Nursing 402 Exam 3 || A+ Guaranteed.
RAAS correct answers hormone system used to regulate blood pressure and fluid balance
Glomerulonephritis correct answers inflammation of the glomeruli of the kidney (usually affects
both kidneys and is the 3 leading cause of renal failure)
glomerulonephritis causes/risk factors correct answers Infections, immune diseases, scarring of
glomeruli
High BP can cause... correct answers Nephrosclerosis but GN can cause hypertension
Acute poststreptococcal glomerulonephritis correct answers Develops 2-3 weeks after infections
of tonsils, throat, or skin by group A beta hemolytic strep
Clinical manifestations of acute poststreptococcal glomerulonephritis correct answers
Generalized body edema, hypertension, oliguria, hematuria with a cola or rusty urine,
preoteinuria, decreased GFR, retention of sodium
Management of acute poststreptococcal glomerulonephritis correct answers Rest, low protein,
low sodium, fluid restrictions, administer diuretics, antihypertensive medication, antibiotics only
if strep infection is still present
Nursing management in hospital of acute poststreptococcal glomerulonephritis correct answers
high carb, low protein diet, accurate I&O, fluid restrictions, daily weight, diuresis (per MD
order) to decrease edema and blood pressure, discharge teaching on symptoms/complications and
fluid and diet restrictions, instruct on follow up labs
Rapidly progressive glomerulonephritis causes correct answers APSGN or SLE, penicillamine,
idiopathic
Treatment for rapidly progressive glomerulonephritis correct answers Correct fluid overload,
manage blood pressure, corticosteroids, cytotoxic drugs, plasmapheresis, dialysis or kidney
transplant
Chronic glomerulonephritis labs correct answers low GFR, high BUN/creatinine, high
potassium, acidosis, low albumin, low calcium, high phosphorus
Goodpasture syndrome correct answers rare autoimmune disease; antibodies attack both
glomeruli and alveoli basement basement membranes (damage to kidneys and lungs)
Good-pasture syndrome: clinical manifestations correct answers cough, mild SOB, crackles,
hemoptysis, hematuria, weakness, pallor, anemia
, Treatment for goodpasture syndrome correct answers Corticosteroids (suppress immune
response), plasmapheresis, immunosuppressants, transplant attempted after circulating antibody
titer decreases
Acute pyelonephritis correct answers Inflammation renal parenchyma, pelvis, and/or ureters
usually caused by infection
Potential complications of acute pyelonephritis correct answers Urosepsis, dehydration, chronic
pyelonephritis
Urosepsis correct answers UTI spread systemically, life-threatening
A nurse is caring for a client with an indwelling urinary catheter. What will the nurse do to
decrease risk for a urinary tract infection? correct answers A] Document perineal care each shift
B] Keep drainage bag below level of bladder
C] Clamp drain port after each use
D] Flush tube with sterile water if obstructed
Acute pyelonephritis: clinical manifestations correct answers lower urinary tract symptoms,
flank pain, elevated WBC, UA positive for RBCs, WBCs, casts, bacteria
Acute pyelonephritis: interprofessional care correct answers Hospitilization for severe infections,
blood and urine cultures, NSAIDs or antipyretic drugs, antiemetics, IV hydration
Acute pyelonephritis: nursing management correct answers preventive measures for UTI, early
recognition and treatment for lower UTIs, complete full antibiotics, follow up urine culture,
encourage fluids (at least 8 glasses of fluid a day)
Urinary tract calculi (nephrolithiasis) correct answers formation of kidney stone
•Often asymptomatic
•Renal colic
Urolithiasis correct answers •formation in urinary tract
•In ureter can cause excruciating, wavelike pain (ureteral colic)
Stone formation often caused by correct answers hypercalcemia
Complications of urinary tract calculi correct answers •Obstruction of urine flow in urinary tract
•Infection
Management of stones correct answers Treat pain, infection, obstruction and N/V
Flomax correct answers alpha-adrenergic block given to relax smooth muscles to allow stone to
pass
RAAS correct answers hormone system used to regulate blood pressure and fluid balance
Glomerulonephritis correct answers inflammation of the glomeruli of the kidney (usually affects
both kidneys and is the 3 leading cause of renal failure)
glomerulonephritis causes/risk factors correct answers Infections, immune diseases, scarring of
glomeruli
High BP can cause... correct answers Nephrosclerosis but GN can cause hypertension
Acute poststreptococcal glomerulonephritis correct answers Develops 2-3 weeks after infections
of tonsils, throat, or skin by group A beta hemolytic strep
Clinical manifestations of acute poststreptococcal glomerulonephritis correct answers
Generalized body edema, hypertension, oliguria, hematuria with a cola or rusty urine,
preoteinuria, decreased GFR, retention of sodium
Management of acute poststreptococcal glomerulonephritis correct answers Rest, low protein,
low sodium, fluid restrictions, administer diuretics, antihypertensive medication, antibiotics only
if strep infection is still present
Nursing management in hospital of acute poststreptococcal glomerulonephritis correct answers
high carb, low protein diet, accurate I&O, fluid restrictions, daily weight, diuresis (per MD
order) to decrease edema and blood pressure, discharge teaching on symptoms/complications and
fluid and diet restrictions, instruct on follow up labs
Rapidly progressive glomerulonephritis causes correct answers APSGN or SLE, penicillamine,
idiopathic
Treatment for rapidly progressive glomerulonephritis correct answers Correct fluid overload,
manage blood pressure, corticosteroids, cytotoxic drugs, plasmapheresis, dialysis or kidney
transplant
Chronic glomerulonephritis labs correct answers low GFR, high BUN/creatinine, high
potassium, acidosis, low albumin, low calcium, high phosphorus
Goodpasture syndrome correct answers rare autoimmune disease; antibodies attack both
glomeruli and alveoli basement basement membranes (damage to kidneys and lungs)
Good-pasture syndrome: clinical manifestations correct answers cough, mild SOB, crackles,
hemoptysis, hematuria, weakness, pallor, anemia
, Treatment for goodpasture syndrome correct answers Corticosteroids (suppress immune
response), plasmapheresis, immunosuppressants, transplant attempted after circulating antibody
titer decreases
Acute pyelonephritis correct answers Inflammation renal parenchyma, pelvis, and/or ureters
usually caused by infection
Potential complications of acute pyelonephritis correct answers Urosepsis, dehydration, chronic
pyelonephritis
Urosepsis correct answers UTI spread systemically, life-threatening
A nurse is caring for a client with an indwelling urinary catheter. What will the nurse do to
decrease risk for a urinary tract infection? correct answers A] Document perineal care each shift
B] Keep drainage bag below level of bladder
C] Clamp drain port after each use
D] Flush tube with sterile water if obstructed
Acute pyelonephritis: clinical manifestations correct answers lower urinary tract symptoms,
flank pain, elevated WBC, UA positive for RBCs, WBCs, casts, bacteria
Acute pyelonephritis: interprofessional care correct answers Hospitilization for severe infections,
blood and urine cultures, NSAIDs or antipyretic drugs, antiemetics, IV hydration
Acute pyelonephritis: nursing management correct answers preventive measures for UTI, early
recognition and treatment for lower UTIs, complete full antibiotics, follow up urine culture,
encourage fluids (at least 8 glasses of fluid a day)
Urinary tract calculi (nephrolithiasis) correct answers formation of kidney stone
•Often asymptomatic
•Renal colic
Urolithiasis correct answers •formation in urinary tract
•In ureter can cause excruciating, wavelike pain (ureteral colic)
Stone formation often caused by correct answers hypercalcemia
Complications of urinary tract calculi correct answers •Obstruction of urine flow in urinary tract
•Infection
Management of stones correct answers Treat pain, infection, obstruction and N/V
Flomax correct answers alpha-adrenergic block given to relax smooth muscles to allow stone to
pass
