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NUR 265 Exam 1 (Answered) Complete Solution

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NUR 265 Exam 1 (Answered) Complete Solution Acute Kidney Injury ● Risks: REDUCED PERFUSION (reduced blood flow to the kidneys) ○ blood/fluid loss ○ Blood pressure drugs resulting in hypotension ○ Heart attack/heart failure (low ejection fraction and low cardiac output) ○ Infection (sepsis/septic shock) ○ Liver failure ○ Use of aspirin, NSAIDs (advil, motrin, naproxen) ○ Severe allergic reactions (anaphylaxis) ○ Severe burns ○ Severe dehydration ○ Renal artery stenosis ○ bleeding/clotting in the kidney blood vessels (coagulopathy) ○ atherosclerosis/cholesterol deposits (block blood flow to the kidney) ■ Get history ^ (surgery, transfusions, meds), recent contrast dye (damaging to kidneys), coexisting conditions (hypertension, diabetes, pre-existing lower GFR), acute illnesses ● Signs and Symptoms: oliguria, anuria, increased creatinine and BUN, urine concentrated (specific gravity greater than 1.030), azotemia (retention of nitrogenous wastes) ● Diagnostics: ultrasound of kidneys (obstruction of stones, patency of ureters), CT scan WITHOUT contrast, KUB X-ray, nuclear medicine -MAG3 (measures GFR), cystoscopy or retrograde pyelography (obstruction of lower tract), biopsy (prepare patient for hypotension/hypertension) ● Labs: BUN and creatinine (increased), serum electrolytes (especially K+→ ECG=bradycardia, peak T wave, wide QRS, ST elevation), serum osmolarity (low), urine specific gravity (high), GFR (not accurate during acute) ○ IF ONLY BUN ELEVATED=DEHYDRATION →creatinine=#1 lab for kidney function ● Meds: ○ Diuretics- increase UOP, get rid of retained fluid and electrolytes (used in the beginning, does not preserve kidney function or stop AKI) ○ Fluid challenge: 500-1000 mL of N.S. bolus (to see how the kidneys are functioning) MONITOR FOR FLUID OVERLOAD (ESPECIALLY RESPIRATORY DISTRESS) ● Nursing interventions: ○ PRIORITY= PREVENTING AKI (promoting daily hydration) ■ Evaluate fluid status ■ Strict I&O ■ Body weight ■ Characteristics of urine ■ REPORT IF UOP 0.5 mL/kg/hour (especially if persisting over 2 hours) ○ Monitor MAP (maintain 80 mmHG in high-risk or critically ill) ○ Reduce risk factors (nephrotoxic agents, contrast media) ○ Diuretic and fluid challenge, hemodynamic monitoring (if fluid volume overload do not use) ● Diet: catabolism=protein breakdown=breakdown of muscle protein and increased azotemia ○ NO dialysis: 0.6 g/kg of body weight or 40 g/day of protein ○ Dialysis: 1-1.5 g/kg of protein

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NFPT exam study guide (Answered)
Verified Solution
The five components of physical health
Cardiorespiratory conditioning, muscular endurance, muscular strength, flexibility, body
composition
SPICES
Social health, physical health, intellectual Health, cognitive health, emotional health,
spiritual health
Cardiorespiratory conditioning
Endurance
Muscular endurance
The amount of strength that can be repeated several times
Muscular strength
The amount of strength in one repetition
Flexibility
The range of motion in given joints
Body composition
The amount of body fat relative to the total weight or as compared to the lean mass
What are three additional factors that are specific to the fitness regimens of
athletes and sports teams?
Agility, speed and Mobility
Intellectual health
The capacity to assimilate and integrate new information into one's thinking and thought
processes
Cognitive health
Often grouped with mental health as it has mostly to do with how we process
information in the brain. It includes the way we see, or conceptualized, the world around
it includes brain functioning in the areas of conceptual and perceptual skill, language
learning as well as many other brain development functions
Emotional health
Includes self-esteem, self-awareness, self-acceptance, self-image and our capacities to
deal with adversity and stress. This includes our ability to intimate, not just sexual, with
a significant other.
Spiritual health
This is focused on the connection of ourselves with a higher power, a sense of purpose,
self-actualization, and an inner Joy. It is often described as self-acceptance, repentance
for misdeeds, a willingness to give to and forgive others and a desire to seek peace with
the community and World overall
Why is it important to touch on all things spices related as a personal trainer?
Think about it and perhaps write a blog post
What are the three categories of motivating factors for positive behavior
Predisposing factors, enabling factors and reinforcing factors
Predisposing factors include
Knowledge, attitude, believe, values and perceptions

, Enabling factors
Skills, resources, physical and mental capabilities
Reinforcing factors
Praise from others comma rewards, encouragement and recognition
Which factors does the personal trainer typically fall into
Reinforcing factors. We can recognize how the other two factors promote or inhibit
positive behavior and we can work to reinforce positive behavior with forms of
encouragement
What are some things that can be added to life to invoke positive change?
Taking time for Meaningful reflection, reading a book, being creative, socializing with
friends and family, adding a physical component and healthy eating to daily living
What areas of exercise therapy would require a highly trained exercise
physiologist or physician to prescribe appropriate regimens
Cardiovascular disease, respiratory disease, joint injury, or obesity / metabolic disorders
which include diabetes and hypertension
What is the purpose of muscles
To produce Force, maintain posture, allow for movement and produces Heat
All muscle action originates and is controlled by what?
The brain which sends and receives signals through the nervous system
What gets pulled during a muscle contraction?
Tendons, the strong connective tissue that connects muscles to bones
What are the two points of muscle
Origin and insertion
Define muscle origin
The origin is considered the point at which the muscle joins the stationary bone at the
end closest to the center of the body
Define muscle insertion
Insertion is the point at which the muscle joints moving boat. When a muscle contracts
the insertion moves toward the origin
How many muscles are in the average adult body
656 muscles
Muscles are joined together to form muscle groups to execute bodily movement.
They can get shorter and pull but they cannot push. True or false?
True
In muscle groups, when one group pulls the other group pulls back and as one
team pulls the other team relaxes. True or false?
True
What are the three muscle types?
Skeletal, smooth and cardiac muscles
What are the two subtypes of muscles?
Involuntary and voluntary
How many muscles are voluntary and how many bones do they control?
430 of our muscles are voluntary controlling 206 bones
Which type of muscles are voluntary?
Skeletal muscles
Which type of muscles are involuntary?

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