NURS 642 Exam 3 questions with answers

NURS 642 Exam 3 questions with answers
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Symptoms of Interstitial Nephritis - CORRECT ANSWERS ✔✔Fever, Rash,
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WBC casts|\




AKI Workup - CORRECT ANSWERS ✔✔Urinalysis
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Urine Microscopy Urine Protein
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CMP

Renal US |\




AKI Managment - CORRECT ANSWERS ✔✔Daily Weights
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Strict I&O
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Volume Status |\




Electrolyte monitoring|\




Medication adjustment |\




Avoidance of nephrotoxic agents
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Low-Potassium Diet |\




Meds to avoid for AKI - CORRECT ANSWERS ✔✔NSAIDs
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Diuretics

ACE-I

ARBS

,AKI Diagnosis - CORRECT ANSWERS ✔✔Rapid rise in increase serum
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creatinine



Inability to maintain acid-base balance
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Inability to maintain fluid balance
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Inability to maintain electrolyte imbalance
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Inability to excrete nitrogenous waste
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AKI S&S - CORRECT ANSWERS ✔✔Nausea, Vomiting
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Malaise

Hypertension

Pericardial Friction Rub |\ |\




Pericardial Effusion |\




Cardiac Tamponade
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Arrhythmias

,Abdominal Pain/Ileus |\




Bleeding d/t platelet dysfunction
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Encephalopathy, altered sensorium, asterixis, seizure |\ |\ |\ |\




oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)
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Prerenal AKI DDx - CORRECT ANSWERS ✔✔Dehydration
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Hemmorhage

Heart Failure
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Renal Artery Stenosis
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NSAIDs, ACEIs, ARBs
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Postrenal AKI DDx - CORRECT ANSWERS ✔✔Obstruction (BPH, Bladder
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Tumor)



Intrinsic Renal Disease DDx - CORRECT ANSWERS ✔✔ATN: NSAIDS,
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Antibiotics, Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis ,
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hyperuricemia, cyclosporine |\




Acute Glomerulonephritis: Immune complex, SLE, Endocarditis, AntiGBM,
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Good pasture syndrome
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, AKI Lab Findings - CORRECT ANSWERS ✔✔Elevated Serum BUN/CREAT
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Hyperkalemia



Hyperphosphatemia



hypocalcemia



increased anion gap |\ |\




acidosis



FENa: <1% prerenal, >1% ATN
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BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis
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<20:1 ATN, AIN
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AKI Imaging - CORRECT ANSWERS ✔✔Renal US: obst, anatominc
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abnormalities



check renal size and echo texture
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