Exam 3 NR 341 Complex adult health (with Complete Solutions)

Renal Failure correct answers Occurs when kidneys cannot remove the body's metabolic wastes or perform regulatory functions. Acute Kidney Injury correct answers rapid loss of renal function due to damage to the kidneys Causes of AKI correct answers Hypovolemia Hypotension Infections decreased cardiac output and heart failure Obstruction of the kidney or lower urinary tract Blood clot or renal stones (rare) Obstruction of renal arteries or veins Nephrotoxic agents Types of AKI correct answers Prerenal - hypoperfusion of kidney, not enough blood to kidney Intrarenal - actual damage to glomeruli or kidney tubules Postrenal - urinary obstruction that impedes forward flow (tumor, stone) Pt has increased creatinine level and increased BUN, what is the issue? correct answers Problem with kidney perfusion Pt has increased creatinine and increased BUN, what are the nursing priorities? correct answers Check urine output Check specific gravity - filtration/how concentrated Fixed specific gravity correct answers Kidney damage - can't dilute urine/accommodate Specific gravity lab value correct answers 1.005-1.030 Lab values to monitor for kidney function correct answers BUN, creatinine, creatinine clearance, GFR, specific gravity, UA Adult urine output correct answers 30 mL/hr What lab increases during dehydration? correct answers BUN Normal Na levels correct answers 135-145 mEq/L signs of hyponatremia correct answers Anorexia, nausea, cramps, fatigue, lethargy, muscle weakness, headache, confusion, seizures, decreased blood pressure AKI prerenal causes correct answers Volume depletion