NUR 265 Exam 12026 Exam Questions
And Correct Answers Rated 100%,
Exams of Nursing
What is nephrotic syndrome? - CORRECT ANSWERS 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? - CORRECT ANSWERS -*Massive
proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what? - CORRECT ANSWERS
3.5g in 24 hours
What is nephrotic syndrome treated with? - CORRECT ANSWERS -immunosuppressant
agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
,Describe the "risk" stage for AKI - CORRECT ANSWERS creatinine x 1.5 of normal, and GFR
reduced by 25%
Describe the "injury" stage for AKI - CORRECT ANSWERS creatinine x2 & GFR reduced by
50%
Describe the "failure" stage for AKI - CORRECT ANSWERS creatinine x3 normal, & GFR
reduced by 75% (Cant fix)
Describe Prerenal AKI. Give examples. - CORRECT ANSWERS 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 examples. - CORRECT ANSWERS Tissue damage to the actual
kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. - CORRECT ANSWERS Obstruction that occurs after
the kidney.
, -Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure (MAP)? - CORRECT ANSWERS Systolic +
(Diastolic*2) /3
What is the MAP needed to perfuse the kidneys? - CORRECT ANSWERS 65 mmHg
What are examples of nephrotoxic drugs? - CORRECT ANSWERS -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be monitored? - CORRECT ANSWERS Watch
for dehydration and make sure output is greater than input
What are the dietary restrictions for an AKI patient? - CORRECT ANSWERS -Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)
What are the 2 most common causes of CKD? - CORRECT ANSWERS -HTN
-Uncontrolled diabetes
And Correct Answers Rated 100%,
Exams of Nursing
What is nephrotic syndrome? - CORRECT ANSWERS 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? - CORRECT ANSWERS -*Massive
proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what? - CORRECT ANSWERS
3.5g in 24 hours
What is nephrotic syndrome treated with? - CORRECT ANSWERS -immunosuppressant
agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
,Describe the "risk" stage for AKI - CORRECT ANSWERS creatinine x 1.5 of normal, and GFR
reduced by 25%
Describe the "injury" stage for AKI - CORRECT ANSWERS creatinine x2 & GFR reduced by
50%
Describe the "failure" stage for AKI - CORRECT ANSWERS creatinine x3 normal, & GFR
reduced by 75% (Cant fix)
Describe Prerenal AKI. Give examples. - CORRECT ANSWERS 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 examples. - CORRECT ANSWERS Tissue damage to the actual
kidneys.
-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis
Describe Postrenal AKI. Give examples. - CORRECT ANSWERS Obstruction that occurs after
the kidney.
, -Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones
How do you determine the mean arterial pressure (MAP)? - CORRECT ANSWERS Systolic +
(Diastolic*2) /3
What is the MAP needed to perfuse the kidneys? - CORRECT ANSWERS 65 mmHg
What are examples of nephrotoxic drugs? - CORRECT ANSWERS -NSAIDS
-Metformin
-Diuretics
-Antibiotics (especially -mycin)
-Contrast dye
During the diuretic phase of AKI, what needs to be monitored? - CORRECT ANSWERS Watch
for dehydration and make sure output is greater than input
What are the dietary restrictions for an AKI patient? - CORRECT ANSWERS -Low protein
-Low sodium
-Fluid restriction: 1000-1500mL day (for anything except perfusion problem)
What are the 2 most common causes of CKD? - CORRECT ANSWERS -HTN
-Uncontrolled diabetes
