GU fa Davis - NUR 210 | UPDATED Questions with 100% Verified
Answers
Question:
The healthcare provider alerts the nurse that a client is at risk
for chronic kidney disease. Which risk factors should the
nurse expect to find in this client's chart? Select all that apply.
Diabetes mellitus Recent surgery Hypertension Obesity Acute
urinary tract infection
Answer:
Diabetes HTN Obesity
Question:
A client experiences severe blood loss and hypovolemia
following a motor vehicle crash. The nurse should assess for
signs and symptoms of which condition most likely to affect
the client?
Answer:
Pre-renal acute kidney injury
Question:
Which assessment findings should the nurse report to the
healthcare provider as being indicative of possible kidney
injury? Select all that apply. Urine output less than 400
mL/day Decreased potassium level Increasing glomerular
filtration rate Dyspnea Fixed specific gravity 1.010
Answer:
Urine output less than 400 mL/day Dyspnea Fixed specific
gravity 1.010
Question:
The nurse is caring for a client diagnosed with acute kidney
injury. Which medication order should the nurse question?
Furosemide Potassium chloride Mannitol Bumetanide
, Answer:
Potassium chloride
Question:
The nurse is caring for a client diagnosed with chronic kidney
disease whose hemoglobin level is 10 g/dL yet remains
asymptomatic. The nurse should anticipate the administration
of which treatments? Select all that apply. Folic acid
supplements Oral iron supplements Daily blood transfusion
Erythropoietin subcutaneously Aminoglycoside therapy
Answer:
Folic acid supplements Oral iron supplements
Question:
This or That? For each topic (etiology, clinical manifestation,
or collaborative management strategy), select the correct type
of renal failure: acute kidney injury (AKI) or chronic kidney
disease (CKD). Rapid and reversible
Answer:
AKI There are two types of renal failure, AKI and CKD. AKI
is a rapid, acute disease process that is often reversible if
addressed in a responsive and timely manner. AKI can lead to
CKD, which develops more slowly than AKI, usually over
several months or years.
Question:
long term dialysis
Answer:
Chronic kidney disease Chronic kidney disease often requires
long-term dialysis or renal transplant as a part of the
collaborative management strategy a.k.a. may require dialysis
on a short term basis, but extended treatment is not typically
necessary.
,Question:
Dehydration
Answer:
AKI AKI is usually caused by an event that leads to kidney
injury, such as dehydration. CKD is caused by a long-term
disease process that leads to decreased renal function over
time.
Question:
Result of malnutrition
Answer:
Chronic kidney disease One specific etiology for CKD is
malnutrition, which can occur for patients who have anorexia
nervosa or other conditions. By contrast, causes for AKI
include dehydration, hypovolemia, surgery, infection,
medications, injury, and trauma.
Question:
Result of poorly controlled diabetes
Answer:
Chronic kidney disease Poorly controlled diabetes leads to
problems of the microcirculation of the nephron and CKD as
the GFR drops over time
Question:
Sudden reduced GFR
Answer:
AKI An acute event to the kidney from pre-renal intrarenal or
post renal cause leads to a sudden reduction of GFR
Question:
Result of poorly controlled blood pressure
, Answer:
Chronic Kidney Disease Poorly controlled blood pressure,
places pressure on the kidney and decreases GFR overtime
leading to chronic kidney disease
Question:
Sudden increase in BUN and creatinine
Answer:
AKI A sudden increase in BUN and creatinine is associated
with AKI versus chronic kidney disease, which is a gradual
increase in BUN and creatinine
Question:
Hemoglobin 8.6 and hematocrit 30%
Answer:
Chronic kidney disease CKD, which indicates very little
kidney function, is associated with decreased hemoglobin and
hematocrit levels. Normal hemoglobin values range from 11.7
to 17.3 whereas normal hematocrit values range from 35% to
49%. This clinical manifestation is not associated with AKI.
Question:
renal transplantation
Answer:
Chronic kidney disease Renal transplantation is a
collaborative management strategy for the patient with CKD
that has progressed to end stage renal disease (ESRD). This
treatment is not an option for AKI unless it progresses to
CKD.
Question:
The nurse manager has taught a new staff nurse about
assessing and caring for an arteriovenous graft. The staff
Answers
Question:
The healthcare provider alerts the nurse that a client is at risk
for chronic kidney disease. Which risk factors should the
nurse expect to find in this client's chart? Select all that apply.
Diabetes mellitus Recent surgery Hypertension Obesity Acute
urinary tract infection
Answer:
Diabetes HTN Obesity
Question:
A client experiences severe blood loss and hypovolemia
following a motor vehicle crash. The nurse should assess for
signs and symptoms of which condition most likely to affect
the client?
Answer:
Pre-renal acute kidney injury
Question:
Which assessment findings should the nurse report to the
healthcare provider as being indicative of possible kidney
injury? Select all that apply. Urine output less than 400
mL/day Decreased potassium level Increasing glomerular
filtration rate Dyspnea Fixed specific gravity 1.010
Answer:
Urine output less than 400 mL/day Dyspnea Fixed specific
gravity 1.010
Question:
The nurse is caring for a client diagnosed with acute kidney
injury. Which medication order should the nurse question?
Furosemide Potassium chloride Mannitol Bumetanide
, Answer:
Potassium chloride
Question:
The nurse is caring for a client diagnosed with chronic kidney
disease whose hemoglobin level is 10 g/dL yet remains
asymptomatic. The nurse should anticipate the administration
of which treatments? Select all that apply. Folic acid
supplements Oral iron supplements Daily blood transfusion
Erythropoietin subcutaneously Aminoglycoside therapy
Answer:
Folic acid supplements Oral iron supplements
Question:
This or That? For each topic (etiology, clinical manifestation,
or collaborative management strategy), select the correct type
of renal failure: acute kidney injury (AKI) or chronic kidney
disease (CKD). Rapid and reversible
Answer:
AKI There are two types of renal failure, AKI and CKD. AKI
is a rapid, acute disease process that is often reversible if
addressed in a responsive and timely manner. AKI can lead to
CKD, which develops more slowly than AKI, usually over
several months or years.
Question:
long term dialysis
Answer:
Chronic kidney disease Chronic kidney disease often requires
long-term dialysis or renal transplant as a part of the
collaborative management strategy a.k.a. may require dialysis
on a short term basis, but extended treatment is not typically
necessary.
,Question:
Dehydration
Answer:
AKI AKI is usually caused by an event that leads to kidney
injury, such as dehydration. CKD is caused by a long-term
disease process that leads to decreased renal function over
time.
Question:
Result of malnutrition
Answer:
Chronic kidney disease One specific etiology for CKD is
malnutrition, which can occur for patients who have anorexia
nervosa or other conditions. By contrast, causes for AKI
include dehydration, hypovolemia, surgery, infection,
medications, injury, and trauma.
Question:
Result of poorly controlled diabetes
Answer:
Chronic kidney disease Poorly controlled diabetes leads to
problems of the microcirculation of the nephron and CKD as
the GFR drops over time
Question:
Sudden reduced GFR
Answer:
AKI An acute event to the kidney from pre-renal intrarenal or
post renal cause leads to a sudden reduction of GFR
Question:
Result of poorly controlled blood pressure
, Answer:
Chronic Kidney Disease Poorly controlled blood pressure,
places pressure on the kidney and decreases GFR overtime
leading to chronic kidney disease
Question:
Sudden increase in BUN and creatinine
Answer:
AKI A sudden increase in BUN and creatinine is associated
with AKI versus chronic kidney disease, which is a gradual
increase in BUN and creatinine
Question:
Hemoglobin 8.6 and hematocrit 30%
Answer:
Chronic kidney disease CKD, which indicates very little
kidney function, is associated with decreased hemoglobin and
hematocrit levels. Normal hemoglobin values range from 11.7
to 17.3 whereas normal hematocrit values range from 35% to
49%. This clinical manifestation is not associated with AKI.
Question:
renal transplantation
Answer:
Chronic kidney disease Renal transplantation is a
collaborative management strategy for the patient with CKD
that has progressed to end stage renal disease (ESRD). This
treatment is not an option for AKI unless it progresses to
CKD.
Question:
The nurse manager has taught a new staff nurse about
assessing and caring for an arteriovenous graft. The staff