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CAUSES
MANIFESTATIONS
COMPLICATIONS
DIAGNOSTICS/ TREATMENT
NCLEX Challenge
100
Sepsis, hemorrhage, and dysrhythmias are all causes of this kind of renal failure.
What is acute renal failure?
100
Deficiency of red blood cells or of hemoglobin in the blood
What is anemia?
100
This cardiac complication results from increased levels of potassium in the blood.
What is dysrhythmias?
100
Managing this is the key to delaying further kidney damage.
What is blood pressure?
100
A nurse is caring for a client with acute renal failure with a potassium level of 7mEq/L. The nurse anticipates which medication(s) might be ordered to treat this condition?
What is Regular Insulin and D50?
200
Acute renal failure is ______ as long as alleviating factors occur before kidney damage.
What is reversible?
200
This manifestation occurs as a response to metabolic acidosis.
What is tachypnea or increased respiratory rate?
200
The most common and visible complication of renal failure
What is Fluid Retention/Edema?
200
These are the only two treatments for end stage chronic renal failure.
What is dialysis or kidney transplant?
200
A nurse is teaching a client with chronic renal failure about foods to avoid. It would be accurate for her to teach the client to avoid foods high in:
What is protein?
300
EM, a 50 year-old type I diabetic, has just found out she only has 20% nephron function. She is in this stage of chronic renal failure.
What is renal insufficiency?
300
Extreme tiredness, typically resulting from mental or physical exertion or illness
What is fatigue?
300
This complication, relating to medications, results from the inability of the kidney to metabolize medication.
What is drug toxicity?
300
This medication can be used to treat the anemia that often accompanies renal failure.
What is erythropoietin?
300
The patient experiencing acute renal failure secondary to dehydration needs fluid resuscitation. A nurse would anticipate what kind of fluids would be ordered?
What is Normal Saline?
400
Josh, a 45 year-old ammunitions manufacturer presents to the emergency room with his wife who says he has become very lethargic and 'strange' over the last few months. His lab findings include: elevated BUN, creatinine, & potassium, and a decreased H/H. He is lethargic and mumbling responses that don't make sense. His blood pressure is 189/100. The most likely cause of Josh's kidney failure is:
What is exposure to chemical agents (lead)?
400
Resulting from increased vascular volume, elevation of PVR, decreased levels of prostaglandins, and increased activity of renin-angiotensin system.
What is Hypertension?
400
In order to avoid complications, controlling the patient's _______ can be of the utmost importance.
What is diet?
400
In advanced renal disease, metabolic acidosis occurs because the kidneys are unable to excrete this compound.
What is Bicarb?
400
A nurse would know that a client was experiencing chronic renal failure if which signs and symptoms were present: A. Nausea & Vomiting B. Asterixis & Ascites C. Kussmaul's Breathing & drowsiness D. Pruritis & Anemia
What is D?
500
These 2 chronic conditions, if not managed over time frequently result in chronic renal failure.
What are diabetes and hypertension?
500
One disease of the brain that is a manifestation of CKD (chronic kidney disease) due to elevated levels of toxins in the body
What is uremic encephalopathy?
500
Limiting intake of this can help mitigate the edema that renal failure patients often experience.
What is water?
500
Adequate blood flow to the kidneys in patients with pre-renal causes of acute renal failure can be restored through this treatment.
What is fluids/fluid resuscitation/volume repletion....?
500
A client with anemia caused by chronic renal failure is ordered to receive 50 units/kg of IV epoetin alfa (Epogen). The client weighs 165 lb. The drug is available with 4,000 units/ml. How many milliliters would the nurse administer? Round to the nearest one decimal place.
What is 0.9 ml?