NU192 FINAL EXAM STUDY GUIDE
WITH COMPLETE SOLUTION
What is pre-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C.Result of volume depletion and prolonged reduction of blood flow to the
kidneys.
treatment= IV fluids, diuretics, calcium channel blocker
C
What is intra-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C. Before damage to the kidney
,treatment= IV fluids, diuretics, calcium channel blockers
B
What is post-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C. Before damage to the kidney
treatment= IV fluids, diuretics, calcium channel blockers
A
What are some of the lab findings involved in acute kidney injury (acute
kidney failure)? (Select all that apply)
A. A urine specific gravity of 1.000
B. A serum creatinine level 2
C. A GFR of 87
D. A BUN of 80
B
D
Urine specific gravity = 1.003-1.030
,BUN >20
Serum Creatinine = >1
GFR <70
What would a nurse teach to a client with AKI?
A. Take all antibiotics prescribed for infections
B. Increase use of NSAIDS PRN
C. Discontinue taking hypertension medication
D. Limit the amount of fluid they drink
A
A nurse is planning care for a client who has prerenal acute kidney injury
following abdominal aortic aneurysm repair. The client's urinary output is 80
mL in the past 4 hours and blood pressure is 92/58. Which of the following
should be included in the plan of care?
A. Prepare the client for a CAT scan with contrast dye
B. Anticipate a urine specific gravity to be 1.010
C. Plan to administer a fluid challenge
D. Place client in Trendelenburg position
C
The nurse should plan to administer a fluid challenge for hypovolemia, which
is indicated by the client's low urinary output and blood pressure
, A nurse is planning care for a client who has postrenal acute kidney injury
due to metastatic cancer. The client has a serum creatinine of 5 mg/dl. Which
of the following are appropriate actions by the nurse? (Select all that apply)
A. Provide a high-protein diet
B. Assess the urine for blood
C. Monitor for intermittent anuria
D. Administer Lasix
E. Provide NSAIDs for pain
A
B
C
A nurse is caring for a client who has stage 4 chronic kidney disease. Which
of the following is an expected laboratory finding?
A. BUN: 54
B. GFR: 20
C. Serum creatinine: 1.2
D. Serum potassium 5.0
B
A nurse is preparing to initiate hemodialysis for a client who has AKI and has
been hospitalized. Which of the following are appropriate nursing actions?
(Select all that apply)
WITH COMPLETE SOLUTION
What is pre-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C.Result of volume depletion and prolonged reduction of blood flow to the
kidneys.
treatment= IV fluids, diuretics, calcium channel blocker
C
What is intra-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C. Before damage to the kidney
,treatment= IV fluids, diuretics, calcium channel blockers
B
What is post-renal injury and how is it treated?
A. Damage to kidneys occur as a result of bilateral obstruction of structures
leaving kidney
treatment= treat the cause
B. Direct damage to kidneys from lack of oxygen
treatment= treat cause, restrict fluid
C. Before damage to the kidney
treatment= IV fluids, diuretics, calcium channel blockers
A
What are some of the lab findings involved in acute kidney injury (acute
kidney failure)? (Select all that apply)
A. A urine specific gravity of 1.000
B. A serum creatinine level 2
C. A GFR of 87
D. A BUN of 80
B
D
Urine specific gravity = 1.003-1.030
,BUN >20
Serum Creatinine = >1
GFR <70
What would a nurse teach to a client with AKI?
A. Take all antibiotics prescribed for infections
B. Increase use of NSAIDS PRN
C. Discontinue taking hypertension medication
D. Limit the amount of fluid they drink
A
A nurse is planning care for a client who has prerenal acute kidney injury
following abdominal aortic aneurysm repair. The client's urinary output is 80
mL in the past 4 hours and blood pressure is 92/58. Which of the following
should be included in the plan of care?
A. Prepare the client for a CAT scan with contrast dye
B. Anticipate a urine specific gravity to be 1.010
C. Plan to administer a fluid challenge
D. Place client in Trendelenburg position
C
The nurse should plan to administer a fluid challenge for hypovolemia, which
is indicated by the client's low urinary output and blood pressure
, A nurse is planning care for a client who has postrenal acute kidney injury
due to metastatic cancer. The client has a serum creatinine of 5 mg/dl. Which
of the following are appropriate actions by the nurse? (Select all that apply)
A. Provide a high-protein diet
B. Assess the urine for blood
C. Monitor for intermittent anuria
D. Administer Lasix
E. Provide NSAIDs for pain
A
B
C
A nurse is caring for a client who has stage 4 chronic kidney disease. Which
of the following is an expected laboratory finding?
A. BUN: 54
B. GFR: 20
C. Serum creatinine: 1.2
D. Serum potassium 5.0
B
A nurse is preparing to initiate hemodialysis for a client who has AKI and has
been hospitalized. Which of the following are appropriate nursing actions?
(Select all that apply)
