NUR 265 FINAL EXAM REVIEW NEWEST
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!.
what is urosepsis? - -----ANSWER---->condition where a urinary tract infection spreads from the urinary
tract to the blood stream causing a systemic infection & mult organ failure
*LIFE THREATING*
what would be an early signs/symptoms of urosepsis? - -----ANSWER---->-warm & flushed skin
-bounding pulses
what would be a later signs/symptoms of urosepsis? - -----ANSWER---->-tachycardia
-hypotension
-tachypena
-weak pulses
-decreased LOC
-cold, cyanotic, mottled skin
-derased or absent urine output & bowel sounds
what are some latest/end of life sings/symptoms of urosepsis? - -----ANSWER---->-excessive bleeding
,-death
name 2 causes of urosepsis: - -----ANSWER---->-recurrent infections
-poorly treated poly-nephritis
what do you want to assess in a pt with urosepsis? - -----ANSWER---->-LOC
-urine output (decreased)
-skin color & temp (initially warm & flushed, then becomes cold & clammy)
-bleeding due to body consuming clotting factors at a higher rate
when ______decreases _______ also decreases - -----ANSWER---->cardiac output decreases, urine output
also decreases
what would pts VS be with urosepsis? - -----ANSWER---->-hypotension due to vasodilation with sepsis
-tachycardia
-decreased cardiac output
-febrile(warm skin) initally then hypothermic as body starts to shut down (color in hands & feet begin to
change)
what would the nursing dx be for a pt with urosepsis? - -----ANSWER---->altered tissue perfusion related
to inadequate cardiac output
what would the pts ABGs look like with urosepsis? - -----ANSWER---->respiratory alkalosis due to
tachycardia
-leads to metabolic acidosis in later stages due to not enough O2, body shutting down
,what are the st organs to go with sepsis? - -----ANSWER---->renal & liver
*expect to see liver fx test, BUN & creatine to be elevated*
what is lactate? - -----ANSWER---->regulator of metabolism
would you expect to see lactate elevated or decreased with urosepsis? - -----ANSWER---->increase as
muscle & tissue breakdown
*early sign of sepsis*
what are you going to do for the pt with sepsis? - -----ANSWER---->-wash hands
-always use aseptic technique
-administer O2 as needed
-anticipate & prepare for intubation
-obtain blood cultures
-administer antibiotics after cultures are obtained
-administer fluid replacement
What is nephrotic syndrome?
A condition of increased glomerular permeability that allows larger molecules to pass through the
membrane into the urine and then be excreted.
What are key features of nephrotic syndrome?
-
, Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what?
3.5g in 24 hours
What is nephrotic syndrome treated with?
-immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe Prerenal AKI. Give examples.
Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!.
what is urosepsis? - -----ANSWER---->condition where a urinary tract infection spreads from the urinary
tract to the blood stream causing a systemic infection & mult organ failure
*LIFE THREATING*
what would be an early signs/symptoms of urosepsis? - -----ANSWER---->-warm & flushed skin
-bounding pulses
what would be a later signs/symptoms of urosepsis? - -----ANSWER---->-tachycardia
-hypotension
-tachypena
-weak pulses
-decreased LOC
-cold, cyanotic, mottled skin
-derased or absent urine output & bowel sounds
what are some latest/end of life sings/symptoms of urosepsis? - -----ANSWER---->-excessive bleeding
,-death
name 2 causes of urosepsis: - -----ANSWER---->-recurrent infections
-poorly treated poly-nephritis
what do you want to assess in a pt with urosepsis? - -----ANSWER---->-LOC
-urine output (decreased)
-skin color & temp (initially warm & flushed, then becomes cold & clammy)
-bleeding due to body consuming clotting factors at a higher rate
when ______decreases _______ also decreases - -----ANSWER---->cardiac output decreases, urine output
also decreases
what would pts VS be with urosepsis? - -----ANSWER---->-hypotension due to vasodilation with sepsis
-tachycardia
-decreased cardiac output
-febrile(warm skin) initally then hypothermic as body starts to shut down (color in hands & feet begin to
change)
what would the nursing dx be for a pt with urosepsis? - -----ANSWER---->altered tissue perfusion related
to inadequate cardiac output
what would the pts ABGs look like with urosepsis? - -----ANSWER---->respiratory alkalosis due to
tachycardia
-leads to metabolic acidosis in later stages due to not enough O2, body shutting down
,what are the st organs to go with sepsis? - -----ANSWER---->renal & liver
*expect to see liver fx test, BUN & creatine to be elevated*
what is lactate? - -----ANSWER---->regulator of metabolism
would you expect to see lactate elevated or decreased with urosepsis? - -----ANSWER---->increase as
muscle & tissue breakdown
*early sign of sepsis*
what are you going to do for the pt with sepsis? - -----ANSWER---->-wash hands
-always use aseptic technique
-administer O2 as needed
-anticipate & prepare for intubation
-obtain blood cultures
-administer antibiotics after cultures are obtained
-administer fluid replacement
What is nephrotic syndrome?
A condition of increased glomerular permeability that allows larger molecules to pass through the
membrane into the urine and then be excreted.
What are key features of nephrotic syndrome?
-
, Massive proteinuria
-Hypoalbuminemia
-Edema (facial and periorbital)
-Lipiduria
-Hyperlipidemia
-Increased coagulation
-Reduced kidney function
In nephrotic syndrome, severe protein loss in the urine is greater than what?
3.5g in 24 hours
What is nephrotic syndrome treated with?
-immunosuppressant agents (if immunity based).
-ACE inhibitors (decreased protein loss in urine)
-statins (improve blood lipid levels).
-Heparin (used to treat vascular effects and improve kidney function)
Describe Prerenal AKI. Give examples.
Decreased perfusion to kidneys.
-NSAIDs
-Severe dehydration
