NURS 642 Exam 3 questions with correct answer1

NURS 642 Exam 3 questions with correct answers
Symptoms of Interstitial Nephritis Correct Answer-Fever, Rash, WBC
casts


AKI Workup Correct Answer-Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US


AKI Managment Correct Answer-Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet


Meds to avoid for AKI Correct Answer-NSAIDs
Diuretics
ACE-I
ARBS


AKI Diagnosis Correct Answer-Rapid rise in increase serum creatinine

,Inability to maintain acid-base balance


Inability to maintain fluid balance


Inability to maintain electrolyte imbalance


Inability to excrete nitrogenous waste


AKI S&S Correct Answer-Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub


Pericardial Effusion


Cardiac Tamponade


Arrhythmias


Abdominal Pain/Ileus


Bleeding d/t platelet dysfunction

,Encephalopathy, altered sensorium, asterixis, seizure


oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)


Prerenal AKI DDx Correct Answer-Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
NSAIDs, ACEIs, ARBs


Postrenal AKI DDx Correct Answer-Obstruction (BPH, Bladder Tumor)


Intrinsic Renal Disease DDx Correct Answer-ATN: NSAIDS,
Antibiotics, Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis ,
hyperuricemia, cyclosporine


Acute Glomerulonephritis: Immune complex, SLE, Endocarditis,
AntiGBM, Good pasture syndrome


AKI Lab Findings Correct Answer-Elevated Serum BUN/CREAT


Hyperkalemia

, Hyperphosphatemia


hypocalcemia


increased anion gap


acidosis


FENa: <1% prerenal, >1% ATN


BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis


<20:1 ATN, AIN


AKI Imaging Correct Answer-Renal US: obst, anatominc abnormalities


check renal size and echo texture


AKI diagnostics Correct Answer-EKG: peaked Twaves, PR
prolongation, QRS widening in hyperkalemia, long QT eiht
hypocalcemia


AKI Treatment Correct Answer-Maintain euvolemia