Exam 2 Complex Adult Health (A+ Guaranteed)
What is pulsus paradoxus? correct answers decrease in >10mmHG in systole during inspiration
Diuretics put a patient at risk for _________________ imbalance. correct answers electrolyte
What is Chovstek's sign? correct answers sign of hypocalcemia.
facial mm spasm when you tap in front of pt's ear.
What is Trousseau's sign? correct answers BP cuff inflated and causes a carpal spasm. sign of
hypocalcemia.
How is urine sodium affected by poor kidney perfusion? correct answers it decreases
What is creatinine clearance? correct answers the amount of blood cleared of creatinine in 1
minute, indicator of renal function
How is serum creatinine affected by kidney damage? correct answers serum creatinine
concentration rises with kidney damage
What is a KUB? correct answers x-ray of the kidneys, ureters, and bladder
What can a KUB detect that makes it a helpful diagnostic study for renal disorders? correct
answers detects renal calculi
What can an intravenous pyelography detect? correct answers detects anatomical abnormalities
What does a retrograde pyelography do? correct answers assesses renal size, ureteral obstruction,
and tumors
What does a antegrade pyelography do? correct answers distinguishes cysts from hydronephrosis
What does an ultrasonography do? correct answers 1. measures dimension of kidneys
2. evaluates mass lesions
3. evaluates hydronephrosis
What does a renal angiography do? correct answers evaluates renal blood flow
What does a ultrasonography do? correct answers 1. measures dimensions of kidneys
2. evaluates mass lesions
3. evaluates hydronephrosis
What is the hallmark sign for acute kidney injury? correct answers decreased glomerular
filtration rate and azotemia
What is oliguria? correct answers Less than 500 cc of urine in 24 hours
, What is anuria? correct answers Less than 50 cc of urine in 24 hours
What is azotemia? correct answers Inc BUN and creatinine in blood
-often with oliguria
What is uremia? correct answers urine in the blood
What is azotemia? correct answers increase in nitrogenous waste products in blood (not getting
filtered out by glomerulus)
What is prerenal azotemia? correct answers decreased blood flow to the kidney causing AKI
What is the most common type of AKI? correct answers prerenal
What are the 3 types of AKI? correct answers 1. prerenal
2. intrarenal
3. postrenal
What does RIFLE stand for? correct answers Risk
Injury
Failure
Loss
ESRD
What are the phases of AKI? correct answers 1. initiation period
2. oliguria period
3. diuresis period
4. recovery period
Does an increased BUN indicate AKI? correct answers no, BUN AND serum creatinine both
being increased would indicate AKI
When is a kidney biopsy indicated for AKI? correct answers if the cause is unknown
What labs help to determine what phase of AKI the patient is in? correct answers 1. urine sodium
2. osmolarity
3. specific gravity
What CNS changes can occur with AKI? correct answers 1. lethargy
2. HA
3. muscle twitching
What diabetic medication interferes with contrast dye? correct answers METFORMIN
What is Kayexalate used for? correct answers to treat hyperkalemia
What is pulsus paradoxus? correct answers decrease in >10mmHG in systole during inspiration
Diuretics put a patient at risk for _________________ imbalance. correct answers electrolyte
What is Chovstek's sign? correct answers sign of hypocalcemia.
facial mm spasm when you tap in front of pt's ear.
What is Trousseau's sign? correct answers BP cuff inflated and causes a carpal spasm. sign of
hypocalcemia.
How is urine sodium affected by poor kidney perfusion? correct answers it decreases
What is creatinine clearance? correct answers the amount of blood cleared of creatinine in 1
minute, indicator of renal function
How is serum creatinine affected by kidney damage? correct answers serum creatinine
concentration rises with kidney damage
What is a KUB? correct answers x-ray of the kidneys, ureters, and bladder
What can a KUB detect that makes it a helpful diagnostic study for renal disorders? correct
answers detects renal calculi
What can an intravenous pyelography detect? correct answers detects anatomical abnormalities
What does a retrograde pyelography do? correct answers assesses renal size, ureteral obstruction,
and tumors
What does a antegrade pyelography do? correct answers distinguishes cysts from hydronephrosis
What does an ultrasonography do? correct answers 1. measures dimension of kidneys
2. evaluates mass lesions
3. evaluates hydronephrosis
What does a renal angiography do? correct answers evaluates renal blood flow
What does a ultrasonography do? correct answers 1. measures dimensions of kidneys
2. evaluates mass lesions
3. evaluates hydronephrosis
What is the hallmark sign for acute kidney injury? correct answers decreased glomerular
filtration rate and azotemia
What is oliguria? correct answers Less than 500 cc of urine in 24 hours
, What is anuria? correct answers Less than 50 cc of urine in 24 hours
What is azotemia? correct answers Inc BUN and creatinine in blood
-often with oliguria
What is uremia? correct answers urine in the blood
What is azotemia? correct answers increase in nitrogenous waste products in blood (not getting
filtered out by glomerulus)
What is prerenal azotemia? correct answers decreased blood flow to the kidney causing AKI
What is the most common type of AKI? correct answers prerenal
What are the 3 types of AKI? correct answers 1. prerenal
2. intrarenal
3. postrenal
What does RIFLE stand for? correct answers Risk
Injury
Failure
Loss
ESRD
What are the phases of AKI? correct answers 1. initiation period
2. oliguria period
3. diuresis period
4. recovery period
Does an increased BUN indicate AKI? correct answers no, BUN AND serum creatinine both
being increased would indicate AKI
When is a kidney biopsy indicated for AKI? correct answers if the cause is unknown
What labs help to determine what phase of AKI the patient is in? correct answers 1. urine sodium
2. osmolarity
3. specific gravity
What CNS changes can occur with AKI? correct answers 1. lethargy
2. HA
3. muscle twitching
What diabetic medication interferes with contrast dye? correct answers METFORMIN
What is Kayexalate used for? correct answers to treat hyperkalemia
