ACTUAL TEST COMPLETE ACCURATE QUESTIONS WITH WELL
ELABORATED ANSWERS (CORRECT VERIFIED SOLUTIONS)
CURRENTLY UPDATED VERSION 2025 |GUARANTEED PASS A+
Normal creatinine levels? -
Answer-Male: 0.6-1.2 Female: 0.5-1.1
Normal GFR? -
Answer-90-120ml/min
At which GFR level does dialysis begin? -
Answer-15
S/S of acute glomerulonephritis? -
Answer-Headache, increased BP, facial edema, malaise, low grade fever, weight fain,
proteinuria, hematuria, and oliguria
S/S of chronic glomerulonephritis? -
Answer-Proteinuria and hematuria
Lab findings for glomerulonephritis? -
Answer-Increased BUN, CR Decreased albuminin
Common s\e of hemodialysis? -
Answer-Hypotension due to all of the blood and fluids leaving the body
Nephrotic syndrome s\s -
Answer-SEVERE proteinuria MASSIVE edema
Hypertension, foamy urine, anasarca, ascites
Why might medication doses be decreased for a patient with kidney issues? -
Answer-Due to medications not being excreted through kidneys
Prerenal causes -
Answer-Due to decreased blood flow to kidneys Cardiovascular disorders,
hypovolemia, peripheral vasodilation, renal vascular obstructions, severe
vasoconstriction
Intrarenal causes -
Answer-Due to damage to the gumeruli, interstitial tissue or tubules (parynchymal
damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric
complications, and malignant hypertension
Post renal causes -
,Answer-Obstruction to the urine collecting system BPH
Phases of AKI -
Answer-Oliguric Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase -
Answer-Urinary changes (output less than 400ml/day)
, Lasts 10-14 days
Neck veins distended, bounding pulse, edema, hypertension
Increased potassium (causing heart issues!)
Diuretic Phase -
Answer-Daily urine output 1-3 liters may reach 5L or more Monitor for
hyponatremia, hypokalemia, and dehydration as well as hypotension This phase
may last 1-3 weeks
Why would calcium gluconate be given to a patient with AKI? -
Answer-Due to hyperkalemia, calcium gluconate raises the threshold at which
dysrhythmias occur therefor protecting the heart
Nursing interventions for almost all kidney patients -
Answer-Fluid restriction Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? -
Answer-Decrease the flow rate
What is given to excrete potassium? -
Answer-Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? -
Answer-It must be completely STERILE
What is a major complication from peritoneal dialysis? -
Answer-Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should
the nurse do? -
Answer-Slow down the infusion rate
At what temperature is peritoneal dialysis given? -
Answer-Must be warmed to body temperature
What medication can cause an IBS flare up? -
Answer-Sulfasalazine (anti- inflammatory medication)
Treatment goals for CKD? -
Answer-Treat hyperkalemia, HTN, and mineral/bone disease
Potassium enriched foods? -
Answer-Bananas, tomatoes
Why would a patient with CKD have pruritus? -
Answer-Due to uremic frost (urea crystallizes on skin)