Nur 257 4 Exam Updated Actual Questions And Correct Answers

NUR 257 4 EXAM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
Acute Kidney Injury (AKI)
Answer:
rapid loss of renal function due to damage to the kidneys; formerly called acute renal
failure treat the underlying cause (ex if its strep treat that infection)

Question:
fluid volume excess and fluid volume overload associated with AKI
Answer:
daily weights 2 lbs a day 3-5 lbs a week

Question:
Erythropoietin/ Epoetin Alfa
Answer:
renal pt if kidneys are failing you can not make the hormone erythropoietin. In order to
make red blood cells in bone marrow hormone needs to be supplemented with epoetin
alfa

Question:
Erythropoietin in Renal Patients
Answer:
monitor hemoglobin and hematocrit levels to avoid complications from increased
blood volume. 11 and above notify provider (normal hemoglobin is 12-16)

Question:
too many red blood cells
Answer:
increases blood volume which causes increased BP increased risk for clots

Question:
chronic kidney pt
Answer:
are going to be chronically anemic Before giving RBC monitor -Hgb -Hct -BP

Question:
What is peritoneal dialysis (PD)?
Answer:
A medical procedure that uses the peritoneum in the abdomen as a membrane across
which fluids and dissolved substances are exchanged.

,Question:
What is dialysate?
Answer:
A sterile solution used in peritoneal dialysis to remove waste products from the blood.

Question:
What should be done before hanging dialysate solution?
Answer:
Weigh the patient and check the order.

Question:
Why should the dialysate solution be warmed before hanging?
Answer:
To prevent shock to the patient.

Question:
Where should the dialysate solution be hung during peritoneal dialysis?
Answer:
Below the abdomen.

Question:
What is dwell time in peritoneal dialysis?
Answer:
The period during which the dialysate solution remains in the peritoneal cavity to allow
for osmosis and diffusion of impurities.

Question:
What should be done after the dwell time in peritoneal dialysis?
Answer:
Open the clamp and drain the solution to remove impurities.

Question:
What should be done if drainage is not effective during peritoneal dialysis?
Answer:
Turn the patient or adjust their position from low Fowler's to high Fowler's.

Question:
What is the goal of peritoneal dialysis regarding the dialysate solution?
Answer:
To ensure that whatever is put in is effectively drained out.

Question:
What might a patient experience during the first couple of infusions of peritoneal
dialysis?
Answer:
They may experience some pain.

, Question:
recognize s/s of peritonitis during PD
Answer:
abdominal pain N/V tenderness board like abdomen fever purulent effluent STERILE
ALWAYS WASH HANDS!!!

Question:
Collecting a Urine Sample from an Indwelling Catheter
Answer:
clean the sampling port with an antiseptic, attach a syringe, aspirate fresh urine,
transfer the sample to a sterile container, and then unclamp the catheter tubing

Question:
Dialysis disequilibrium
Answer:
occurs due to rapid fluid and electrolyte shifts during dialysis, leading to intracerebral
edema. Symptoms include restlessness, confusion, and seizures. Tx is mannitol, a
diuretic, to reduce intracerebral pressure and manage fluid shifts.

Question:
Chronic Kidney Disease
Answer:
metabolic acidosis

Question:
metabolic acidosis
Answer:
low pH, low HCO3