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NUR 265 Exam 1 – Questions With Detailed Solutions

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NUR 265 Exam 1 – Questions With Detailed
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What are the 2 most common causes
1 What is nephrotic syndrome? 2
of CKD?



What is valvular heart disease
3 How is AAA dx'ed? 4
teaching?



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Terms in this set (198)



What is nephrotic syndrome? 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? Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function


In nephrotic syndrome, severe protein 3.5g in 24 hours
loss in the urine is greater than what?


What is nephrotic syndrome treated -immunosuppressant agents (if immunity based).
with? -ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve
kidney function)


Describe Prerenal AKI. Give examples. 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 Tissue damage to the actual kidneys.
examples.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis


Describe Postrenal AKI. Give Obstruction that occurs after the kidney.
examples.
-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones

, How do you determine the mean Systolic + (Diastolic*2) /3
arterial pressure (MAP)?


What is the MAP needed to perfuse 65 mmHg
the kidneys?


What are examples of nephrotoxic -NSAIDS
drugs? -Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye


During the diuretic phase of AKI, what Watch for dehydration and make sure output is
needs to be monitored? greater than input


What are the dietary restrictions for an -Low protein
AKI patient? -Low sodium
-Fluid restriction: 1000-1500mL day (for anything
except perfusion problem)


What are the 2 most common causes -HTN
of CKD? -Uncontrolled diabetes


What is azotemia? Nitrogenous waste build up


What are manifestations of uremia? •Metallic taste in mouth
•Anorexia
•Nausea/vomiting
•Muscle cramps
•Uremic frost on skin
•Itching
•Fatigue and lethargy
•Hiccups
•Edema
•Dyspnea
•Paresthesia's

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