Galen Advanced Medsurg Nur265 EXAM 1
Questions with 100% Correct Answers
AKI S/S Correct Answer: oliguria;decreased urine output;
azotomia;
fluid overload signs- crackles, edema, confusion, low
spO2 (88), tachycardia; Map below 65
AKI in xray dx Correct Answer: infiltration (fluid in lungs)
AKI ABG results may read Correct Answer: respiratory
alkalosis (spao2 below 88%)
example of pre renal AKI Correct Answer: dehydration,
blood loss, decreased cardiac output, heart failure;
infection; NG suction, sepsis, V/D
Example of intra renal AKI Correct Answer:
myoglobinuria,BPH, tubular necrosis, nephrotoxocity;
acute polynephtiits, contrast
Example of post renal AKI Correct Answer: bladder neck
obstruction, bladder cancer; calculi; tumor
,Duiretic phase (3rd phase) of AKI Correct Answer: Nurse
should give 3L-6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD)
Correct Answer: creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour Correct Answer: 30 mL/hr
normal potassium levels Correct Answer: 3.5-5.0 mEq/L
Normal Sodium levels Correct Answer: 135-145 mEq/L
Diet for AKI patients Correct Answer: mod protein
high carb
Complication of AKI Correct Answer: Preicarditis
, Nephrotoxic agents include Correct Answer: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis Correct Answer: protein 40
g/day
diet:AKI patient without dialysis Correct Answer: protein
1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria Correct Answer: decreased urine
production
400mL/day or less
How many stages of Kidney failure are there? Correct
Answer: 5 stages ( defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
Questions with 100% Correct Answers
AKI S/S Correct Answer: oliguria;decreased urine output;
azotomia;
fluid overload signs- crackles, edema, confusion, low
spO2 (88), tachycardia; Map below 65
AKI in xray dx Correct Answer: infiltration (fluid in lungs)
AKI ABG results may read Correct Answer: respiratory
alkalosis (spao2 below 88%)
example of pre renal AKI Correct Answer: dehydration,
blood loss, decreased cardiac output, heart failure;
infection; NG suction, sepsis, V/D
Example of intra renal AKI Correct Answer:
myoglobinuria,BPH, tubular necrosis, nephrotoxocity;
acute polynephtiits, contrast
Example of post renal AKI Correct Answer: bladder neck
obstruction, bladder cancer; calculi; tumor
,Duiretic phase (3rd phase) of AKI Correct Answer: Nurse
should give 3L-6L per day; place Foley
Asses I and O (output=1000-2000mL/day)
replace fluids and monitor electrolyes
dialysis may be required
Best Lab indicator of Kindey function (AKI and CKD)
Correct Answer: creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
Normal urine output per hour Correct Answer: 30 mL/hr
normal potassium levels Correct Answer: 3.5-5.0 mEq/L
Normal Sodium levels Correct Answer: 135-145 mEq/L
Diet for AKI patients Correct Answer: mod protein
high carb
Complication of AKI Correct Answer: Preicarditis
, Nephrotoxic agents include Correct Answer: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
Diet : AKI patient w/ dialysis Correct Answer: protein 40
g/day
diet:AKI patient without dialysis Correct Answer: protein
1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
Define oliguria Correct Answer: decreased urine
production
400mL/day or less
How many stages of Kidney failure are there? Correct
Answer: 5 stages ( defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
