Galen Advanced Medsurg Nur265
EXAM 1 with Correct Answers
Graded A+
1. example of pre renal AKI - ANSWER dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
2. PVC (EKG appearance) - ANSWER wide and bizarre "DIP"
if run of this .....can be vtach let Dr. Know asap
3. Pulmonary Edema - ANSWER Medical emergency
dx xray = infiltration
LV fails to eject blood meaning pressure in lungs
"White lungs"
4. S/S of pulmonary edema - ANSWER crackles @ base, SOB,
Dyspnea @rest
skin cold clammy
reduced urine output, lethargy
confusion, disoriented
Severe S/S productive frothy bood tinge sputum
5. Nursing interventions for Pulmonary edema - ANSWER high Fowler
,give 02 ( simple mask or non-rebreather)
remove fluid ( diuretics, thoracentesis,)
fluid restriction
6. Valvular heart disease education to patient - ANSWER Notify HCP and
dentist of heart valve
antibiotic prophylaxis before and after procedures (oral /resp )
clean all wound w/ antibiotic ointment
7. Tell HCP right away if these symptoms of valvular heart disease occur -
ANSWER fever
petichae
SOB
8. Example of intra renal AKI - ANSWER myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
9. Example of post renal AKI - ANSWER bladder neck obstruction, bladder
cancer; calculi; tumor
10.Duiretic phase (3rd phase) of AKI - 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
,11.Best Lab indicator of Kindey function (AKI and CKD) - ANSWER creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
12.Normal urine output per hour - ANSWER 30 mL/hr
13.normal potassium levels - ANSWER 3.5-5.0 mEq/L
14.Normal Sodium levels - ANSWER 135-145 mEq/L
15.Diet for AKI patients - ANSWER mod protein
high carb
16.Complication of AKI - ANSWER Preicarditis
17.Nephrotoxic agents include - ANSWER contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
18.Diet : AKI patient w/ dialysis - ANSWER protein 40 g/day
19.diet:AKI patient without dialysis - ANSWER protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
, 20.Define oliguria - ANSWER decreased urine production
400mL/day or less
21.How many stages of Kidney failure are there? - ANSWER 5 stages (
defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
22.signs of Chronic Kidney Disease - ANSWER oliguria, anemia, azotomia,
hyperkalemia
23.Diet for Chronic kidney disease - ANSWER restrict K, restrict NA, low
protein
best food apples
24.treatment for chronic kidney disease - ANSWER hemodialysis and
peritoneal dialysis
25.complication during hemodialysis - ANSWER Disequilibruim syndrome
S/S of disequilibium syndrome
26.medical emergency tell hcp - ANSWER headache
restless
confused
N/V
seizure
fatigue
EXAM 1 with Correct Answers
Graded A+
1. example of pre renal AKI - ANSWER dehydration, blood loss, decreased
cardiac output, heart failure; infection; NG suction, sepsis, V/D
2. PVC (EKG appearance) - ANSWER wide and bizarre "DIP"
if run of this .....can be vtach let Dr. Know asap
3. Pulmonary Edema - ANSWER Medical emergency
dx xray = infiltration
LV fails to eject blood meaning pressure in lungs
"White lungs"
4. S/S of pulmonary edema - ANSWER crackles @ base, SOB,
Dyspnea @rest
skin cold clammy
reduced urine output, lethargy
confusion, disoriented
Severe S/S productive frothy bood tinge sputum
5. Nursing interventions for Pulmonary edema - ANSWER high Fowler
,give 02 ( simple mask or non-rebreather)
remove fluid ( diuretics, thoracentesis,)
fluid restriction
6. Valvular heart disease education to patient - ANSWER Notify HCP and
dentist of heart valve
antibiotic prophylaxis before and after procedures (oral /resp )
clean all wound w/ antibiotic ointment
7. Tell HCP right away if these symptoms of valvular heart disease occur -
ANSWER fever
petichae
SOB
8. Example of intra renal AKI - ANSWER myoglobinuria,BPH, tubular
necrosis, nephrotoxocity; acute polynephtiits, contrast
9. Example of post renal AKI - ANSWER bladder neck obstruction, bladder
cancer; calculi; tumor
10.Duiretic phase (3rd phase) of AKI - 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
,11.Best Lab indicator of Kindey function (AKI and CKD) - ANSWER creatine
(Normal 0.6-1.2)
AKI increased 1-2 every 24-48hrs
12.Normal urine output per hour - ANSWER 30 mL/hr
13.normal potassium levels - ANSWER 3.5-5.0 mEq/L
14.Normal Sodium levels - ANSWER 135-145 mEq/L
15.Diet for AKI patients - ANSWER mod protein
high carb
16.Complication of AKI - ANSWER Preicarditis
17.Nephrotoxic agents include - ANSWER contrast
mycin antibitics (peak and trough)
NSAIDS (celecoxib, ibuprophen, ketorolac, napraxon)
18.Diet : AKI patient w/ dialysis - ANSWER protein 40 g/day
19.diet:AKI patient without dialysis - ANSWER protein 1-1.5g/kg
Na 60-90 mEq/kg
K restriction 60-70 mEq/kg
, 20.Define oliguria - ANSWER decreased urine production
400mL/day or less
21.How many stages of Kidney failure are there? - ANSWER 5 stages (
defined by GFR)
stage 1 (GFR 90 and up)
Stage 5 (GFR 15 or less)
22.signs of Chronic Kidney Disease - ANSWER oliguria, anemia, azotomia,
hyperkalemia
23.Diet for Chronic kidney disease - ANSWER restrict K, restrict NA, low
protein
best food apples
24.treatment for chronic kidney disease - ANSWER hemodialysis and
peritoneal dialysis
25.complication during hemodialysis - ANSWER Disequilibruim syndrome
S/S of disequilibium syndrome
26.medical emergency tell hcp - ANSWER headache
restless
confused
N/V
seizure
fatigue
