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Exam (elaborations)

Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

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Sherpath Questions with CORRECT Answers (Verified Update)

Q1: Which assessment finding would indicate that a critically ill patient has adequate fluid
volume? Select all that apply. One, some, or all responses may be correct.
A. Urine output of 45 mL/h
B. Oxygen saturation of 98%
C. Hypotension
D. Alert and oriented mental status
E. Hemoglobin within normal range
Answer: B. Oxygen saturation of 98%
D. Alert and oriented mental status
E. Hemoglobin within normal range


Q2: Which assessment finding would indicate that a critically ill patient has adequate fluid
volume? Select all that apply. One, some, or all responses maybe correct.
A. Urine output of 45 mL/h
B. Oxygen saturation of 98%
C. Hypotension
D. Alert and oriented mental status
E. Hemoglobin within normal range
Answer: B. Oxygen saturation of 98%
D. Alert and oriented mental status


Q3: In which way does respiratory failure lead to the development of acute kidney injury? Select
all that apply. One, some, or all responses may be correct.
A. Positive-pressure ventilation reduces blood flow to the kidney.
B. Pulmonary infections decrease the risk of acute kidney injury.
C. Carbon dioxide retention increases the risk of acute kidney injury-related death.
D. Positive end-expiratory pressure decreases urinary output.
E. Mechanical ventilation increases glomerular filtration rate.
Answer: A. Positive-pressure ventilation reduces blood flow to the kidney.
C. Carbon dioxide retention increases the risk of acute kidney injury-related death.
D. Positive end-expiratory pressure decreases urinary output.

, Q4: In which way does respiratory failure lead to the development of acutekidney injury? Select
all that apply. One, some, or all responses may be correct.
A. Positive-pressure ventilation reduces blood flow to the kidney.
B. Pulmonary infections decrease the risk of acute kidney injury.
C. Carbon dioxide retention increases the risk of acute kidney injury-relateddeath.
D. Positive end-expiratory pressure decreases urinary output.
E. Mechanical ventilation increases glomerular filtration rate.
Answer: A. Positive-pressure ventilation reduces blood flow to the kidney.
C. Carbon dioxide retention increases the risk of acute kidney injury-relateddeath.


Q5: Which statement accurately describes the demographics of trauma pa- tients?
A. Higher rate of coexisting illnesses
B. Older age
C. Male sex
D. Higher rate of planned admission
Answer: C. Male sex


Q6: In which order does rhabdomyolysis cause acute kidney injury? Major crush injury occurs and
damages muscles. Cell lysis releases intracellular potassium and hyperkalemia occurs.
Myoglobin is toxic to the kidneys and damages the nephrons. Creatine and myoglobin are
released from damaged muscle cells.: 1, 4, 3, 2Rhabdomyolysis occurs after a crush injury
due to muscular cell damage. The damaged cells release creatine and myoglobin, which are
toxic to the kidneys. Celllysis permits intracellular potassium to be released into the
bloodstream, which cancause life-threatening hyperkalemia. Which laboratory value would
the nurse monitor in a patient with rhabdomy-olysis? Select all that apply. One, some, or all
responses may be correct.
A. Creatine kinase
B. Serum creatinine
C. Serum potassium
D. Hemoglobin
E. White blood cell count
Answer: A. Creatine kinase
B. Serum creatinine


Q7: Creatine and myoglobin are released from damaged muscle cells.
Answer: 1, 4, 3, 2 Rhabdomyolysis occurs after a crush injury due to muscular cell damage. The
damaged cells release creatine and myoglobin, which are toxic to the kidneys. Cell lysis
permits intracellular potassium to be released into the bloodstream, which can cause
life-threatening hyperkalemia.

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