1|Pag e
HONDROS NUR 212 EXAM 2| EXAM 2 FOR NUR 212
HONDROS ALL QUESTIONS AND 100% CORRECT
ANSWERS WELL ELABORATED| LATEST UPDATE
ALREADY GRADED A+
Normal creatinine levels? - ANSWER: Male: 0.6-1.2
Female: 0.5-1.1
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
,2|Pag e
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
, 3|Pag e
Why would calcium gluconate be given to a patient with AKI? - ANSWER: Due
to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias
occur therefor protecting the heart
Nursing interventions for almost all kidney patients - ANSWER: Fluid restriction
Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? -
ANSWER: Decrease the flow rate
What is given to excrete potassium? - ANSWER: Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? -
ANSWER: It must be completely STERILE
What is a major complication from peritoneal dialysis? - ANSWER: Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should
the nurse do? - ANSWER: Slow down the infusion rate
At what temperature is peritoneal dialysis given? - ANSWER: Must be warmed to
body temperature
What medication can cause an IBS flare up? - ANSWER: Sulfasalazine (anti-
inflammatory medication)
HONDROS NUR 212 EXAM 2| EXAM 2 FOR NUR 212
HONDROS ALL QUESTIONS AND 100% CORRECT
ANSWERS WELL ELABORATED| LATEST UPDATE
ALREADY GRADED A+
Normal creatinine levels? - ANSWER: Male: 0.6-1.2
Female: 0.5-1.1
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
,2|Pag e
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
, 3|Pag e
Why would calcium gluconate be given to a patient with AKI? - ANSWER: Due
to hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias
occur therefor protecting the heart
Nursing interventions for almost all kidney patients - ANSWER: Fluid restriction
Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? -
ANSWER: Decrease the flow rate
What is given to excrete potassium? - ANSWER: Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? -
ANSWER: It must be completely STERILE
What is a major complication from peritoneal dialysis? - ANSWER: Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should
the nurse do? - ANSWER: Slow down the infusion rate
At what temperature is peritoneal dialysis given? - ANSWER: Must be warmed to
body temperature
What medication can cause an IBS flare up? - ANSWER: Sulfasalazine (anti-
inflammatory medication)
