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NR341 COMPLEX ADULT HEALTH EXAM 3 | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+

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NR341 COMPLEX ADULT HEALTH EXAM 3 | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+

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NR341 COMPLEX ADULT HEALTH EXAM 3 | COMPLETE QUESTIONS

WITH EXPERT SOLUTIONS | 2026 LATEST UPDATED | GET A+

Renal Failure - (answer)Occurs when kidneys cannot remove the body's metabolic wastes or

perform regulatory functions.




Acute Kidney Injury - (answer)rapid loss of renal function due to damage to the kidneys




Causes of AKI - (answer)Hypovolemia

Hypotension

Infections

decreased cardiac output and heart failure

Obstruction of the kidney or lower urinary tract

Blood clot or renal stones (rare)

Obstruction of renal arteries or veins

Nephrotoxic agents




Types of AKI - (answer)Prerenal - hypoperfusion of kidney, not enough blood to kidney

Intrarenal - actual damage to glomeruli or kidney tubules

Postrenal - urinary obstruction that impedes forward flow (tumor, stone)

,Pt has increased creatinine level and increased BUN, what is the issue? - (answer)Problem with

kidney perfusion




Pt has increased creatinine and increased BUN, what are the nursing priorities? - (answer)Check

urine output

Check specific gravity - filtration/how concentrated




Fixed specific gravity - (answer)Kidney damage - can't dilute urine/accommodate




Specific gravity lab value - (answer)1.005-1.030




Lab values to monitor for kidney function - (answer)BUN, creatinine, creatinine clearance, GFR,

specific gravity, UA




Adult urine output - (answer)30 mL/hr




What lab increases during dehydration? - (answer)BUN

, Normal Na levels - (answer)135-145 mEq/L




signs of hyponatremia - (answer)Anorexia, nausea, cramps, fatigue, lethargy, muscle weakness,

headache, confusion, seizures, decreased blood pressure




AKI prerenal causes - (answer)Volume depletion

Decreased cardiac output

Vasodilation




AKI intrarenal causes - (answer)Acute tubular necrosis (ATN)

Prolonged renal ischemia

Nephrotoxic agents

Infectious process




AKI postrenal causes - (answer)Urinary tract obstruction

Tumors, calculus (stones)




AKI phases - (answer)Onset - initial problem

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