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Maria Leik Flashcard (AGNP) Exam Questions With Correct Answers

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Maria Leik Flashcard (AGNP) Exam Questions With Correct Answers

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Maria Leik Flashcard (AGNP) Exam
Questions With Correct Answers

Acute Renal Failure Symptoms
| | |




Oliguria, edema, weight gain, lethargy, nausea, loss of appetite
| | | | | | | |




Are serum creatinine and eGFR accurate in acute renal failure?
| | | | | | | | |




Not necessarily
|




Which hormones are secreted by the kidneys and what are their
| | | | | | | | | | |



functions ? |




Erythropoeitin (RBC production), renin & bradykinin (b/p),
| | | | | | |



prostaglandins (renal perfusion), calcitriol/vitamin D3 (bones)
| | | | |

,Which hormones reabsorb water back into body?
| | | | | |




ADH and aldosterone
| |




What are some waste products of the kidneys?
| | | | | | |




Water-soluble products (creatinine, urea, uric acid)
| | | | |




What is the average daily urine output?
| | | | | |




1500mL




What is oliguria?
| |




<400mL daily |




Serum creatinine definition & levels
| | | |

,Male 0.7-1.3mg/dL, Female 0.6-1.1mg/dL
| | |




Product of creatine metabolism, primarily from muscle so falsely
| | | | | | | | |



decreased in people with low muscle volume (elderly)
| | | | | | |




What raises serum creatinine?
| | |




-A decrease in renal function such as renal failure or damage,
| | | | | | | | | | |



nephrotoxic drugs |




Which individuals may have higher serum creatinine levels without
| | | | | | | | |



renal disease?
|




Individuals males and individuals with more muscle mass such as
| | | | | | | | | |



African Americans |




What is creatinine clearance (24-hr urine) used for?
| | | | | | |




Detect proteinuria, albuminuria and microalbuminuria
| | | |

, What is the relative relationship of creatinine clearance (24 hr urine) to
| | | | | | | | | | | |



GFR?
Creatinine clearance is doubled for every 50% reduction in GFR
| | | | | | | | |




Is 24 hour urine (creatinine clearance) better than serum creatinine?
| | | | | | | | |




Yes, more sensitive because reflects 24hr period so relatively constant
| | | | | | | | | |



and not affected by fluid status, diet or exercise
| | | | | | | |




eGFR definition
|




Amount of fluid filtered by glomerulus within a certain unit of time,
| | | | | | | | | | | |



used to evaluate renal function
| | | |




Which test is used to stage chronic kidney disease?
| | | | | | | |




eGFR, normal >90mL/min, stage 5 (renal failure <15mL/min)
| | | | | | |

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