NUR565 Exam 4 Guide With
Complete Solution
Acute renal failure most commonly manifests with the following: - ANSWER
Azotemia
A patient underwent excessive blood loss during surgery and developed
prolonged hypotension. His postoperative urine output is acutely decreased
and his blood urea nitrogen (BUN) is elevated. The most likely cause for the
change is acute: - ANSWER ischemic tubular necrosis.
A patient is beginning to recover from acute tubular necrosis. The recovery
phase of ATN is characterized by: - ANSWER diuresis.
Regardless of the cause, chronic renal disease results in progressive
irreversible loss of nephrons, glomerular filtration and renal: - ANSWER
endocrine functions.
As chronic renal disease advances, the second stage-renal insufficiency-is
identified by: - ANSWER isotonic polyuria
Both high-turnover and low-turnover renal osteodystrophy, the skeletal
complications of chronic kidney disease, are manifested by abnormal
_________and defective bone __________. ANSWER absorption; remodeling
Impaired skin integrity and skin manifestations are common in persons with
chronic kidney disease. Pale skin and subcutaneous bruising are often
present as a result of: ANSWER impaired platelet function.
Lab test results showing abnormal findings in the presence of excessive
, urine, meaning that ATN has taken the place of prerenal azotemia: - ANSWER
protein
Renal disease in childhood has various manifestations and differs from renal
failure occurring in adults. The features of chronic kidney disease in
childhood include: - ANSWER developmental delays
Decreased GFR with a serum creatinine that remains within a normal range, is
associated with aging because _______ is reduced in elderly persons. -
ANSWER muscle mass
An 86-year-old female patient was hospitalized to treat dehydration and
hyponatremia that she developed after she restricted her fluid intake in an
attempt to avoid urinary incontinence. The patient's most recent laboratory
test results reflect acute renal failure. Which of the following best describes
this patient's form of renal failure? - ANSWER Prerenal
A patient is admitted with significant burns of the lower parts of the body.
On the third day following the injury, he develops sepsis. The following is
most indicative of ischemic acute tubular necrosis versus prerenal failure. -
ANSWER Both patients have restoration of renal blood flow; one patient's
GFR does not increase.
Which of the following individuals likely faces the greatest risk for the
development of chronic kidney disease? - ANSWER A patient with a recent
diagnosis of type 2 diabetes who does not monitor his blood sugars or
control his diet
The primary care provider for a newly admitted hospital patient has added
the glomerular filtration rate (GFR) to the blood work scheduled for this
morning. The patients GFR will be extrapolated from serum levels of: -
Complete Solution
Acute renal failure most commonly manifests with the following: - ANSWER
Azotemia
A patient underwent excessive blood loss during surgery and developed
prolonged hypotension. His postoperative urine output is acutely decreased
and his blood urea nitrogen (BUN) is elevated. The most likely cause for the
change is acute: - ANSWER ischemic tubular necrosis.
A patient is beginning to recover from acute tubular necrosis. The recovery
phase of ATN is characterized by: - ANSWER diuresis.
Regardless of the cause, chronic renal disease results in progressive
irreversible loss of nephrons, glomerular filtration and renal: - ANSWER
endocrine functions.
As chronic renal disease advances, the second stage-renal insufficiency-is
identified by: - ANSWER isotonic polyuria
Both high-turnover and low-turnover renal osteodystrophy, the skeletal
complications of chronic kidney disease, are manifested by abnormal
_________and defective bone __________. ANSWER absorption; remodeling
Impaired skin integrity and skin manifestations are common in persons with
chronic kidney disease. Pale skin and subcutaneous bruising are often
present as a result of: ANSWER impaired platelet function.
Lab test results showing abnormal findings in the presence of excessive
, urine, meaning that ATN has taken the place of prerenal azotemia: - ANSWER
protein
Renal disease in childhood has various manifestations and differs from renal
failure occurring in adults. The features of chronic kidney disease in
childhood include: - ANSWER developmental delays
Decreased GFR with a serum creatinine that remains within a normal range, is
associated with aging because _______ is reduced in elderly persons. -
ANSWER muscle mass
An 86-year-old female patient was hospitalized to treat dehydration and
hyponatremia that she developed after she restricted her fluid intake in an
attempt to avoid urinary incontinence. The patient's most recent laboratory
test results reflect acute renal failure. Which of the following best describes
this patient's form of renal failure? - ANSWER Prerenal
A patient is admitted with significant burns of the lower parts of the body.
On the third day following the injury, he develops sepsis. The following is
most indicative of ischemic acute tubular necrosis versus prerenal failure. -
ANSWER Both patients have restoration of renal blood flow; one patient's
GFR does not increase.
Which of the following individuals likely faces the greatest risk for the
development of chronic kidney disease? - ANSWER A patient with a recent
diagnosis of type 2 diabetes who does not monitor his blood sugars or
control his diet
The primary care provider for a newly admitted hospital patient has added
the glomerular filtration rate (GFR) to the blood work scheduled for this
morning. The patients GFR will be extrapolated from serum levels of: -
