NUR 257 FINAL EXAM QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTIONS ||LATEST UPDATED
Question: What would be around the right kidney? (anatomy)
Answer: ✔✔ Liver, gallbladder, ascending colon, duodenum, and adrenal
gland.
Question: What would be around the left kidney? (anatomy)
Answer: ✔✔ Pancreas, spleen, stomach, and adrenal gland.
Question: Kidneys produce the hormone erythropoietin; in kidney disease, the lack
of this hormone reduces RBC production. In evaluating oxygen transport, what lab
value would you look at?
Answer: ✔✔ Hematocrit and hemoglobin.
Question: The body can function on as little as 20% of the nephrons. If the
percentage drops below 20%...
Answer: ✔✔ Dialysis is in the near future.
Question: Angiotensinogen
Answer: ✔✔ A hormone released from the liver that helps regulate blood
pressure. It constricts blood vessels and triggers sodium and water retention
(retaining more volume to maintain perfusion).
Question: Diagnostic studies for kidney and urinary function
Answer: ✔✔ Urinalysis and urine culture, CT scan, MRI, and cystoscopy
(using a camera to visualize the inside of the bladder).
Post cystoscopy pain
may be alleviated with a heat pack over the lower abdomen.
,Some people don't do well in tight spaces like MRI or CT
relaxation techniques can help (remember least invasive to invasive)
Abnormal in the urine
Glucose, protein, WBCs and Ketones should not be present in urine
Assessment of pt undergoing testing of the renal/urologic system
Urologic function, include voiding habits/pattern. Urinary patterns can be different
following prolonged catheterization and typically normalizes with time.
Normal adult bladder capacity?
400-500 mL
Nursing interventions for the pt undergoing testing of the renal urologic system.
Assess voiding and provide instructions related to voiding practices and hygiene.
Provide privacy and respect.
(T/F) Fluid volume excess occurs with an acute weight gain greater than 10%.
False. Fluid volume excess is acute weight gain greater than 5% with edema,
crackles, SOB, decreased BUN, decreased hematocrit, and distended neck veins.
, Acute kidney injury labs
BUN and Creatine levels increase with AKI while GFR decreases. Balancing I/Os
can reduce the chance of pulmonary edema
Creatinine normal range
0.7-1.3 mg/dL
BUN normal range
7-20 mg/dL
GFR normal range
90 or higher
streptococcal infection is typically cause for this
Glomerular diseases
CT scans with contrast on kidney patients need dialysis within 24hrs
ANSWERS WITH COMPLETE
SOLUTIONS ||LATEST UPDATED
Question: What would be around the right kidney? (anatomy)
Answer: ✔✔ Liver, gallbladder, ascending colon, duodenum, and adrenal
gland.
Question: What would be around the left kidney? (anatomy)
Answer: ✔✔ Pancreas, spleen, stomach, and adrenal gland.
Question: Kidneys produce the hormone erythropoietin; in kidney disease, the lack
of this hormone reduces RBC production. In evaluating oxygen transport, what lab
value would you look at?
Answer: ✔✔ Hematocrit and hemoglobin.
Question: The body can function on as little as 20% of the nephrons. If the
percentage drops below 20%...
Answer: ✔✔ Dialysis is in the near future.
Question: Angiotensinogen
Answer: ✔✔ A hormone released from the liver that helps regulate blood
pressure. It constricts blood vessels and triggers sodium and water retention
(retaining more volume to maintain perfusion).
Question: Diagnostic studies for kidney and urinary function
Answer: ✔✔ Urinalysis and urine culture, CT scan, MRI, and cystoscopy
(using a camera to visualize the inside of the bladder).
Post cystoscopy pain
may be alleviated with a heat pack over the lower abdomen.
,Some people don't do well in tight spaces like MRI or CT
relaxation techniques can help (remember least invasive to invasive)
Abnormal in the urine
Glucose, protein, WBCs and Ketones should not be present in urine
Assessment of pt undergoing testing of the renal/urologic system
Urologic function, include voiding habits/pattern. Urinary patterns can be different
following prolonged catheterization and typically normalizes with time.
Normal adult bladder capacity?
400-500 mL
Nursing interventions for the pt undergoing testing of the renal urologic system.
Assess voiding and provide instructions related to voiding practices and hygiene.
Provide privacy and respect.
(T/F) Fluid volume excess occurs with an acute weight gain greater than 10%.
False. Fluid volume excess is acute weight gain greater than 5% with edema,
crackles, SOB, decreased BUN, decreased hematocrit, and distended neck veins.
, Acute kidney injury labs
BUN and Creatine levels increase with AKI while GFR decreases. Balancing I/Os
can reduce the chance of pulmonary edema
Creatinine normal range
0.7-1.3 mg/dL
BUN normal range
7-20 mg/dL
GFR normal range
90 or higher
streptococcal infection is typically cause for this
Glomerular diseases
CT scans with contrast on kidney patients need dialysis within 24hrs
