NURS424, chapter 27, Alterations in kidney function
Questions With Complete Solutions
A client has been started on intermittent hemodialysis (IHD) to
treat acute kidney failure. The nurse will closely monitor the
client for which complications associated with IHD? Correct
Answers increased CO, Acute MI
A client w/ end-stage renal disease (ESRD) has been admitted
for tx of a different dx. The nurse would expect which
intervention due to the presence of ESRD? Correct Answers
sodium-restricted diet
A client with acute kidney injury is at higher risk for which
pulmonary disorder? Correct Answers pneumonia
A mean arterial pressure (MAP) below 65 mmHg may result in
which condition? Correct Answers Inadequate renal perfusion
pressure
Acute kidney injury that develops from hypovolemic shock
would be classified as which type of injury? Correct Answers
prerenal
Albumin (serum) Correct Answers 3.5-5 g/dL; decreased in
kidney injury
BUN (blood urea nitrogen) (serum) Correct Answers 5-25
mg/dL; increases in kidney injury
, Calcium (Ca) (serum) Correct Answers 4.5-5.5 mEq/dL;
decreases in kidney injury
Chloride (Cl) (serum) Correct Answers 95-105 mEq/L;
increased in kidney injury
Clients with long-term kidney dysfunction may develop which
condition? Correct Answers hyperparathyroidism
Continuous renal replacement therapy has which major
advantage over intermittent hemodialysis? Correct Answers
Increased hemodynamic stability
creatinine (serum) Correct Answers 0.5-1.5 mg/dL; increases in
kidney injury
creatinine clearance (urine) Correct Answers 85-135 mL/min;
decreased in kidney injury
women and older adults have slightly lower values
Dietary protein intake is monitored in cients iwth renal
dysfunction for which reason? Correct Answers Dietary protein
intake increases nitrogenous waste products.
glucose (urine) Correct Answers absent; positive in kidney
injury
How does the nurse manage catabolic processes in the pt with
AKI? Correct Answers -Hypercatabolic state requires adequate
protein intake (1.4-1.8g/kg/day) with max 2.5g/kg/day
Questions With Complete Solutions
A client has been started on intermittent hemodialysis (IHD) to
treat acute kidney failure. The nurse will closely monitor the
client for which complications associated with IHD? Correct
Answers increased CO, Acute MI
A client w/ end-stage renal disease (ESRD) has been admitted
for tx of a different dx. The nurse would expect which
intervention due to the presence of ESRD? Correct Answers
sodium-restricted diet
A client with acute kidney injury is at higher risk for which
pulmonary disorder? Correct Answers pneumonia
A mean arterial pressure (MAP) below 65 mmHg may result in
which condition? Correct Answers Inadequate renal perfusion
pressure
Acute kidney injury that develops from hypovolemic shock
would be classified as which type of injury? Correct Answers
prerenal
Albumin (serum) Correct Answers 3.5-5 g/dL; decreased in
kidney injury
BUN (blood urea nitrogen) (serum) Correct Answers 5-25
mg/dL; increases in kidney injury
, Calcium (Ca) (serum) Correct Answers 4.5-5.5 mEq/dL;
decreases in kidney injury
Chloride (Cl) (serum) Correct Answers 95-105 mEq/L;
increased in kidney injury
Clients with long-term kidney dysfunction may develop which
condition? Correct Answers hyperparathyroidism
Continuous renal replacement therapy has which major
advantage over intermittent hemodialysis? Correct Answers
Increased hemodynamic stability
creatinine (serum) Correct Answers 0.5-1.5 mg/dL; increases in
kidney injury
creatinine clearance (urine) Correct Answers 85-135 mL/min;
decreased in kidney injury
women and older adults have slightly lower values
Dietary protein intake is monitored in cients iwth renal
dysfunction for which reason? Correct Answers Dietary protein
intake increases nitrogenous waste products.
glucose (urine) Correct Answers absent; positive in kidney
injury
How does the nurse manage catabolic processes in the pt with
AKI? Correct Answers -Hypercatabolic state requires adequate
protein intake (1.4-1.8g/kg/day) with max 2.5g/kg/day
