KIDNEY BASICS
KIDNEY DISORDERS
ASSESSMENT & DIAGNOSTICS
NURSING CARE
CLINICAL CHALLENGE
100

This is the kidney's primary job.

What is filtering waste products from the blood and producing urine?

100

A bacterial infection that begins in the bladder and spreads upward.

What is pyelonephritis?

100

This laboratory value estimates kidney filtration.

What is eGFR?

100

The priority intervention for acute pyelonephritis.

What is administer prescribed antibiotics promptly?

100

A patient has fever, chills, dysuria, flank pain, and CVA tenderness.

What disorder is suspected?

Acute pyelonephritis.

200

Name the three hormones produced or activated by the kidneys.

What are erythropoietin, renin, and calcitriol (active vitamin D)?

200

This syndrome is characterized by massive protein loss in the urine.

What is nephrotic syndrome?

200

Which physical assessment finding strongly suggests pyelonephritis?

What is costovertebral angle (CVA) tenderness?

200

What nursing teaching helps prevent recurrent urinary tract infections?


Examples include:

  • Finish antibiotics
  • Increase fluids
  • Proper perineal hygiene
  • Void after intercourse
  • Do not delay urination 
200

A patient with PKD has a blood pressure of 170/90 mmHg.

Why is this the priority finding?

Hypertension accelerates kidney damage and requires prompt management.

300

This kidney hormone stimulates red blood cell production.

What is erythropoietin (EPO)?

300

This inherited disorder causes numerous fluid-filled cysts throughout the kidneys.

What is polycystic kidney disease (PKD)?

300

Name two laboratory tests commonly ordered for suspected pyelonephritis.

Examples include: Urinalysis, Urine culture, Blood cultures, CBC with differential, CRP, ESR, BUN, Creatinine 

300

The priority nursing goal for polycystic kidney disease.

What is control blood pressure?

300

A patient suddenly develops cola-colored urine after a sore throat.

What disorder is suspected?

Acute glomerulonephritis.

400

The kidneys regulate these three major body systems besides elimination.

What are

  • Fluid balance
  • Electrolyte balance
  • Acid-base balance? 
400

This disorder develops suddenly after an immune response, often following an infection.

What is acute glomerulonephritis?

400

This imaging study commonly confirms polycystic kidney disease.

What is renal ultrasonography?

400

List three interventions for nephrotic syndrome.

  • Sodium restriction
  • Mild diuretics
  • ACE inhibitors
  • Heparin
  • Hydration monitoring
400

A patient has generalized edema, severe proteinuria, and hypoalbuminemia.

What syndrome does the nurse suspect?

Nephrotic syndrome.

500

Recite the mnemonic "A WET BED."

Acid-base balance, Water balance, Electrolytes, Toxin removal, Blood pressure, Erythropoietin, Vitamin D activation

500

This diabetes complication is the leading cause of chronic kidney disease worldwide.

What is diabetic nephropathy?

500

Three laboratory findings commonly indicate declining kidney function.

What are:

  • Increased creatinine
  • Increased BUN
  • Decreased GFR? 
500

What education should every patient with chronic kidney disease receive?

Medication adherence, Blood pressure control, Diabetes management, Dietary modifications, Follow-up laboratory testing, Avoid nephrotoxic medications

500

A patient with chronic kidney disease develops weakness and peaked T waves.

Which electrolyte imbalance is most concerning?

Hyperkalemia.