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NUR 265 Exam 1 — Questions and Answers

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This document contains questions and answers for NUR 265 Exam 1. It provides exam-focused study material covering key nursing concepts and topics to support preparation and review for the first course examination.

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NUR 265




NUR 265 EXAM 1 QUESTIONS AND ANSWERS



What is nephrotic syndrome? - correct answer 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 answer -
*Massive proteinuria*
-*Hypoalbuminemia*
-*Edema (facial and periorbital)*
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function

,NUR 265


In nephrotic syndrome, severe protein loss in the urine is greater than
what? - correct answer 3.5g in 24 hours


What is nephrotic syndrome treated with? - correct answer -
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 answer creatinine x 1.5 of
normal, and GFR reduced by 25%


Describe the "injury" stage for AKI - correct answer creatinine x2 & GFR
reduced by 50%


Describe the "failure" stage for AKI - correct answer creatinine x3
normal, & GFR reduced by 75% (Cant fix)


Describe Prerenal AKI. Give examples. - correct answer Decreased
perfusion to kidneys.


-NSAIDs
-Severe dehydration
-Renal artery stenosis

, NUR 265


-MI or HF resulting in low ejection fraction and low cardiac output
-Blood/ fluid loss


Describe Intrarenal AKI. Give examples. - correct answer Tissue damage
to the actual kidneys.


-Glomerulonephritis or inflammation of the glomeruli
-Sepsis
-Intrarenal bleeding
-Pyelonephritis


Describe Postrenal AKI. Give examples. - correct answer Obstruction
that occurs after the kidney.


-Enlarged prostate (BPH)
-Bladder Cancer
-Kidney stones


How do you determine the mean arterial pressure (MAP)? - correct
answer Systolic + (Diastolic*2) /3


What is the MAP needed to perfuse the kidneys? - correct answer 65
mmHg

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