction of renal arteries or veins Nephrotoxic agents Types of AKI Correct Answer Prerenal - hypoperfusion of kidney, not enough blood to kidney Intrarenal - actual damage to glomeruli or kidney tubules Postrenal - urinary obstruction that impedes forward flow (tumor, stone) Pt has increased creatinine level and increased BUN, what is the issue? Correct Answer Problem with kidney perfusion Pt has increased creatinine and increased BUN, what are the nursing priorities? Correct Answer Check urine output Check specific gravity - filtration/how concentrated Fixed specific gravity Correct Answer Kidney damage - can't dilute urine/accommodate Specific gravity lab value Correct Answer 1.005-1.030 Lab values to monitor for kidney function Correct Answer BUN, creatinine, creatinine clearance, GFR, specific gravity, UA Adult urine output Correct Answer 30 mL/hr What lab increases during dehydration? Correct Answer BUN Normal Na levels Correct Answer 135-145 mEq/L