Galen Advanced Medsurg Nur265 Exam 1 Questions and
Answers
1. AKI S/S: oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below
65
2. AKI in xray dx: infiltration (fluid in lungs)
3. AKI ABG results may read: respiratory alkalosis (spao2 below 88%)
4. example of pre renal AKI: dehydration, blood loss, decreased cardiac output, heart
failure; infection; NG suction, sepsis, V/D
5. Example of intra renal AKI: myoglobinuria,BPH, tubular necrosis, nephrotoxocity;
acute polynephtiits, contrast
6. Example of post renal AKI: bladder neck obstruction, bladder cancer; calculi; tumor
7. Duiretic phase (3rd phase) of AKI: 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
8. Best Lab indicator of Kindey function (AKI and CKD): creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
9. Normal urine output per hour: 30 mL/hr
10. normal potassium levels: 3.5-5.0 mEq/L
11. Normal Sodium levels: 135-145 mEq/L
12. Diet for AKI patients: mod protein high carb
13. Complication of AKI: Preicarditis
14. Nephrotoxic agents include: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
15. Diet : AKI patient w/ dialysis: protein 40 g/day
16. diet: AKI patient without dialysis: protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
17. Define oliguria: decreased urine production
400mL/day or less
1/9
, 18 How many stages of Kidney failure are there?: 5 stages ( defined by GFR)
stage 1 (GFR 90 and up) Stage 5 (GFR 15 or less)
19. signs of Chronic Kidney Disease: oliguria, anemia, azotomia,
hyperkalemia
20. Diet for Chronic kidney disease: restrict K, restrict NA, low protein
best food apples
21. treatment for chronic kidney disease: hemodialysis and peritoneal
dialysis
22. complication during hemodialysis: Disequilibruim syndrome
23. S/S of disequilibium syndrome
medical emergency tell hcp: headache
restless confused N/V
seizure
fatigue
24. complication of peritoneal dialysis: peritonitis (board like abdomen)
25. hemodialysis contraindicated for: severe cardiac disease, vascular disease, bleeding
disorders 26. peritoneal dialysis contraindicated for: fibrosis, active inflammatory GI
disease, diverticulitis, ascites, central obesity, peritoneal adhesions, recent abd
surgery
27. Arteriovenous Fistula care: Do not sleep on arm feel thrill & hear bruit every 4 hours
NO bp on av access arm no venipuncture on av access arm assess distal pulses
28. patient undergoing hemodialysis: weight before and after
assess meds (meds to be
held) VS = HR,
BP,RR,temp
assess site, skin, LOC, electrolytes
29. Caring for peritoneal dialysis patient: patient and nurse must be
masked sterile gloves remove old dressing remove contaminated
gloves
use Aseptic technique (sterile field 2 4x4 gauze, 3 cotton
swab w/ iodine sterile gloves
2/9
Answers
1. AKI S/S: oliguria;decreased urine output; azotomia;
fluid overload signs- crackles, edema, confusion, low spO2 (88), tachycardia; Map below
65
2. AKI in xray dx: infiltration (fluid in lungs)
3. AKI ABG results may read: respiratory alkalosis (spao2 below 88%)
4. example of pre renal AKI: dehydration, blood loss, decreased cardiac output, heart
failure; infection; NG suction, sepsis, V/D
5. Example of intra renal AKI: myoglobinuria,BPH, tubular necrosis, nephrotoxocity;
acute polynephtiits, contrast
6. Example of post renal AKI: bladder neck obstruction, bladder cancer; calculi; tumor
7. Duiretic phase (3rd phase) of AKI: 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
8. Best Lab indicator of Kindey function (AKI and CKD): creatine (Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
9. Normal urine output per hour: 30 mL/hr
10. normal potassium levels: 3.5-5.0 mEq/L
11. Normal Sodium levels: 135-145 mEq/L
12. Diet for AKI patients: mod protein high carb
13. Complication of AKI: Preicarditis
14. Nephrotoxic agents include: contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
15. Diet : AKI patient w/ dialysis: protein 40 g/day
16. diet: AKI patient without dialysis: protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
17. Define oliguria: decreased urine production
400mL/day or less
1/9
, 18 How many stages of Kidney failure are there?: 5 stages ( defined by GFR)
stage 1 (GFR 90 and up) Stage 5 (GFR 15 or less)
19. signs of Chronic Kidney Disease: oliguria, anemia, azotomia,
hyperkalemia
20. Diet for Chronic kidney disease: restrict K, restrict NA, low protein
best food apples
21. treatment for chronic kidney disease: hemodialysis and peritoneal
dialysis
22. complication during hemodialysis: Disequilibruim syndrome
23. S/S of disequilibium syndrome
medical emergency tell hcp: headache
restless confused N/V
seizure
fatigue
24. complication of peritoneal dialysis: peritonitis (board like abdomen)
25. hemodialysis contraindicated for: severe cardiac disease, vascular disease, bleeding
disorders 26. peritoneal dialysis contraindicated for: fibrosis, active inflammatory GI
disease, diverticulitis, ascites, central obesity, peritoneal adhesions, recent abd
surgery
27. Arteriovenous Fistula care: Do not sleep on arm feel thrill & hear bruit every 4 hours
NO bp on av access arm no venipuncture on av access arm assess distal pulses
28. patient undergoing hemodialysis: weight before and after
assess meds (meds to be
held) VS = HR,
BP,RR,temp
assess site, skin, LOC, electrolytes
29. Caring for peritoneal dialysis patient: patient and nurse must be
masked sterile gloves remove old dressing remove contaminated
gloves
use Aseptic technique (sterile field 2 4x4 gauze, 3 cotton
swab w/ iodine sterile gloves
2/9
