NUR 212 COMPREHENSIVE TEST BANK
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Normal GFR? Answer: 90-120ml/min
◉ At which GFR level does dialysis begin? Answer: 15
◉ S/S of acute glomerulonephritis? Answer: Headache, increased BP,
facial edema, malaise, low grade fever, weight fain, proteinuria,
hematuria, and oliguria
◉ S/S of chronic glomerulonephritis? Answer: Proteinuria and
hematuria
◉ Lab findings for glomerulonephritis? Answer: Increased BUN, CR
Decreased albuminin
◉ Common s\e of hemodialysis? Answer: Hypotension due to all of
the blood and fluids leaving the body
◉ Nephrotic syndrome s\s Answer: SEVERE proteinuria
MASSIVE edema
,Hypertension, foamy urine, anasarca, ascites
◉ Why might medication doses be decreased for a patient with
kidney issues? Answer: Due to medications not being excreted
through kidneys
◉ Prerenal causes Answer: Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal
vascular obstructions, severe vasoconstriction
◉ Intrarenal causes Answer: Due to damage to the gumeruli,
interstitial tissue or tubules (parynchymal damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE,
obstetric complications, and malignant hypertension
◉ Post renal causes Answer: Obstruction to the urine collecting
system
BPH
◉ Phases of AKI Answer: Oliguric
Diuretic
Recovery (if not then CKD may develop)
◉ Oliguric Phase Answer: Urinary changes (output less than
400ml/day)
Lasts 10-14 days
, Neck veins distended, bounding pulse, edema, hypertension
Increased potassium (causing heart issues!)
◉ Diuretic Phase Answer: Daily urine output 1-3 liters may reach 5L
or more
Monitor for hyponatremia, hypokalemia, and dehydration as well as
hypotension
This phase may last 1-3 weeks
◉ Why would calcium gluconate be given to a patient with AKI?
Answer: Due to hyperkalemia, calcium gluconate raises the threshold
at which dysrhythmias occur therefor protecting the heart
◉ Nursing interventions for almost all kidney patients Answer: Fluid
restriction
Daily weights
◉ If there is abdominal pain during hemodialysis what should the
nurse do? Answer: Decrease the flow rate
◉ What is given to excrete potassium? Answer: Kayexelate
◉ What is an important thing to remember for the process of
peritoneal dialysis? Answer: It must be completely STERILE
COMPLETE QUESTIONS AND ANSWERS
PRACTICE SOLUTION VERIFIED
◉ Normal GFR? Answer: 90-120ml/min
◉ At which GFR level does dialysis begin? Answer: 15
◉ S/S of acute glomerulonephritis? Answer: Headache, increased BP,
facial edema, malaise, low grade fever, weight fain, proteinuria,
hematuria, and oliguria
◉ S/S of chronic glomerulonephritis? Answer: Proteinuria and
hematuria
◉ Lab findings for glomerulonephritis? Answer: Increased BUN, CR
Decreased albuminin
◉ Common s\e of hemodialysis? Answer: Hypotension due to all of
the blood and fluids leaving the body
◉ Nephrotic syndrome s\s Answer: SEVERE proteinuria
MASSIVE edema
,Hypertension, foamy urine, anasarca, ascites
◉ Why might medication doses be decreased for a patient with
kidney issues? Answer: Due to medications not being excreted
through kidneys
◉ Prerenal causes Answer: Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal
vascular obstructions, severe vasoconstriction
◉ Intrarenal causes Answer: Due to damage to the gumeruli,
interstitial tissue or tubules (parynchymal damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE,
obstetric complications, and malignant hypertension
◉ Post renal causes Answer: Obstruction to the urine collecting
system
BPH
◉ Phases of AKI Answer: Oliguric
Diuretic
Recovery (if not then CKD may develop)
◉ Oliguric Phase Answer: Urinary changes (output less than
400ml/day)
Lasts 10-14 days
, Neck veins distended, bounding pulse, edema, hypertension
Increased potassium (causing heart issues!)
◉ Diuretic Phase Answer: Daily urine output 1-3 liters may reach 5L
or more
Monitor for hyponatremia, hypokalemia, and dehydration as well as
hypotension
This phase may last 1-3 weeks
◉ Why would calcium gluconate be given to a patient with AKI?
Answer: Due to hyperkalemia, calcium gluconate raises the threshold
at which dysrhythmias occur therefor protecting the heart
◉ Nursing interventions for almost all kidney patients Answer: Fluid
restriction
Daily weights
◉ If there is abdominal pain during hemodialysis what should the
nurse do? Answer: Decrease the flow rate
◉ What is given to excrete potassium? Answer: Kayexelate
◉ What is an important thing to remember for the process of
peritoneal dialysis? Answer: It must be completely STERILE
