NURS 642 Exam 3 questions with correct answers
Symptoms of Interstitial Nephritis Correct Answer-Fever, Rash, WBC
casts
AKI Workup Correct Answer-Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US
AKI Managment Correct Answer-Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet
Meds to avoid for AKI Correct Answer-NSAIDs
Diuretics
ACE-I
ARBS
AKI Diagnosis Correct Answer-Rapid rise in increase serum creatinine
,Inability to maintain acid-base balance
Inability to maintain fluid balance
Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
AKI S&S Correct Answer-Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub
Pericardial Effusion
Cardiac Tamponade
Arrhythmias
Abdominal Pain/Ileus
Bleeding d/t platelet dysfunction
,Encephalopathy, altered sensorium, asterixis, seizure
oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)
Prerenal AKI DDx Correct Answer-Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
NSAIDs, ACEIs, ARBs
Postrenal AKI DDx Correct Answer-Obstruction (BPH, Bladder Tumor)
Intrinsic Renal Disease DDx Correct Answer-ATN: NSAIDS,
Antibiotics, Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis ,
hyperuricemia, cyclosporine
Acute Glomerulonephritis: Immune complex, SLE, Endocarditis,
AntiGBM, Good pasture syndrome
AKI Lab Findings Correct Answer-Elevated Serum BUN/CREAT
Hyperkalemia
, Hyperphosphatemia
hypocalcemia
increased anion gap
acidosis
FENa: <1% prerenal, >1% ATN
BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis
<20:1 ATN, AIN
AKI Imaging Correct Answer-Renal US: obst, anatominc abnormalities
check renal size and echo texture
AKI diagnostics Correct Answer-EKG: peaked Twaves, PR
prolongation, QRS widening in hyperkalemia, long QT eiht
hypocalcemia
AKI Treatment Correct Answer-Maintain euvolemia
Symptoms of Interstitial Nephritis Correct Answer-Fever, Rash, WBC
casts
AKI Workup Correct Answer-Urinalysis
Urine Microscopy Urine Protein
CMP
Renal US
AKI Managment Correct Answer-Daily Weights
Strict I&O
Volume Status
Electrolyte monitoring
Medication adjustment
Avoidance of nephrotoxic agents
Low-Potassium Diet
Meds to avoid for AKI Correct Answer-NSAIDs
Diuretics
ACE-I
ARBS
AKI Diagnosis Correct Answer-Rapid rise in increase serum creatinine
,Inability to maintain acid-base balance
Inability to maintain fluid balance
Inability to maintain electrolyte imbalance
Inability to excrete nitrogenous waste
AKI S&S Correct Answer-Nausea, Vomiting
Malaise
Hypertension
Pericardial Friction Rub
Pericardial Effusion
Cardiac Tamponade
Arrhythmias
Abdominal Pain/Ileus
Bleeding d/t platelet dysfunction
,Encephalopathy, altered sensorium, asterixis, seizure
oliguria defined as UOP <500mL/D or <20mL/hr (0.5mL/kg/hr)
Prerenal AKI DDx Correct Answer-Dehydration
Hemmorhage
Heart Failure
Renal Artery Stenosis
NSAIDs, ACEIs, ARBs
Postrenal AKI DDx Correct Answer-Obstruction (BPH, Bladder Tumor)
Intrinsic Renal Disease DDx Correct Answer-ATN: NSAIDS,
Antibiotics, Contrast, Rhabdo, Chemo, Multiple myeloma, hemolysis ,
hyperuricemia, cyclosporine
Acute Glomerulonephritis: Immune complex, SLE, Endocarditis,
AntiGBM, Good pasture syndrome
AKI Lab Findings Correct Answer-Elevated Serum BUN/CREAT
Hyperkalemia
, Hyperphosphatemia
hypocalcemia
increased anion gap
acidosis
FENa: <1% prerenal, >1% ATN
BUN:CREAT >20:1- prerenal, postrenal, acute glomerulonephritis
<20:1 ATN, AIN
AKI Imaging Correct Answer-Renal US: obst, anatominc abnormalities
check renal size and echo texture
AKI diagnostics Correct Answer-EKG: peaked Twaves, PR
prolongation, QRS widening in hyperkalemia, long QT eiht
hypocalcemia
AKI Treatment Correct Answer-Maintain euvolemia
