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Exam (elaborations)

NR507- ADVANCED PATHOPHYSIOLOGY FINAL EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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NR507- ADVANCED PATHOPHYSIOLOGY FINAL EXAM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

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NR 507 Advanced Pathophysiology
Course
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Institution
NR 507 Advanced Pathophysiology
Course
NR 507 Advanced Pathophysiology

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Uploaded on
September 10, 2024
Number of pages
13
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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  • nr507 advanced pathophysiology final exam questio

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NR507- ADVANCED
PATHOPHYSIOLOGY FINAL EXAM
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
AcuteQrenalQfailureQ-QANSWERQReversible

DeterminingQprognosis-
QkidneysQrespondQtoQdiureticQwithQgoodQoutput;QthisQindicatesQthatQkidneysQareQfunctioningQwell




AcuteQPyelonephritisQ-
QANSWERQDiagnosingQbyQclinicalQsymptomsQaloneQcanQbeQdifficult;QcanQbeQsimilarQtoQcystitis




DiagnosisQestablishedQby:

-UrineQculture

-UrinalysisQ(WBCQcastsQindicatesQpyelonephritis,QbutQmayQnotQalwaysQbeQpresent)

-Signs/Symptoms

-ComplicatedQpyelonephritisQrequiresQbloodQculturesQandQurinaryQtractQimaging



RenalQCalculiQ(RenalQStones)Q-QANSWERQGoalsQofQTreatment:

ManageQacuteQpain

PromoteQpassageQofQstone

ReduceQsizeQofQstone

PreventQnewQstoneQformation



ChronicQRenalQFailureQ-
QANSWERQChronicQKidneyQDiseaseQ(CKD)QisQaQprogressiveQlossQofQrenalQfunctionQassociatedQwithQsystemic

QdiseaseQsuchQasQhypertension,QdiabetesQmellitusQ(mostQsignificantQriskQfactor),QsystemicQlupusQerythema

tosusQorQintrinsicQkidneyQdisease

CKDQstageQisQdeterminedQbyQestimatesQofQGFRQandQalbuminuria

, WhoQisQaQcandidateQforQdialysis?Q-QANSWERQEnd-
stageQrenalQdiseaseQ(ESRD)QisQtheQfinalQstageQofQCKDQwithQtheQnumberQoneQcauseQbeingQdiabetesQmellitu
sQcombinedQwithQhypertension.QAtQthisQpoint,QtheQpatientQisQcompletelyQdependentQonQdialysisQtoQsurviv
e.

CKDQisQclassifiedQintoQfiveQstagesQandQisQbasedQonQtheQpatient'sQGFRQratherQthanQsymptoms.



PatientsQwillQneedQdialysisQwhenQtheQfollowingQsymptomsQareQpresent:

--MetabolicQacidosis.

--Hyperkalemia:QHyperkalemiaQinQtheQpresenceQofQEKGQchangesQ(peakedQT-
waves)QisQanQindicationQforQdialysis.Q--HyperkalemiaQbyQitselfQisQnotQanQindicationQforQdialysis.

--
DrugQtoxicity:QDrugQtoxicityQdueQtoQtheQfollowingQdrugsQisQanQindicationQforQdialysisQandQincludeQsalicylat
es,QLithium,QIsopropanol,QMethanolQandQEthyleneQglycol).

--FluidQvolumeQoverloadQthatQisQnotQresponsiveQtoQdiuretics.

--UremicQsymptomsQdueQtoQnitrogenousQwastesQinQtheQbloodQstream.



StageQIQCKDQ-QANSWERQThereQisQkidneyQdamageQwithQnormalQorQelevatedQGFR

90-120



StageQIIQCKDQ-QANSWERQThereQisQkidneyQdamageQwithQmildQdecreaseQinQGFR

60-89



StageQIIIQCKDQ-QANSWERQThereQisQaQmoderateQdecreaseQinQGFR

30-59



StageQIVQCKDQ-QANSWERQThereQisQaQsevereQdecreaseQinQGFR

15-29



StageQVQCKDQ-QANSWERQKidneyQfailure-QEnd-stageQrenalQdisease

<15Q(dialysis)QOnceQStageQIVQisQreached,QprogressionQtoQStageQVQisQinevitableQasQwellQasQdialysisQorQkidne
yQtransplant
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