NSG 4100 Adult Health Exam Questions and
Answers
What are s/s of uremia? - ✅✅metallic taste in mouth
muscle cramps
pruritis
ecchymosis
crackles
decreased LOC
weakness
pericardial effusion
edema
How is uremia pericarditis treated? - ✅✅hemodialysis
What is the patho of ESKD? - ✅✅damaged nephrons are unable to function properly
as function declines, uremia develops
What are RF of ESKD? - ✅✅HTN
DM
PKD
What are CM of ESKD? - ✅✅metabolic acidosis (low pH & HCO3)
increased BUN, creatinine, magnesium, potassium
decreased Ca
fluid overload (JVD, pericardial effusion, pericarditis, edema)
anemia
, What would a RN report immediately in a pt with ESKD? - ✅✅weak peripheral pulses
What kind of diet would a pt w/ ESKD be on? - ✅✅low protein diet (dairy, eggs, meats)
-limit protein <1.2g/kg/day
- excessive protein is bad dt ammonia
low potassium (no potatoes, oranges, bananas)
fluid restriction
When would a pt w/ESKD call their PCP? - ✅✅if they are experiencing new onset of fatigue, chest
pain, swelling, vision changes, HA (worsening symptoms)
What meds would you anticipate a pt w/ESKD to be on? - ✅✅Ca acetate
Phos binders (renagel)
Inotropic agents ( digoxin, hypertensives)
Erythropoietin (epoetin alpha - tx for anemia)
What is the hallmark dx for nephrotic syndrome? - ✅✅massive proteinuria >3.5g/24hr
What are CM of nephrotic syndrome? - ✅✅periorbital edema
puffy pale face
swollen lips
hypoalbuminemia
foamy urine (d/t proteinuria)
When is CRRT indicated? - ✅✅for pt who has acute or chronic kidney disease and are too unstable for
traditional HD
Answers
What are s/s of uremia? - ✅✅metallic taste in mouth
muscle cramps
pruritis
ecchymosis
crackles
decreased LOC
weakness
pericardial effusion
edema
How is uremia pericarditis treated? - ✅✅hemodialysis
What is the patho of ESKD? - ✅✅damaged nephrons are unable to function properly
as function declines, uremia develops
What are RF of ESKD? - ✅✅HTN
DM
PKD
What are CM of ESKD? - ✅✅metabolic acidosis (low pH & HCO3)
increased BUN, creatinine, magnesium, potassium
decreased Ca
fluid overload (JVD, pericardial effusion, pericarditis, edema)
anemia
, What would a RN report immediately in a pt with ESKD? - ✅✅weak peripheral pulses
What kind of diet would a pt w/ ESKD be on? - ✅✅low protein diet (dairy, eggs, meats)
-limit protein <1.2g/kg/day
- excessive protein is bad dt ammonia
low potassium (no potatoes, oranges, bananas)
fluid restriction
When would a pt w/ESKD call their PCP? - ✅✅if they are experiencing new onset of fatigue, chest
pain, swelling, vision changes, HA (worsening symptoms)
What meds would you anticipate a pt w/ESKD to be on? - ✅✅Ca acetate
Phos binders (renagel)
Inotropic agents ( digoxin, hypertensives)
Erythropoietin (epoetin alpha - tx for anemia)
What is the hallmark dx for nephrotic syndrome? - ✅✅massive proteinuria >3.5g/24hr
What are CM of nephrotic syndrome? - ✅✅periorbital edema
puffy pale face
swollen lips
hypoalbuminemia
foamy urine (d/t proteinuria)
When is CRRT indicated? - ✅✅for pt who has acute or chronic kidney disease and are too unstable for
traditional HD
