Galen NUR 155 Exam 1 Questions with 100% Correct Answers

Galen Advanced Medsurg Nur265 EXAM 1
Questions with 100% 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


Define oliguria Correct Answer: decreased urine
production


400mL/day or less


How many stages of Kidney failure are there? Correct
Answer: 5 stages ( defined by GFR)


stage 1 (GFR 90 and up)


Stage 5 (GFR 15 or less)