NUR 240 Exam 3 questions with answers
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What is a prerenal AKI? - CORRECT ANSWERS ✔✔Caused
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by decreased renal blood flow or obstruction of the renal
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artery
Who is at risk for prerenal AKI? - CORRECT ANSWERS
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✔✔Renal vascular obstruction, shock, decreased CO
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causing decreased renal perfusion, sepsis, hypovolemia,
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peripheral vascular resistance, use of aspirin ibuprofen or
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NSAIDs, liver failure |\ |\
What is postrenal AKI? - CORRECT ANSWERS ✔✔Due to
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obstruction of urinary outflow |\ |\ |\
Who is at risk for postrenal AKI? - CORRECT ANSWERS
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✔✔Stone, tumor, bladder atony, prostate hyperplasia,
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urethral structure, spinal cord disease or injury
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What is intrinsic AKI? - CORRECT ANSWERS ✔✔Due to
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disturbances within the glomerulus or renal tubes |\ |\ |\ |\ |\ |\
Who is at risk for intrinsic AKI? - CORRECT ANSWERS
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✔✔Physical injury (trauma), hypoxic injury (renal artery or
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, vein stenosis or thrombosis), chemical injury (acute
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nephrotoxins; antibiotics, contrast dye, heavy metals, |\ |\ |\ |\ |\ |\
blood transfusion reaction, alcohol, cocaine), immunologic
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injury (infection, vasculitis, acute glomerulonephritis)
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What is the oliguric phase of AKI and what would you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
expect the urine output to be? - CORRECT ANSWERS
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✔✔Begins with the kidney insult; urine output is 100-400
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mL/24hr with or without diuretics; lasts for 1-3 weeks.
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What meds would you use cautiously in the patient with
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AKI? - CORRECT ANSWERS ✔✔Any nephrotoxic drugs such
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as aminoglycosides, acyclovir, cyclosporine, antibiotics,
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contrast dye, heavy metals, blood transfusion reaction,
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alcohol, cocaine |\
What can hemodialysis remove from the body? -
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CORRECT ANSWERS ✔✔Labs: BUN, blood creatinine, |\ |\ |\ |\ |\ |\
electrolytes, Hct |\
Meds: blood pressure lowering meds and any other
|\ |\ |\ |\ |\ |\ |\ |\
dialyzable med |\
Advantages/Disadvantages of HD vs PD - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Hemodialysis has a greater chance of |\ |\ |\ |\ |\ |\ |\
procedural complications, requires vascular access which |\ |\ |\ |\ |\ |\
is an opportunity for infection. Peritoneal dialysis uses the
|\ |\ |\ |\ |\ |\ |\ |\
|\ |\ |\ |\ |\ |\
What is a prerenal AKI? - CORRECT ANSWERS ✔✔Caused
|\ |\ |\ |\ |\ |\ |\ |\ |\
by decreased renal blood flow or obstruction of the renal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
artery
Who is at risk for prerenal AKI? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Renal vascular obstruction, shock, decreased CO
|\ |\ |\ |\ |\ |\
causing decreased renal perfusion, sepsis, hypovolemia,
|\ |\ |\ |\ |\ |\
peripheral vascular resistance, use of aspirin ibuprofen or
|\ |\ |\ |\ |\ |\ |\ |\
NSAIDs, liver failure |\ |\
What is postrenal AKI? - CORRECT ANSWERS ✔✔Due to
|\ |\ |\ |\ |\ |\ |\ |\ |\
obstruction of urinary outflow |\ |\ |\
Who is at risk for postrenal AKI? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Stone, tumor, bladder atony, prostate hyperplasia,
|\ |\ |\ |\ |\ |\
urethral structure, spinal cord disease or injury
|\ |\ |\ |\ |\ |\
What is intrinsic AKI? - CORRECT ANSWERS ✔✔Due to
|\ |\ |\ |\ |\ |\ |\ |\ |\
disturbances within the glomerulus or renal tubes |\ |\ |\ |\ |\ |\
Who is at risk for intrinsic AKI? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Physical injury (trauma), hypoxic injury (renal artery or
|\ |\ |\ |\ |\ |\ |\
, vein stenosis or thrombosis), chemical injury (acute
|\ |\ |\ |\ |\ |\ |\ |\
nephrotoxins; antibiotics, contrast dye, heavy metals, |\ |\ |\ |\ |\ |\
blood transfusion reaction, alcohol, cocaine), immunologic
|\ |\ |\ |\ |\
injury (infection, vasculitis, acute glomerulonephritis)
|\ |\ |\ |\ |\
What is the oliguric phase of AKI and what would you
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
expect the urine output to be? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Begins with the kidney insult; urine output is 100-400
|\ |\ |\ |\ |\ |\ |\ |\ |\
mL/24hr with or without diuretics; lasts for 1-3 weeks.
|\ |\ |\ |\ |\ |\ |\ |\
What meds would you use cautiously in the patient with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
AKI? - CORRECT ANSWERS ✔✔Any nephrotoxic drugs such
|\ |\ |\ |\ |\ |\ |\
as aminoglycosides, acyclovir, cyclosporine, antibiotics,
|\ |\ |\ |\ |\ |\
contrast dye, heavy metals, blood transfusion reaction,
|\ |\ |\ |\ |\ |\ |\
alcohol, cocaine |\
What can hemodialysis remove from the body? -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Labs: BUN, blood creatinine, |\ |\ |\ |\ |\ |\
electrolytes, Hct |\
Meds: blood pressure lowering meds and any other
|\ |\ |\ |\ |\ |\ |\ |\
dialyzable med |\
Advantages/Disadvantages of HD vs PD - CORRECT |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Hemodialysis has a greater chance of |\ |\ |\ |\ |\ |\ |\
procedural complications, requires vascular access which |\ |\ |\ |\ |\ |\
is an opportunity for infection. Peritoneal dialysis uses the
|\ |\ |\ |\ |\ |\ |\ |\
