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 9
Skip Navigation Links
Question Answer
What is the definition of end stage renal disease?
Show Answer
The damage to the kidneys is permanent, the current level of kidney function cannot maintain life, and the patient requires dialysis or transplantation.
What are the five major risk factors for developing end stage renal disease?
Show Answer
Diabetes, hypertension, proteinuria, family history and increased age
How is anemia related to chronic kidney disease treated?
Show Answer
Iron supplements, multivitamins, Epogen, monitor the hematocrit and hemoglobin, and blood transfusion if the patient is symptomatic.
What three endocrine functions are performed by the kidneys?
Show Answer
Regulates the blood pressure, produces red blood cells and controls calcium metabolism.
What are the signs and symptoms of hypocalcemia, a problem electrolyte imbalance with chronic kidney disease (7)?
Show Answer
Paresthesias, tetany, a positive Chvostek sign, a positive Trousseau sign, muscle cramping, hypotension, or a prolonged QT interval.
What is the most common initial manifestation of acute renal failure?
Show Answer
Oliguria, caused by a decrease in glomerular filtration rate.
Oliguria of acute renal failure caused by ischemia usually occurs within ______ day(s).
Show Answer
One to three weeks
Oliguria of acute renal failure caused by a nephrotoxic agent usually occurs within ______ day(s).
Show Answer
Seven days
How is a patient's hemodynamic status assessed and how often is it done?
Show Answer
It is assessed every hour for two hours, then every two hours. It is assessed by palpating peripheral pulses, estremity warmth, observing skin color and capillary refill.
___________ should never be used for pain management for patients with chronic kidney disease because it can result in seizures.
Show Answer
Demerol/meperidine
Download these questions to your phone here
What is the formula for calculating how much protein a patient with chronic kidney disease that ISN'T on dialysis should eat?
Show Answer
0.6 to 0.75 grams per kilogram of IDEAL body weight a day. Usually around 40 grams a day.
How much protein can a patient on dialysis have a day?
Show Answer
1.2 to 1.3 grams per kilogram of IDEAL body weight a day.
How can you tell if a patient's intrarenal cause of acute renal failure is from acute tubular necrosis?
Show Answer
The presence of red blood cells, white blood cells, and tubular casts in their urine.
________ is the least desirable venous access for dialysis because infections are common.
Show Answer
Central venous catheter (a temporary access site)
What are the two most common causes of death in patients acute renal failure?
Show Answer
Infection (due to anemia, platelet abnormalities, and white blood cell alterations), and cardiorespiratory problems (due to metabolic acidosis, increased potassium, and fluid volume excess).
What should you do if a patient experiences hypotension during dialysis (not related to disequilibrim syndrome)?
Show Answer
Stop the dialysis and place them in the Trendelenburg position.
Bloody effluent over several days can indicate intra-peritoneal bleeding. What should you assess?
Show Answer
Blood pressure and hematocrit.
__________ is the term for the development of a thick, fibrous membrane that surrounds and compresses the bowel and warrants a switch from peritoneal dialysis to hemodialysis?
Show Answer
Encapsulating sclerosing peritonitis
Oliguria is the term used for urine output of less than _______ mL a day.
Show Answer
400 mL
What are the three most common causes of acute renal failure?
Show Answer
Severe, prolonged hypotension. Hypovolemia. Exposure to a nephrotoxic agent.
The most important non-drug managements for hypertension are?
Show Answer
Fluid removal, restriction of sodium and fluid in the diet.
  
Page 9 Skip Navigation Links
Not what your looking for, continue searching

    
Skip Navigation Links