AKI
What indicates to the nurse that a patient with AKI is in the recovery phase?
decreasing BUN and creatinine levels
What is the main function of the kidneys in the human body?
The main function of the kidneys is to filter waste and excess fluids from the blood to form urine.
A patient, who is having spasms and burning while urinating due to a UTI, is prescribed "Pyridium" (Phenazopyridine). What is a normal side effect of this drug?
Orange-colored urine
Kidney stones are caused from a formation of
______?
calculi
Which patient population is at greatest risk for glomerular nephritis?
Children
Which initial manifestation of acute renal failure is most common?
oliguria
What are the common symptoms of Chronic Kidney Failure?
fatigue, swelling in the legs and ankles, changes in urination frequency, and nausea.
You're assessing your patients during morning rounding. Which patient below is at MOST risk for developing a urinary tract infection?
A. 27-year-old patient who finished a regime of antibiotics for strep throat 10 weeks ago.
B. 52-year-old female who is post-opt day 7 from hip surgery.
C. 69-year-old male who is experiencing nausea and vomiting.
D. An 87-year-old female with Alzheimer’s disease who is experiencing bowel incontinence.
D. An 87-year-old female with Alzheimer’s disease who is experiencing bowel incontinence.
Where would kidney stone pain be felt?
Where would kidney stone pain be felt?
What kind of diet should patient's with glomerulonephritis follow?
Patients with Glomerulonephritis should follow a diet low in protein/ sodium and decrease fluid intake.
If a patient is in the diuretic phase of AKI, the nurse must monitor for which serum electrolyte imbalances?
hypokalemia and hyponatremia
Explain the difference between Acute Kidney Injury (AKI) and Chronic Kidney Failure.
Acute Kidney Injury (AKI) is a sudden and temporary loss of kidney function, often caused by a specific event or condition, while Chronic Kidney Failure is a gradual and irreversible decline in kidney function over time.
What is the gender most likely to get a UTI?
Women
Signs and symptoms of Kidney stones include
(SATA)
A. Nausea and vomiting
B. Severe flank pain
C. Ascites
D.All of the above
A. Nausea and vomiting
B. Severe flank pain
Which of symptoms of Glomerulonephritis may continue even after others subside?
Hematuria, Proteinuria
What are intrarenal causes of AKI? Select all that apply
a. anaphylaxis
b. renal stones
c. nephrotoxic drugs
d. acute glomerulonephritis
e. tubular obstruction by myoglobin
c. nephrotoxic drugs
d. acute glomerulonephritis
e. tubular obstruction by myoglobin
which labs indicate chronic kidney disease? SATA
- increased BUN
- decreased creatinine
- Increased creatinine
- Increased RBC
- Decreased WBC
- Increased potassium
increased BUN, increased creatinine, and increased potassium
What teaching should be provided to a patient with UTI? SATA
A. bubble bath every night
B. Urinate after intercourse
C. Confusion is expected in older adults
D.1,200 mL daily for hydration
E. Wipe from back to front
B. Urinate after intercourse
C. Confusion is expected in older adults
George was diagnosed with Kidney stones and is asking what he can do to treat it. (SATA)
A. Drink plenty of fluids
B. Stay in bed
C. Take pain meds as prescribed
D. Increase protein in the diet
E. Limit sodium in the diet
A. Drink plenty of fluids
C. Take pain meds as prescribed
E. Limit sodium in the diet
True or false:
Chronic Glomerulonephritis is characterized with rapid onset?
False
During the oliguric phase of AKI, the nurse monitors the patient for Select all that apply
a. hypotension
b. ECG changes
c. hypernatremia
d. pulmonary edema
e. urine with high specific gravity
b. ECG changes
d. pulmonary edema
Discuss the potential complications and long-term effects of untreated Chronic Kidney Failure.
cardiovascular disease
anemia
bone disease
fluid overload
requirement of dialysis or transplant.
A patient is admitted to the ED for possible acute pyelonephritis. Which manifestation should the nurse consider to be consistent with this disorder? (SATA)
A. Vomiting
B. Urinary frequency
C. Chill/Fever
D. Flank tenderness
E. Nocturia
EVERYTHING except nocuturia
What is a risk factor for developing kidney
stones?
dehydration
high calcium diet
male
If left untreated, chronic Glomerulonephritis can lead to what disease?
ESRD a.k.a. CKD