HONDROS NUR 212 EXAM 2 QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
Normal creatinine levels? ANS >>> Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? ANS >>> 90-120ml/min
At which GFR level does dialysis begin? ANS >>> 15
S/S of acute glomerulonephritis? ANS >>> Headache, increased BP, facial enema,
malaise, low grade fever, weight fain, proteinuria, haematuria, and oliguria
S/S of chronic glomerulonephritis? ANS >>> Proteinuria and haematuria
Lab findings for glomerulonephritis? ANS >>> Increased BUN, CR
Decreased albumin in
Common s\e of haemodialysis? ANS >>> Hypotension due to all of the blood and
fluids leaving the body
,Nephrotic syndrome s\s ANS >>> SEVERE proteinuria
MASSIVE enema
Hypertension, foamy urine, anasarca, ascites
Why might medication doses be decreased for a patient with kidney issues? ANS
>>> Due to medications not being excreted through kidneys
Prerenal causes ANS >>> Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular
obstructions, severe vasoconstriction
Intrarenal causes ANS >>> Due to damage to the guerilla, interstitial tissue or
tubules (parenchymal damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric
complications, and malignant hypertension
Post renal causes ANS >>> Obstruction to the urine collecting system
BPH
Phases of AKI ANS >>> Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase ANS >>> Urinary changes (output less than 400ml/day)
Lasts 10-14 days
, Neck veins distended, bounding pulse, enema, hypertension
Increased potassium (causing heart issues!)
Diuretic Phase ANS >>> Daily urine output 1-3 litters may reach 5L or more
Monitor for hyponatremia, hypokalaemia, and dehydration as well as hypotension
This phase may last 1-3 weeks
Why would calcium gluconate be given to a patient with AKI? ANS >>> Due to
hyperkalaemia, calcium gluconate raises the threshold at which dysrhythmias
occur therefor protecting the heart
Nursing interventions for almost all kidney patients ANS >>> Fluid restriction
Daily weights
If there is abdominal pain during haemodialysis what should the nurse do? ANS
>>> Decrease the flow rate
What is given to excrete potassium? ANS >>> Kayexalate
What is an important thing to remember for the process of peritoneal dialysis?
ANS >>> It must be completely STERILE
What is a major complication from peritoneal dialysis? ANS >>> Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should
the nurse do? ANS >>> Slow down the infusion rate
ANSWERS GRADED A+ LATEST UPDATE.
Normal creatinine levels? ANS >>> Male: 0.6-1.2
Female: 0.5-1.1
Normal GFR? ANS >>> 90-120ml/min
At which GFR level does dialysis begin? ANS >>> 15
S/S of acute glomerulonephritis? ANS >>> Headache, increased BP, facial enema,
malaise, low grade fever, weight fain, proteinuria, haematuria, and oliguria
S/S of chronic glomerulonephritis? ANS >>> Proteinuria and haematuria
Lab findings for glomerulonephritis? ANS >>> Increased BUN, CR
Decreased albumin in
Common s\e of haemodialysis? ANS >>> Hypotension due to all of the blood and
fluids leaving the body
,Nephrotic syndrome s\s ANS >>> SEVERE proteinuria
MASSIVE enema
Hypertension, foamy urine, anasarca, ascites
Why might medication doses be decreased for a patient with kidney issues? ANS
>>> Due to medications not being excreted through kidneys
Prerenal causes ANS >>> Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular
obstructions, severe vasoconstriction
Intrarenal causes ANS >>> Due to damage to the guerilla, interstitial tissue or
tubules (parenchymal damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric
complications, and malignant hypertension
Post renal causes ANS >>> Obstruction to the urine collecting system
BPH
Phases of AKI ANS >>> Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase ANS >>> Urinary changes (output less than 400ml/day)
Lasts 10-14 days
, Neck veins distended, bounding pulse, enema, hypertension
Increased potassium (causing heart issues!)
Diuretic Phase ANS >>> Daily urine output 1-3 litters may reach 5L or more
Monitor for hyponatremia, hypokalaemia, and dehydration as well as hypotension
This phase may last 1-3 weeks
Why would calcium gluconate be given to a patient with AKI? ANS >>> Due to
hyperkalaemia, calcium gluconate raises the threshold at which dysrhythmias
occur therefor protecting the heart
Nursing interventions for almost all kidney patients ANS >>> Fluid restriction
Daily weights
If there is abdominal pain during haemodialysis what should the nurse do? ANS
>>> Decrease the flow rate
What is given to excrete potassium? ANS >>> Kayexalate
What is an important thing to remember for the process of peritoneal dialysis?
ANS >>> It must be completely STERILE
What is a major complication from peritoneal dialysis? ANS >>> Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should
the nurse do? ANS >>> Slow down the infusion rate
