Med Surg II Practice Exam 2 1) What role do the kidneys play in RBC production?2)What vitamin is activated in the kidneys?3)What exactly is creatinine?4)What about BUN?5)What is the GFR?6)Which one of these tests are going to indicate whether a person has stages 1-5 of CKD?7)What instructions should you give to a pt for a clean catch specimens?8)What is a KUB?9)What is the disease process of Pyelonephritis (upper UTI)?10)What are some s/s of Pyelonephritis?11)What is pre-renal?12)Intra renal?13)Post renal?14)What electrolyte imbalances are associated with renal disease? In what phase of CKD will we see these imbalances?15)What are your ABGs going to be in someone with metabolic acidosis? In what phase will you see this imbalance?16)What is the middle phase of AKI called and what are some characteristics of this?17)What is the last phase of AKI called and what are some characteristics of this?18)What are we looking for in a urinalysis in someone with kidney impairment?19)What is something that we need to consider before sending someone for CT scan in a suspected kidney impairment pt?20)What are some s/s of someone with cystitis (lower UTI)?21)What are the 2 main causes of pyelonephritis?22)What are patient’s with pyelonephritis at high risk for developing?23)Why would constipation cause a UTI?24)How do we know if someone needs fluids and has renal impairment?25)Which renal impairment causes would the following be categorized under (pre,intra,post)
- IV contrast media
- diarrhea
- severe muscle injury
d.BPH 26)What are the 3 phases of AKI?27)The longer the ______ phase lasts the worse your prognosis is. In the same phase, you will see the same manifestations of CKD.28)Why do we tend to see more urine output in the diuretic phase?29)What will we want to watch out for during the diuretic phase of AKI? What will we monitor closely?30)Why is there a potential for AKI patient’s hemoglobin to be impaired?31)What lab values present waste product accumulation in AKI?32)BP will be high or low in AKI?33)What are the recommended dietary restrictions and fluid intake requirements in a patient who has AKI? This study source was downloaded by 100000840492611 from CourseHero.com on 02-23-2022 09:31:17 GMT -06:00 https://www.coursehero.com/file/100825656/Med-Surg-II-Exam-2-Practice-Questionsdocx/ 1 / 2
34)What are the tx options for a pt with hyperkalemia?35)A nurse is caring for a client who has a urinary tract infection (UTI). Which of the following is the priority intervention by the nurse?A.Offer a warm sitz bath B.Recommend drinking cranberry juice C.Encourage increased fluids D.Administer an antibiotic 36)A nurse is caring for several clients. Which of the following clients are at risk for developing acute pyelonephritis? (Select all that apply.) A.A client who is at 32 weeks gestation B.A client who has kidney calculi C.A client who has a urine pH of 4.2 D.A client who has a neurogenic bladder E.A client who has diabetes mellitus 37)A nurse is planning care for a client who has pre-renal acute kidney injury (AKI) following abdominal aortic aneurysm repair. Urinary output is 60 mL in the past 2 hr. and blood pressure is 90/58 mm Hg. The nurse should anticipate which of the following interventions?
- Prepare the client for a CT scan with contrast dye
- Plan to administer nitroprusside
- Plan to administer a fluid challenge
- Plan to position the client in Trendelenburg
- Change the clients position
- / 2
38)Are what stage of CKD do you typically start to see sx?39)What kind of foods do we want to include in CKD? What about restrictions?40)What is dialysis?41)Who needs dialysis?42)What are some advantages of hemodialysis? Disadvantages?43)What are some advantages of peritoneal dialysis? Disadvantages?44)A client is undergoing peritoneal dialysis, the dwell time is completed, and dwell clamp is opened to the allow the dialyasate to drain. The nurse notes that the drainage has stopped at and only 500mL has drained; the amount of dialysate instilled was 1500mL. Which of the following interventions should be done first?
B.Call the MD C.Check the catheter for kinks or obstruction D.Clamp the catheter and instill more dialysate at the next exchange time. This study source was downloaded by 100000840492611 from CourseHero.com on 02-23-2022 09:31:17 GMT -06:00 https://www.coursehero.com/file/100825656/Med-Surg-II-Exam-2-Practice-Questionsdocx/