Campus Collusion
Review Questions for Test Preparation

       
    

  



Kidney Failure and DialysisMedical-Surgical Nursing-7th edition

Review Online for Free
Lies about Study Techniques: Believe them at your own risk.
www.NursingInAFlash.com

Page 7
Skip Navigation Links
Question Answer
What procedures should be avoided in an extremity with an arteriovenous fistula or an arteriovenous graft?
Show Answer
Blood pressure measurements, IV insertion, and/or venipuncture
The patency of a fistula is determined by the presence of?.
Show Answer
A palpable thrill and an auscultatable bruit
Correction of __________ in a patient with chronic kidney disease will in turn, correct impaired gas exchange.
Show Answer
Fluid imbalances
ACE inhibitors must be used cautiously with patients who have chronic kidney disease because?
Show Answer
They can increase serum potassium levels
What is steal syndrome and what type of dialysis access is it associated with?
Show Answer
Too much arterial blood is shunted away from a distal extremity by an arteriovenous graft. Surgery is required to correct it.
Arteriovenous grafts usually anastomose the ________ artery and the ______ vein.
Show Answer
Brachial artery and the antecubital vein
What is the best lab indicator of kidney function?
Show Answer
Estimated glomerular filtration rate (GFR)
What is the best serum indicator of renal failure?
Show Answer
Creatinine. It increases with muscle metabolism. BUN can be elevated from many causes, including dehydration, corticosteroids, fever, infection, etc., as well as protein metabolism.
How often are coagulation studies done for a patient on CRRT with heparin?
Show Answer
Hourly for 12 hours until the desired range is achieved.
What type of renal failure is caused by vascular obstructions? Prerenal, Intrarenal or Postrenal?
Show Answer
Prerenal. Examples of vascular obstructions include embolisms, or renal artery thrombosis.
Download these questions to your phone here
Why are the first dialysis sessions shorter than the rest?
Show Answer
To prevent disequilibrium syndrome which is more likely during the initial treatment, and when patient BUN is elevated.
________ is the phase of acute renal failure marked by an increase in serum creatinine, BUN, uric acid, potassium and magnesium. Urine output is decreased, leading to fluid retention and edema.
Show Answer
Maintenance
Why is peritoneal dialysis contraindicated for hemodynamically unstable patients?
Show Answer
The large volume of fluid needed may compromise pulmonary function.
When is CRRT contraindicated?
Show Answer
If vascular access cannot be established.
What are the two primary goals of CRRT?
Show Answer
Correct electrolyte and metabolic abnormalities. Achieve optimal fluid balance.
How does bone respond to metabolic acidosis caused by chronic kidney disease?
Show Answer
Calcium shifts from bone to the bloodstream to make room for hydrogen ions to enter. This is an attempt to buffer hydrogen with phosphate.
Why is the serum calcium level decreased with end stage renal disease?
Show Answer
Phosphorus excretion is impaired. Calcium and phosphorus have an inverse relationship, as phosphorus increases, calcium decreases.
What type of renal failure is caused by decreased vascular resistance? Prerenal, Intrarenal or Postrenal?
Show Answer
Prerenal. Examples of decreased vascular resistance include anaphylaxis, neurological injuries, and septic shock.
What type of renal failure is caused by decreased cardiac output? Prerenal, Intrarenal or Postrenal?
Show Answer
Prerenal. Events that result in decreased cardiac output include dysrhythmias, cardiogenic shock, heart failure and myocardial infarction.
How does proteinuria impact serum calcium?
Show Answer
Calcium binds to protein, so when albumin is lost in urine, so is calcium.
What should be monitored closely for a patient in the diuretic phasse of renal failure?
Show Answer
Fluid volume status to detect hypovolemia, dehydration or hypotension. Blood serum values of potassium, and sodium to detect hypokalemia and/or hyponatremia.
  
Page 7 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links