NSG-4100 EXAM 1 QUESTIONS AND ANSWERS A+
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More than 90% of the nephrons are unable to function properly
End stage renal disease
Because of the kidneys are unable to filter out proteins in ESRD, where does the
protein go?
In the blood
What increases when GFR decreases?
BUN and Creatinine
What pH imbalance can occur in ESRD?
Metabolic acidosis
due to the kidneys inability to excrete the loads of acids
they are unable to excrete ammonia and reabsorb sodium bicarbonate
Why does anemia occur is ESRD?
Due to kidneys inability to excrete EPO
Uremic waste build up can cause what?
Pericarditis
The build up of uremia is the ultimate reason of
issues that are caused from ESRD
What are the ultimate complications with ESRD?
Anemia
Bone disease
Hyperkalemia
Hypertension
Pericarditis
S/S of Anemia
pale,fatigue,shortness of breath
Interventions for anemia
blood transfusion, drug therapy, dietary modifications, volume replacement, oxygen
therapy, lifestyle changes
What are the post operation complications for renal surgery?
Paralytic ileus
Hemorrhage and shock
infection
, Risk factors for renal cancer
-Men
-Obesity
-Tobacco use
-Occupational exposure to petroleum products, heavy metals, asbestos
-Unapposed estrogen therapy
-Polycystic kidney disease
-long term hemodialysis
What race has a higher chance of renal cancer?
African Americans
Is it common for renal cancers to be found incidentally
yes
palpable flank mass
S/S of renal cancer
hematuria
pain
mass in the flank
How to diagnose renal cancer
IV urography
US
CT
MRI
Renal cancer treatment
radial laparoscopic nephrectomy
Radiation
hormonal therapy
immunotherapy
Where is a transplanted kidney placed?
iliac fossa anterior to iliaccrest because it allows easier access to blood supply
the bad kidney is left in the body
Common medications for ESDR
Calcium and phosphorus binders (with meals)
Digoxin (for hypertension)
Diuretics
GRADED. Buy Quality Materials!
More than 90% of the nephrons are unable to function properly
End stage renal disease
Because of the kidneys are unable to filter out proteins in ESRD, where does the
protein go?
In the blood
What increases when GFR decreases?
BUN and Creatinine
What pH imbalance can occur in ESRD?
Metabolic acidosis
due to the kidneys inability to excrete the loads of acids
they are unable to excrete ammonia and reabsorb sodium bicarbonate
Why does anemia occur is ESRD?
Due to kidneys inability to excrete EPO
Uremic waste build up can cause what?
Pericarditis
The build up of uremia is the ultimate reason of
issues that are caused from ESRD
What are the ultimate complications with ESRD?
Anemia
Bone disease
Hyperkalemia
Hypertension
Pericarditis
S/S of Anemia
pale,fatigue,shortness of breath
Interventions for anemia
blood transfusion, drug therapy, dietary modifications, volume replacement, oxygen
therapy, lifestyle changes
What are the post operation complications for renal surgery?
Paralytic ileus
Hemorrhage and shock
infection
, Risk factors for renal cancer
-Men
-Obesity
-Tobacco use
-Occupational exposure to petroleum products, heavy metals, asbestos
-Unapposed estrogen therapy
-Polycystic kidney disease
-long term hemodialysis
What race has a higher chance of renal cancer?
African Americans
Is it common for renal cancers to be found incidentally
yes
palpable flank mass
S/S of renal cancer
hematuria
pain
mass in the flank
How to diagnose renal cancer
IV urography
US
CT
MRI
Renal cancer treatment
radial laparoscopic nephrectomy
Radiation
hormonal therapy
immunotherapy
Where is a transplanted kidney placed?
iliac fossa anterior to iliaccrest because it allows easier access to blood supply
the bad kidney is left in the body
Common medications for ESDR
Calcium and phosphorus binders (with meals)
Digoxin (for hypertension)
Diuretics
