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1. What is renal failure? - ANSWER ✔ A condition that decreases the
kidney's ability to function normally.
2. What are the two types of renal failure? - ANSWER ✔ Acute and Chronic.
3. What are the causes of Acute Kidney Injury (AKI)? - ANSWER ✔
Prerenal (decreased blood flow), Intrarenal (nephrotoxic medications,
infections), and Postrenal (obstructions).
4. What is the goal of medical management for AKI? - ANSWER ✔ To
prevent further damage to the kidney.
5. What supportive measures are included in AKI management? - ANSWER
✔ Fluid restrictions, diet restrictions, restore electrolyte balance, and
possible dialysis.
6. What laboratory results indicate a decrease in renal function? - ANSWER
✔ Elevated serum creatinine level and elevated blood urea nitrogen (BUN)
level.
7. What is Chronic Kidney Disease (CKD)? - ANSWER ✔ Progressive
destruction of the nephrons of both kidneys, developing slowly and
described in stages (1-5).
,8. What are common causes of Chronic Kidney Disease? - ANSWER ✔
Hypertension, diabetes mellitus, chronic renal infections, and all causes of
AKI.
9. What is the primary treatment for renal failure? - ANSWER ✔ Dialysis.
10.What are the goals of dialysis? - ANSWER ✔ Remove end products of
protein metabolism, maintain safe serum electrolyte concentrations, correct
acidosis, and remove excess fluids.
11.What is hemodialysis? - ANSWER ✔ A treatment for patients with acute
or irreversible renal failure that requires access to the circulatory system to
route blood through a dialyzer.
12.What are the advantages of hemodialysis? - ANSWER ✔ Useful in
emergent situations and allows rapid removal of waste, electrolytes, and
fluid.
13.What are the disadvantages of hemodialysis? - ANSWER ✔ Requires
vascular access, uses anticoagulants, and has potential for complications like
hemorrhage and anemia.
14.What is hemophilia? - ANSWER ✔ A genetic disease where a person lacks
blood clotting factors, commonly factor VIII (Hemophilia A) or factor IX
(Hemophilia B), and is usually carried on the X chromosome.
15.What are the diagnostic tests for hemophilia? - ANSWER ✔ Testing for
factor VIII or IX deficiency, CBC (showing normal platelets), and PT/INR
PTT.
16.What is peripheral artery disease (PAD)? - ANSWER ✔ A condition
affecting 12% to 20% of Americans over 60, characterized by pathological
changes in the arteries due to atherosclerotic plaque.
17.What are the clinical manifestations of PAD? - ANSWER ✔ Intermittent
claudication, numbness or tingling in the toes, cool/cold affected extremities,
muscle atrophy, and lack of hair growth in the extremity.
,18.What are the risk factors for chronic venous insufficiency? - ANSWER ✔
History of deep vein thrombosis, pregnancy, prolonged sitting or standing,
and obesity.
19.What are the symptoms of chronic venous insufficiency? - ANSWER ✔
Edema around the lower legs, pain and cramping, brownish skin
discoloration, and stasis ulcers.
20.What is venous thrombosis? - ANSWER ✔ Thrombus formation in the
presence of phlebitis, which can be superficial (SVT) or deep (DVT).
21.What is a pulmonary embolus? - ANSWER ✔ A complication of venous
thrombosis that can also be caused by fat, air, tumors, bone marrow,
amniotic fluid, or bacteria.
22.What are classic symptoms of a pulmonary embolus? - ANSWER ✔
Dyspnea, chest pain, hemoptysis, orthopnea, and cough.
23.What is the goal of treatment for venous thrombosis? - ANSWER ✔ To
prevent thrombus extension and pulmonary emboli, typically using
anticoagulant therapy.
24.What does decreased LOC indicate in relation to the brain? - ANSWER ✔
It suggests impaired perfusion to the brain.
25.The nurse is assisting in implementing care plan for a patient with dementia.
Which interventions would you expect to see? (SATA) - ANSWER ✔
Keep a large clock and calendar in view, reduce distractions during meal
times, reduce exposure to over-stimulating situations, and monitor weight
regularly for changes.
26.Nurse is caring for a patient with type 1 diabetes. Which indicates need for
further assessment? - ANSWER ✔ "My dad and his dad had pancreatic
cancer"
27.Which of the following indicates that teaching on meningitis is understood?
(SATA) - ANSWER ✔ It is important that we vaccinate our son at the
proper times, meningitis is contagious if exposed to the bodily fluids from
, another infected child, and if our child contracts bacterial meningitis, he will
need antibiotic treatment immediately.
28.The nurse is caring for a patient with alzheimer's who is stumbling in the
hall frequently. The nurse will do which of the following to protect the
client? (SATA) - ANSWER ✔ Offer social or physical activity to promote
safety, encourage staff or family supervision for safety, and maintain a cal
environment for the patient.
29.The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching
should the LPN provide? (SATA) - ANSWER ✔ Effects of illness and
stress on the glucose level, S&S of hypoglycemia, and effects of exercise on
the glucose level
30.The nurse is caring for a patient with type II diabetes. What statement
requires further teaching by the nurse? (SATA) - ANSWER ✔ "I am
having difficulty with my wife in bed", "My wife and I love to walk barefoot
in the sand", and "My heart Dr. put me on a new pill".
31.Your patient is experiencing a new onset myoclonic (muscle-jerking)
seizures. The nurse knows which one of the following statements are true
about the seizure characteristics? - ANSWER ✔ Sudden excessive jerking
of the body or extremities.
32.Nurse is caring for a patient with diabetes who is concerned about
developing long-term complications. Which interventions would the nurse
assist the patient with for this? (SATA) - ANSWER ✔ Daily foot exams,
annual renal function tests, and maintain LDL under 150mg/dL
33.The nurse is caring for a patient with type II Diabetes. Which statement
would indicate a need for further assessment by the nurse? (SATA) -
ANSWER ✔ I mix my glargine insulin with my Humalog, I am on
prednisone for poison ivy, and I have dry skin on my heel that keeps
cracking.
34.Patient in ER with symptoms of a stroke. The nurse knows prompt
medication attention is needed within 3 hours to reduce permanent disability
or death. Which interventions would nurse anticipate for patient? (SATA) -
ANSWER ✔ Administering tissue plasminogen activator (TPA), CT scan