NUR 252 MEDSURG
RENAL EXAM STUDY
GUIDE
,NUR 252 Medsurg Renal Exam Study
Guide
Nursing Theory and Science III (Phoenix College)
, NUR 252 Med-surg Renal Exam 1 Study Guide
Topic Exam Amount
Acute Kidney Injury: 7
Assessment, Nursing Role, Risk
Factors
Chronic Renal Insufficiency: 6
Therapeutic Communication, Dialysis, Assessment, Risk Factors
Glomerulonephritis: 6
Risk Factors,
Assessment
Renal Cancer 1
Pyelonephritis/Urosepsis/UTI/ 10
Cystitis: Assessment
Urinary Diversions: 6
Nursing Care, Assessment, Post-Op
Urolithiasis: 5
Treatment,
Assessment
Pelvic Floor Disorders: 3
Stress Incontinence, Knowledge of Cystocele, Enterocele, Rectocele
Men’s Health: 6
Continuous Bladder Irrigation, Erectile Dysfunction, BPH
Total Questions: 50
Alternative Format: 14
SATA/Math/Fill In The Blank
Renal #1 Major Points of Content:
Fluid and Electrolytes
Acute Kidney Injury
Chronic Renal Insufficiency
Glomerulonephritis
Pyelonephritis-Urosepsis
Nephrotoxic Medications
Diuretics
, Fluid & Electrolytes
Amount and Composition of fluids
Body fluid compartments
ICF (inside cells)
⅔ of body fluid is in ICF
ECF (Outside cells)
⅓ of body fluid is in ECF
Divides into intravascular (blood), interstitial, and transcellular fluid spaces
Intravascular (fluid within blood vessels): contains
plasma, the effective circulating volume. Approximately
3 L of the average 6 L of blood volume in adults is made
up of plasma. The remaining 3 L is made up of the blood
cells: erythrocytes, leukocytes, and thrombocytes
(platelets).
Interstitial space: contains fluid that surrounds the cell
and totals about 11-12 L in an adult. Contains lymph
Transcellular space: smallest division of ECF and contains 1 L
Cerebrospinal, pericardial, synovial,
intraocular, pleural fluids, sweat, and digestive
secretions
Body fluid moves between the ECF and ICF to maintain equilibrium between the spaces
Semipermeable membrane surrounding each cell allows
certain fluids and electrolytes to move between the spaces
Loss of fluid disrupts equilibrium -> body wants to maintain homeostasis
If too much moves from ICF to ECF -> cellular dehydration
If too much moves from ECF to ICF -> cell swelling
Third space fluid shift:
Fluid that is not lost from the body but unavailable for use by ICF or
ECF -> loss of ECF into space that does not contribute to equilibrium
between ICF anf ECF
Accumulates in membrane bound spaces in body (peritoneal cavity, pleural space)
-> ex: ascites, pleural effusion, pericardial effusion, angioedema
Signs of 3rd spacing, intravascular FVD
Decrease in UO despite adequate fluid intake
Decreases b/c fluid shifts out of intravascular space ->
kidneys receive less blood and attempt to compensate
by decreasing UO
Increased HR, decreased BP, decreased CVP, edema,
increased body weight, I&O imbalances
RENAL EXAM STUDY
GUIDE
,NUR 252 Medsurg Renal Exam Study
Guide
Nursing Theory and Science III (Phoenix College)
, NUR 252 Med-surg Renal Exam 1 Study Guide
Topic Exam Amount
Acute Kidney Injury: 7
Assessment, Nursing Role, Risk
Factors
Chronic Renal Insufficiency: 6
Therapeutic Communication, Dialysis, Assessment, Risk Factors
Glomerulonephritis: 6
Risk Factors,
Assessment
Renal Cancer 1
Pyelonephritis/Urosepsis/UTI/ 10
Cystitis: Assessment
Urinary Diversions: 6
Nursing Care, Assessment, Post-Op
Urolithiasis: 5
Treatment,
Assessment
Pelvic Floor Disorders: 3
Stress Incontinence, Knowledge of Cystocele, Enterocele, Rectocele
Men’s Health: 6
Continuous Bladder Irrigation, Erectile Dysfunction, BPH
Total Questions: 50
Alternative Format: 14
SATA/Math/Fill In The Blank
Renal #1 Major Points of Content:
Fluid and Electrolytes
Acute Kidney Injury
Chronic Renal Insufficiency
Glomerulonephritis
Pyelonephritis-Urosepsis
Nephrotoxic Medications
Diuretics
, Fluid & Electrolytes
Amount and Composition of fluids
Body fluid compartments
ICF (inside cells)
⅔ of body fluid is in ICF
ECF (Outside cells)
⅓ of body fluid is in ECF
Divides into intravascular (blood), interstitial, and transcellular fluid spaces
Intravascular (fluid within blood vessels): contains
plasma, the effective circulating volume. Approximately
3 L of the average 6 L of blood volume in adults is made
up of plasma. The remaining 3 L is made up of the blood
cells: erythrocytes, leukocytes, and thrombocytes
(platelets).
Interstitial space: contains fluid that surrounds the cell
and totals about 11-12 L in an adult. Contains lymph
Transcellular space: smallest division of ECF and contains 1 L
Cerebrospinal, pericardial, synovial,
intraocular, pleural fluids, sweat, and digestive
secretions
Body fluid moves between the ECF and ICF to maintain equilibrium between the spaces
Semipermeable membrane surrounding each cell allows
certain fluids and electrolytes to move between the spaces
Loss of fluid disrupts equilibrium -> body wants to maintain homeostasis
If too much moves from ICF to ECF -> cellular dehydration
If too much moves from ECF to ICF -> cell swelling
Third space fluid shift:
Fluid that is not lost from the body but unavailable for use by ICF or
ECF -> loss of ECF into space that does not contribute to equilibrium
between ICF anf ECF
Accumulates in membrane bound spaces in body (peritoneal cavity, pleural space)
-> ex: ascites, pleural effusion, pericardial effusion, angioedema
Signs of 3rd spacing, intravascular FVD
Decrease in UO despite adequate fluid intake
Decreases b/c fluid shifts out of intravascular space ->
kidneys receive less blood and attempt to compensate
by decreasing UO
Increased HR, decreased BP, decreased CVP, edema,
increased body weight, I&O imbalances
