NUR 114/115 Exam 3: Module 4 & 5 Questions
With Complete Solutions
3 H's of Acute Renal Failure Correct Answers 1.
Hypotension: decreased blood volume = not
circulating well, low volume = low O2 = decreased
perfusion. Ex. Hemorrhage
2. Hypovolemia: not enough to push through the
body
3. Hypoperfusion: not enough perfusion
A MAP of what indicates the kidneys are NOT
perfusing? Correct Answers <65 MAP
Access for hemodialysis Correct Answers -
subclavian or femoral catheter (short term or
temporary with AKI)
-cath is used when fistula or graft matures (6wks)
or when fistula/graft has failed r/t clotting or
infection
-shunts
-these are good vessels
-assess for hematoma, bleeding, Cath dislodgment
and infection. ONLY used for dialysis by dialysis
personnel. Keep occlusive dressing on insertion
site.
Acute Glomerulonephritis Correct Answers -after
strep infection
-permeability of kidney increased
,-edema, periorybital/facial edema
-sudden onset of proteinuria
Acute Renal Failure aka Acute Kidney Injury (AKI)
Correct Answers Description: Rapid loss of kidney
function from renal cell damage.
-Occurs abruptly and can be reversible.
-Leads to cell hypo perfusion, cell death, and
decomposition of renal function.
-Phase 1: Oliguric
-Phase 2: Diuresis/Diuretic
-Phase 3: Recovery (Kidney is recovering)
Age factor Correct Answers Advancing age is a
significant risk factor for developing cancer
AKI: Phase 1 Correct Answers Oliguric: Kidneys
are insulted.
-Caused by DM, Meds (Vancomycin, Gentomycin,
Metformin), IV contrast, dehydration or trauma
-Expect: cloudy, dark urine, increased BUN &
Creatinine, decreased specific gravity, decreased
GFR
AKI: Phase 2 Correct Answers Diuretic: Kidney
tries to push fluid through
-Expect: more dilute, clear, yellow urine, gradual
decrease in BUN & Creatinine, decreased specific
gravity b/c urine is more dilute, improving GFR
, AKI: Phase 3 Correct Answers Recovery: Kidney is
recovering
-Expect: increased GFR, stabilization or continual
decline in BUN & Creatinine toward normal,
complete recovery may take 1-2 yrs
Allergen Correct Answers a substance that causes
an allergic reaction
Berger's AKA: IgA nephropathy Correct Answers -
problem w/IgA nephropathy
-immunoglobulin A builds up in kidney and gets
stuck
-results in inflammation and effects kidney being
able to filter waste from blood
BUN Correct Answers 10-20
*will be elevated with AKI
BUN & Creatinine increased = ? Correct Answers
some type of kidney issue
BUN & Creatinine normal = ? Correct Answers
Dehydration
Causes of Acute Glomerulonephritis Correct
Answers -often occurs after infection
-strep (group A), staph, viral, varicella (chicken
pox), maleria, lupus
-Wegener's
With Complete Solutions
3 H's of Acute Renal Failure Correct Answers 1.
Hypotension: decreased blood volume = not
circulating well, low volume = low O2 = decreased
perfusion. Ex. Hemorrhage
2. Hypovolemia: not enough to push through the
body
3. Hypoperfusion: not enough perfusion
A MAP of what indicates the kidneys are NOT
perfusing? Correct Answers <65 MAP
Access for hemodialysis Correct Answers -
subclavian or femoral catheter (short term or
temporary with AKI)
-cath is used when fistula or graft matures (6wks)
or when fistula/graft has failed r/t clotting or
infection
-shunts
-these are good vessels
-assess for hematoma, bleeding, Cath dislodgment
and infection. ONLY used for dialysis by dialysis
personnel. Keep occlusive dressing on insertion
site.
Acute Glomerulonephritis Correct Answers -after
strep infection
-permeability of kidney increased
,-edema, periorybital/facial edema
-sudden onset of proteinuria
Acute Renal Failure aka Acute Kidney Injury (AKI)
Correct Answers Description: Rapid loss of kidney
function from renal cell damage.
-Occurs abruptly and can be reversible.
-Leads to cell hypo perfusion, cell death, and
decomposition of renal function.
-Phase 1: Oliguric
-Phase 2: Diuresis/Diuretic
-Phase 3: Recovery (Kidney is recovering)
Age factor Correct Answers Advancing age is a
significant risk factor for developing cancer
AKI: Phase 1 Correct Answers Oliguric: Kidneys
are insulted.
-Caused by DM, Meds (Vancomycin, Gentomycin,
Metformin), IV contrast, dehydration or trauma
-Expect: cloudy, dark urine, increased BUN &
Creatinine, decreased specific gravity, decreased
GFR
AKI: Phase 2 Correct Answers Diuretic: Kidney
tries to push fluid through
-Expect: more dilute, clear, yellow urine, gradual
decrease in BUN & Creatinine, decreased specific
gravity b/c urine is more dilute, improving GFR
, AKI: Phase 3 Correct Answers Recovery: Kidney is
recovering
-Expect: increased GFR, stabilization or continual
decline in BUN & Creatinine toward normal,
complete recovery may take 1-2 yrs
Allergen Correct Answers a substance that causes
an allergic reaction
Berger's AKA: IgA nephropathy Correct Answers -
problem w/IgA nephropathy
-immunoglobulin A builds up in kidney and gets
stuck
-results in inflammation and effects kidney being
able to filter waste from blood
BUN Correct Answers 10-20
*will be elevated with AKI
BUN & Creatinine increased = ? Correct Answers
some type of kidney issue
BUN & Creatinine normal = ? Correct Answers
Dehydration
Causes of Acute Glomerulonephritis Correct
Answers -often occurs after infection
-strep (group A), staph, viral, varicella (chicken
pox), maleria, lupus
-Wegener's
