NUR 623 (Adult_Gero Acute) MOD #3, kidney disease part 1 Questions with CORRECT Answers (Grade A+)

NUR 623 (Adult_Gero Acute) MOD #3, kidney disease part 1 Questions with CORRECT Answers

(Grade A+)


Question 1:

-decreased urine output, poor oral intake 3x days -N/V, diarrhea after a viral illness -concentrated

UA, no casts in urine -creatinine 3.4, BUN 68 What is likely cause of AKI?

Answer:

pre-renal AKI from volume depletion

Question 2:

AKI with dialysis increases risk 10% for

Answer:

ESRD

Question 3:

s/s AKI

Answer:

-may be none initially -decreased urine output -lower or periorbital edema

-fatigue/dyspnea/confusion/chest pain

Question 4:

-increase in 1.5-1.9mg/dl x baseline Cr -overall increase in 0.3mg/dl -<0.5 ml/kg/hr for 6-12 hours

Answer:

stage 1 AKI

Question 5:

-increase in 2-2.9 x baseline Cr -<0.5ml/kg/hr for more than 12 hours

Answer:

stage 2 AKI

Question 6:

-3x baseline Cr

, -increase in Cr to > 4.0 -initiation of CRRT -drop in GFR under 35 in patients under 18 -<0.3ml/kg/hr

for 24 hours or no urine for 12 hours

Answer:

stage 3 AKI

Question 7:

-GI losses

-bleeding

-septic shock

-anaphylaxis

-HF/PE

basically, any HYPOPERFUSED state are all causes of

Answer:

pre-renal AKI (hypoperfusion)

Question 8:

-tubular injuries (acute tubular necrosis) -acute glomerulonephritis -ischemia -acute interstitial

nephritis -toxins -pyelonephritis -nephrotic/nephrotic syndrome -renal arteries/veins clots

-vasculitis are all causes of

Answer:

intrarenal AKI (direct damage to kidneys)

Question 9:

classic finding of ATN (caused by nephrotoxic drugs, infections)

Answer:

muddy brown casts on UA

Question 10:

-calculi

-tumors

-hematomas