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NUR 265 Exam 1 exam with correct answers

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NUR 265 Exam 1 exam with correct answers

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NUR 265 Exam 1 exam with correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answers


What is nephrotic syndrome? - correct answer✔✔A condition
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




of increased glomerular permeability that allows larger
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




molecules to pass through the membrane into the urine and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




then be excreted.
||\\||\\ ||\\||\\




What are key features of nephrotic syndrome? - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔-*Massive proteinuria* ||\\||\\




-*Hypoalbuminemia*
-*Edema (facial and periorbital)* ||\\||\\ ||\\||\\ ||\\||\\




-Lipiduria
-Hyperlipidemia
-Increased coagulation ||\\||\\




-Reduced kidney function ||\\||\\ ||\\||\\




In nephrotic syndrome, severe protein loss in the urine is
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




greater than what? - correct answer✔✔3.5g in 24 hours
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

,What is nephrotic syndrome treated with? - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔-immunosuppressant agents (if immunity based). ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-ACE inhibitors (decreased protein loss in urine)
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-statins (improve blood lipid levels).
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-Heparin (used to treat vascular effects and improve kidney
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




function)


Describe the "risk" stage for AKI - correct answer✔✔creatinine
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




x 1.5 of normal, and GFR reduced by 25%
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Describe the "injury" stage for AKI - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔creatinine x2 & GFR reduced by 50% ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




Describe the "failure" stage for AKI - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔creatinine x3 normal, & GFR reduced by 75% (Cant ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




fix)


Describe Prerenal AKI. Give examples. - correct ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔Decreased perfusion to kidneys. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\

, -NSAIDs
-Severe dehydration ||\\||\\




-Renal artery stenosis
||\\||\\ ||\\||\\




-MI or HF resulting in low ejection fraction and low cardiac
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




output
-Blood/ fluid loss ||\\||\\ ||\\||\\




Describe Intrarenal AKI. Give examples. - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔Tissue damage to the actual kidneys. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-Glomerulonephritis or inflammation of the glomeruli ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-Sepsis
-Intrarenal bleeding ||\\||\\




-Pyelonephritis


Describe Postrenal AKI. Give examples. - correct
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




answer✔✔Obstruction that occurs after the kidney. ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\




-Enlarged prostate (BPH) ||\\||\\ ||\\||\\




-Bladder Cancer ||\\||\\

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