NUR 282 Test 3 Questions with Verifed Correct
Answers
Most important lab indicator of CKD?
24-hr urine creatinine clearance = best way to identify CKD (ESRD).
Patient undergoes kidney function test with IV contrast, patient says "i have allergy to
shrimp". Should the nurse proceed with the procedure?
NO
There is iodine in IV contrast, (shrimp has iodine, so pt cannot tolerate this).
Kidney stones (Nephrolithiasis)
-Stones anywhere from kidney to urethra from urinary concentrations increasing (calcium
oxalate, calcium phosphate, and uric acid)
-Can be from high protein diet (increased uric acid), high calcium diet, decreased fluid intake.
-S/S: lower back/abdominal pain, hematuria, pyuria (urine contains WBC/pus), renal colic
episode: (acute pain, N/V, tenderness), diarrhea, abdominal distention, infection (UTI) (chills,
low grade fever, frequency, hesitancy), still urinating, NO pain when urinating.
-Confirmed with non contrast CT scan
-Assessment: Observing signs for UTI, and obruction (frequent urination of small amounts,
oliguria, anuria), inspected for blood,
The urine is inspected for blood and is strained for stones or gravel.
Pyelonephritis - flank pain, hematuria, cloudy urine, fever. what would be an unexpected
sign?(complication of chronic pyelonephritis is hypertension,kidney stones, ESRD)
, Decreased BP (hypotension)
GFR = 125 mL/min is normal. What do you expect with stage 3 CKD?
1. Kidney damage with normal kidney function. Estimated GFR ≥ 90 mL/min/1.73m². Persistent
proteinuria (≥ 3 months)
2. Kidney damage with mild loss of function. GFR 60-89 mL/min. Persistent proteinuria (≥ 3
months)
3. Mild to severe loss of kidney function. GFR 30-59 mL/min
4. Severe loss of kidney function. GFR 15-29 mL/min
5. Kidney failure requiring dialysis or transplant for survival. Also known as ESRD, GFR ≤ 15
mL/min.
Foods to avoid for potassium restriction
BANANAS
Dried Fruits
Oranges
Melons
Milk
Ice cream
Answers
Most important lab indicator of CKD?
24-hr urine creatinine clearance = best way to identify CKD (ESRD).
Patient undergoes kidney function test with IV contrast, patient says "i have allergy to
shrimp". Should the nurse proceed with the procedure?
NO
There is iodine in IV contrast, (shrimp has iodine, so pt cannot tolerate this).
Kidney stones (Nephrolithiasis)
-Stones anywhere from kidney to urethra from urinary concentrations increasing (calcium
oxalate, calcium phosphate, and uric acid)
-Can be from high protein diet (increased uric acid), high calcium diet, decreased fluid intake.
-S/S: lower back/abdominal pain, hematuria, pyuria (urine contains WBC/pus), renal colic
episode: (acute pain, N/V, tenderness), diarrhea, abdominal distention, infection (UTI) (chills,
low grade fever, frequency, hesitancy), still urinating, NO pain when urinating.
-Confirmed with non contrast CT scan
-Assessment: Observing signs for UTI, and obruction (frequent urination of small amounts,
oliguria, anuria), inspected for blood,
The urine is inspected for blood and is strained for stones or gravel.
Pyelonephritis - flank pain, hematuria, cloudy urine, fever. what would be an unexpected
sign?(complication of chronic pyelonephritis is hypertension,kidney stones, ESRD)
, Decreased BP (hypotension)
GFR = 125 mL/min is normal. What do you expect with stage 3 CKD?
1. Kidney damage with normal kidney function. Estimated GFR ≥ 90 mL/min/1.73m². Persistent
proteinuria (≥ 3 months)
2. Kidney damage with mild loss of function. GFR 60-89 mL/min. Persistent proteinuria (≥ 3
months)
3. Mild to severe loss of kidney function. GFR 30-59 mL/min
4. Severe loss of kidney function. GFR 15-29 mL/min
5. Kidney failure requiring dialysis or transplant for survival. Also known as ESRD, GFR ≤ 15
mL/min.
Foods to avoid for potassium restriction
BANANAS
Dried Fruits
Oranges
Melons
Milk
Ice cream
