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NUR265 EXAM 1| GALEN ADVANCED MEDSURG| 95 ACTUAL QUESTIONS & ANSWERS | 2025

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NUR265 EXAM 1| GALEN ADVANCED MEDSURG| 95 ACTUAL QUESTIONS & ANSWERS | 2025 1. AKI S/S: oliguria;decreased urine output; azotomia; fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below 65 2. AKI in xray dx: infiltration (fluid in lungs) 3. AKI ABG results may read: respiratory alkalosis (spao2 below 88%) 4. example of pre renal AKI: dehydration, blood loss, decreased cardiac output, heart failure; infection; NG suction, sepsis, V/D 5. Example of intra renal AKI: myoglobinuria,BPH, tubular necrosis, nephrotoxoc- ity; acute polynephtiits, contrast 6. Example of post renal AKI: bladder neck obstruction, bladder cancer; calculi; tumor 7. Duiretic phase (3rd phase) of AKI: Nurse should give 3L-6L per day; place Foley Asses I and O (output=mL/day) replace fluids and monitor electrolyes dialysis may be required 8. Best Lab indicator of Kindey function (AKI and CKD): creatine (Normal 0.6-1.2) AKI increased 1-2 every 24-48hrs 9. Normal urine output per hour: 30 mL/hr 10. normal potassium levels: 3.5-5.0 mEq/L 11. Normal Sodium levels: 135-145 mEq/L 12. Diet for AKI patients: mod protein high carb 13. Complication of AKI: Preicarditis 14. Nephrotoxic agents include: contrast mycin antibitics (peak and trough) NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon) 15. Diet : AKI patient w/ dialysis: protein 40 g/day 16. diet:AKI patient without dialysis: protein 1-1.5g/kg Na 60-90 mEq/kg K restriction 60-70 mEq/kg 17. Define oliguria: decreased urine production 400mL/day or less

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1. AKI S/S: oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map
below 65
2. AKI in xray dx: infiltration (fluid in lungs)
3. AKI ABG results may read: respiratory alkalosis (spao2 below 88%)
4. example of pre renal AKI: dehydration, blood loss, decreased cardiac output,
heart failure; infection; NG suction, sepsis, V/D
5. Example of intra renal AKI: myoglobinuria,BPH, tubular necrosis, nephrotoxoc-
ity; acute polynephtiits, contrast
6. Example of post renal AKI: bladder neck obstruction, bladder cancer; calculi;
tumor
7. Duiretic phase (3rd phase) of AKI: Nurse should give 3L-6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
8. Best Lab indicator of Kindey function (AKI and CKD): creatine (Normal
0.6-1.2)

AKI increased 1-2 every 24-48hrs
9. Normal urine output per hour: 30 mL/hr
10. normal potassium levels: 3.5-5.0 mEq/L
11. Normal Sodium levels: 135-145 mEq/L
12. Diet for AKI patients: mod protein
high carb
13. Complication of AKI: Preicarditis
14. Nephrotoxic agents include: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
15. Diet : AKI patient w/ dialysis: protein 40 g/day
16. diet:AKI patient without dialysis: protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
17. Define oliguria: decreased urine production
400mL/day or less
1/
12

, 18. How many stages of Kidney failure are there?: 5 stages ( defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
19. signs of Chronic Kidney Disease: oliguria, anemia, azotomia, hyperkalemia




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