Exam 2 - Acute Renal Failure ,f ,f ,f ,f ,f
1. The nurse is admitting a
,f ,f ,f ,f 1. Usually there are no diseases or con- ,f ,f ,f ,f ,f ,f
clientdiagnosedwithacuterenal
,f ,f ,f ,f ,f ,f ditions warranting this question when dis-
,f ,f ,f ,f ,f ,f
fail-ure (ARF). Which question
,f ,f ,f ,f cussing ARF.
,f ,f
is
,f
mostimportantforthenursetoa
,f ,f ,f ,f ,f ,f ,f 2. Vigorous exercise will not impede ,f ,f ,f ,f
skduringtheadmissioninter-
,f ,f ,f ,f bloodflow to the kidneys, leading to ARF.
,f ,f ,f ,f ,f ,f ,f ,f
view?
,f
3. Usually viruses do not cause ARF. ,f ,f ,f ,f ,f
1. "Haveyourecentlytraveledo ,f ,f ,f ,f
utside the United States?" *4.Medications such as NSAIDs and somehe
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
2. "Didyourecentlybeginavig- rbal remedies are nephrotoxic;therefore,aski
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
orous exercise program?"
,f ng about medications is appropriate.*
,f ,f ,f ,f ,f ,f
3. "Is there a chance you ,f ,f ,f ,f
havebeen exposed to a virus?"
,f ,f ,f ,f ,f ,f
4. "Whatover-the-countermed- ,f ,f
ications do you take regular-
,f ,f ,f ,f ,f
ly?"
,f
*1.Bloodureanitrogen(BUN)levelsreflectthe ,f ,f ,f ,f ,f ,f ,f
2. The nurse is caring for a balance between the production and
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
client diagnosed with ARF. Whic excretion of urea from the kidneys. Creati-
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
h lab- oratory values are most nine is a by-product of the metabolism of the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
signif- icant for diagnosing muscles and is excreted by the kid- neys.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
ARF?
,f Creatinine is the ideal substance ,f ,f ,f ,f ,f
fordetermining renal clearance because it is ,f ,f ,f ,f ,f ,f ,f
1. BUN and creatinine relatively constant in the body and is the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
2. WBC and hemoglobin laboratory value most significant in diag-
,f ,f ,f ,f ,f ,f ,f ,f
3. Potassium and sodium nosing renal failure.* ,f ,f ,f ,f ,f
4. Bilirubin and ammonia level ,f ,f ,f
2. WBCs are monitored for infection, ,f ,f ,f ,f
andhemoglobin is monitored for blood ,f ,f ,f ,f ,f ,f
loss. ,f
3. Potassium(intracellular)andsodium(in- ,f ,f ,f ,f
terstitial) are electrolytes and are moni-
,f ,f ,f ,f ,f ,f
toredforavarietyofdiseasesorconditionsnot
,f ,f ,f ,f ,f ,f ,f ,f ,f
specific to renal function. Potassium
,f ,f ,f ,f ,f
levelswillincreasewithrenalfailure,butthelev
,f ,f ,f ,f ,f ,f ,f ,f ,f
el is not a diagnostic indicator for renal
,f ,f ,f ,f ,f ,f ,f
failure.
,f
1/7 ,f ,f
, Exam 2 - Acute Renal Failure ,f ,f ,f ,f ,f
4. Bilirubin and ammonia levels are labora-
,f ,f ,f ,f ,f ,f
tory values determining the function of
,f ,f ,f ,f ,f ,f
theliver, not the kidneys.
,f ,f ,f ,f ,f
3. The nurse is caring for a
,f ,f ,f ,f ,f 1. DM is a disease that may lead to ,f ,f ,f ,f ,f ,f ,f ,f
clientdiagnosed with rule-out
,f ,f ,f ,f chronicrenal failure.
,f ,f ,f
ARF. Which condition
,f ,f ,f
predisposes the client to
,f ,f ,f ,f *2. Hypotension, which causes a de-
,f ,f ,f ,f ,f
developing prere-nal failure?
,f ,f ,f ,f creasedbloodsupplyto thekidney,is oneof
,f ,f ,f ,f ,f ,f ,f ,f ,f
the most common causes of prerenal failure
,f ,f ,f ,f ,f ,f ,f
1. Diabetes mellitus ,f (before the kidney).*
,f ,f ,f
2. Hypotension
3. Aminoglycosides 3. Nephrotoxic medications are a cause ,f ,f ,f ,f
4. Benignprostatichypertro- ,f ,f ofintrarenal failure (directly to kidney).
,f ,f ,f ,f ,f ,f
phy
,f
4. Benign prostatic hypertrophy (BPH) is ,f ,f ,f ,f
acause of post renal failure (after the kid-
,f ,f ,f ,f ,f ,f ,f ,f ,f
ney).
,f
4. The client is diagnosed with
,f ,f ,f ,f *1. Renal failure affects almost every sys- tem
,f ,f ,f ,f ,f ,f ,f
ARF. Which signs/symptoms
,f ,f ,f in the body. Neurologically, the client may
,f ,f ,f ,f ,f ,f ,f
indicate to the nurse the clientis
,f ,f ,f ,f ,f ,f ,f have drowsiness, headache, muscle
,f ,f ,f ,f
in the recovery period? *Se-
,f ,f ,f ,f ,f twitching,andseizures.Intherecoverype-
,f ,f ,f ,f ,f ,f ,f
lect all that apply.*
,f ,f ,f ,f riod, the client is alert and has no seizure
,f ,f ,f ,f ,f ,f ,f ,f ,f
activity.*
,f
1. Increased alertness and ,f ,f
noseizure activity
,f ,f ,f *2. In renal failure, levels of
,f ,f ,f ,f ,f
2. Increase in hemoglobin ,f ,f erythropoietinare decreased, leading to
,f ,f ,f ,f ,f
andhematocrit
,f ,f anemia. An in- crease in hemoglobin and
,f ,f ,f ,f ,f ,f ,f
3. Denial of nausea and vomit- ,f ,f ,f ,f hematocrit indi-cates the client is in the
,f ,f ,f ,f ,f ,f ,f ,f
ing
,f recovery period.*
,f ,f
4. Decreased urine- ,f
specificgravity. ,f *3. Nausea, vomiting, and diarrhea are
,f ,f ,f ,f ,f
5. Increased serum ,f common in the client with ARF; therefore,an
,f ,f ,f ,f ,f ,f ,f ,f
creatininelevel
,f ,f absence of these indicates the client isin the
,f ,f ,f ,f ,f ,f ,f ,f ,f
recovery period.*
,f ,f
4. The client in the recovery period has ,f ,f ,f ,f ,f ,f
anincreased urine-specific gravity.
,f ,f ,f ,f
2/7 ,f ,f
1. The nurse is admitting a
,f ,f ,f ,f 1. Usually there are no diseases or con- ,f ,f ,f ,f ,f ,f
clientdiagnosedwithacuterenal
,f ,f ,f ,f ,f ,f ditions warranting this question when dis-
,f ,f ,f ,f ,f ,f
fail-ure (ARF). Which question
,f ,f ,f ,f cussing ARF.
,f ,f
is
,f
mostimportantforthenursetoa
,f ,f ,f ,f ,f ,f ,f 2. Vigorous exercise will not impede ,f ,f ,f ,f
skduringtheadmissioninter-
,f ,f ,f ,f bloodflow to the kidneys, leading to ARF.
,f ,f ,f ,f ,f ,f ,f ,f
view?
,f
3. Usually viruses do not cause ARF. ,f ,f ,f ,f ,f
1. "Haveyourecentlytraveledo ,f ,f ,f ,f
utside the United States?" *4.Medications such as NSAIDs and somehe
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
2. "Didyourecentlybeginavig- rbal remedies are nephrotoxic;therefore,aski
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
orous exercise program?"
,f ng about medications is appropriate.*
,f ,f ,f ,f ,f ,f
3. "Is there a chance you ,f ,f ,f ,f
havebeen exposed to a virus?"
,f ,f ,f ,f ,f ,f
4. "Whatover-the-countermed- ,f ,f
ications do you take regular-
,f ,f ,f ,f ,f
ly?"
,f
*1.Bloodureanitrogen(BUN)levelsreflectthe ,f ,f ,f ,f ,f ,f ,f
2. The nurse is caring for a balance between the production and
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
client diagnosed with ARF. Whic excretion of urea from the kidneys. Creati-
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
h lab- oratory values are most nine is a by-product of the metabolism of the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
signif- icant for diagnosing muscles and is excreted by the kid- neys.
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
ARF?
,f Creatinine is the ideal substance ,f ,f ,f ,f ,f
fordetermining renal clearance because it is ,f ,f ,f ,f ,f ,f ,f
1. BUN and creatinine relatively constant in the body and is the
,f ,f ,f ,f ,f ,f ,f ,f ,f ,f
2. WBC and hemoglobin laboratory value most significant in diag-
,f ,f ,f ,f ,f ,f ,f ,f
3. Potassium and sodium nosing renal failure.* ,f ,f ,f ,f ,f
4. Bilirubin and ammonia level ,f ,f ,f
2. WBCs are monitored for infection, ,f ,f ,f ,f
andhemoglobin is monitored for blood ,f ,f ,f ,f ,f ,f
loss. ,f
3. Potassium(intracellular)andsodium(in- ,f ,f ,f ,f
terstitial) are electrolytes and are moni-
,f ,f ,f ,f ,f ,f
toredforavarietyofdiseasesorconditionsnot
,f ,f ,f ,f ,f ,f ,f ,f ,f
specific to renal function. Potassium
,f ,f ,f ,f ,f
levelswillincreasewithrenalfailure,butthelev
,f ,f ,f ,f ,f ,f ,f ,f ,f
el is not a diagnostic indicator for renal
,f ,f ,f ,f ,f ,f ,f
failure.
,f
1/7 ,f ,f
, Exam 2 - Acute Renal Failure ,f ,f ,f ,f ,f
4. Bilirubin and ammonia levels are labora-
,f ,f ,f ,f ,f ,f
tory values determining the function of
,f ,f ,f ,f ,f ,f
theliver, not the kidneys.
,f ,f ,f ,f ,f
3. The nurse is caring for a
,f ,f ,f ,f ,f 1. DM is a disease that may lead to ,f ,f ,f ,f ,f ,f ,f ,f
clientdiagnosed with rule-out
,f ,f ,f ,f chronicrenal failure.
,f ,f ,f
ARF. Which condition
,f ,f ,f
predisposes the client to
,f ,f ,f ,f *2. Hypotension, which causes a de-
,f ,f ,f ,f ,f
developing prere-nal failure?
,f ,f ,f ,f creasedbloodsupplyto thekidney,is oneof
,f ,f ,f ,f ,f ,f ,f ,f ,f
the most common causes of prerenal failure
,f ,f ,f ,f ,f ,f ,f
1. Diabetes mellitus ,f (before the kidney).*
,f ,f ,f
2. Hypotension
3. Aminoglycosides 3. Nephrotoxic medications are a cause ,f ,f ,f ,f
4. Benignprostatichypertro- ,f ,f ofintrarenal failure (directly to kidney).
,f ,f ,f ,f ,f ,f
phy
,f
4. Benign prostatic hypertrophy (BPH) is ,f ,f ,f ,f
acause of post renal failure (after the kid-
,f ,f ,f ,f ,f ,f ,f ,f ,f
ney).
,f
4. The client is diagnosed with
,f ,f ,f ,f *1. Renal failure affects almost every sys- tem
,f ,f ,f ,f ,f ,f ,f
ARF. Which signs/symptoms
,f ,f ,f in the body. Neurologically, the client may
,f ,f ,f ,f ,f ,f ,f
indicate to the nurse the clientis
,f ,f ,f ,f ,f ,f ,f have drowsiness, headache, muscle
,f ,f ,f ,f
in the recovery period? *Se-
,f ,f ,f ,f ,f twitching,andseizures.Intherecoverype-
,f ,f ,f ,f ,f ,f ,f
lect all that apply.*
,f ,f ,f ,f riod, the client is alert and has no seizure
,f ,f ,f ,f ,f ,f ,f ,f ,f
activity.*
,f
1. Increased alertness and ,f ,f
noseizure activity
,f ,f ,f *2. In renal failure, levels of
,f ,f ,f ,f ,f
2. Increase in hemoglobin ,f ,f erythropoietinare decreased, leading to
,f ,f ,f ,f ,f
andhematocrit
,f ,f anemia. An in- crease in hemoglobin and
,f ,f ,f ,f ,f ,f ,f
3. Denial of nausea and vomit- ,f ,f ,f ,f hematocrit indi-cates the client is in the
,f ,f ,f ,f ,f ,f ,f ,f
ing
,f recovery period.*
,f ,f
4. Decreased urine- ,f
specificgravity. ,f *3. Nausea, vomiting, and diarrhea are
,f ,f ,f ,f ,f
5. Increased serum ,f common in the client with ARF; therefore,an
,f ,f ,f ,f ,f ,f ,f ,f
creatininelevel
,f ,f absence of these indicates the client isin the
,f ,f ,f ,f ,f ,f ,f ,f ,f
recovery period.*
,f ,f
4. The client in the recovery period has ,f ,f ,f ,f ,f ,f
anincreased urine-specific gravity.
,f ,f ,f ,f
2/7 ,f ,f
