Galen Advanced Medsurg Nur265 |||\\\ |||\\\ |||\\\ |||\\\
EXAM 1 with correct answers |||\\\ |||\\\ |||\\\ |||\\\
AKI S/S - correct answer✔✔oliguria;decreased urine output; azotomia;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below 65
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AKI in xray dx - correct answer✔✔infiltration (fluid in lungs)
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AKI ABG results may read - correct answer✔✔respiratory alkalosis (spao2 below 88%)
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example of pre renal AKI - correct answer✔✔dehydration, blood loss, decreased cardiac
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output, heart failure; infection; NG suction, sepsis, V/D
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Example of intra renal AKI - correct answer✔✔myoglobinuria,BPH, tubular necrosis,
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nephrotoxocity; acute polynephtiits, contrast |||\\\ |||\\\ |||\\\
Example of post renal AKI - correct answer✔✔bladder neck obstruction, bladder cancer;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
calculi; tumor |||\\\
Duiretic phase (3rd phase) of AKI - correct answer✔✔Nurse should give 3L-6L per day; place
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Foley |||\\\
Asses I and O (output=1000-2000mL/day)
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replace fluids and monitor electrolyes |||\\\ |||\\\ |||\\\ |||\\\
dialysis may be required |||\\\ |||\\\ |||\\\
, Best Lab indicator of Kindey function (AKI and CKD) - correct answer✔✔creatine (Normal 0.6-
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1.2)
AKI increased 1-2 every 24-48hrs
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Normal urine output per hour - correct answer✔✔30 mL/hr |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
normal potassium levels - correct answer✔✔3.5-5.0 mEq/L |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Normal Sodium levels - correct answer✔✔135-145 mEq/L |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Diet for AKI patients - correct answer✔✔mod protein
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
high carb |||\\\
Complication of AKI - correct answer✔✔Preicarditis |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Nephrotoxic agents include - correct answer✔✔contrast |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
mycin antibitics (peak and trough) |||\\\ |||\\\ |||\\\ |||\\\
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon) |||\\\ |||\\\ |||\\\ |||\\\
Diet : AKI patient w/ dialysis - correct answer✔✔protein 40 g/day
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diet:AKI patient without dialysis - correct answer✔✔protein 1-1.5g/kg
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Na 60-90 mEq/kg
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K restriction 60-70 mEq/kg
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EXAM 1 with correct answers |||\\\ |||\\\ |||\\\ |||\\\
AKI S/S - correct answer✔✔oliguria;decreased urine output; azotomia;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below 65
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
AKI in xray dx - correct answer✔✔infiltration (fluid in lungs)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
AKI ABG results may read - correct answer✔✔respiratory alkalosis (spao2 below 88%)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
example of pre renal AKI - correct answer✔✔dehydration, blood loss, decreased cardiac
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
output, heart failure; infection; NG suction, sepsis, V/D
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Example of intra renal AKI - correct answer✔✔myoglobinuria,BPH, tubular necrosis,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
nephrotoxocity; acute polynephtiits, contrast |||\\\ |||\\\ |||\\\
Example of post renal AKI - correct answer✔✔bladder neck obstruction, bladder cancer;
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
calculi; tumor |||\\\
Duiretic phase (3rd phase) of AKI - correct answer✔✔Nurse should give 3L-6L per day; place
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Foley |||\\\
Asses I and O (output=1000-2000mL/day)
|||\\\ |||\\\ |||\\\ |||\\\
replace fluids and monitor electrolyes |||\\\ |||\\\ |||\\\ |||\\\
dialysis may be required |||\\\ |||\\\ |||\\\
, Best Lab indicator of Kindey function (AKI and CKD) - correct answer✔✔creatine (Normal 0.6-
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
1.2)
AKI increased 1-2 every 24-48hrs
|||\\\ |||\\\ |||\\\ |||\\\
Normal urine output per hour - correct answer✔✔30 mL/hr |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
normal potassium levels - correct answer✔✔3.5-5.0 mEq/L |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Normal Sodium levels - correct answer✔✔135-145 mEq/L |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Diet for AKI patients - correct answer✔✔mod protein
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
high carb |||\\\
Complication of AKI - correct answer✔✔Preicarditis |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Nephrotoxic agents include - correct answer✔✔contrast |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
mycin antibitics (peak and trough) |||\\\ |||\\\ |||\\\ |||\\\
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon) |||\\\ |||\\\ |||\\\ |||\\\
Diet : AKI patient w/ dialysis - correct answer✔✔protein 40 g/day
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
diet:AKI patient without dialysis - correct answer✔✔protein 1-1.5g/kg
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
Na 60-90 mEq/kg
|||\\\ |||\\\
K restriction 60-70 mEq/kg
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