NSG 420 AKI & Complex Renal Quiz

NSG 420 AKI & Complex Renal Quiz

by Ginny Bayes

Multiple Select

A patient with acute renal injury has a GFR (glomerular filtration rate) of 25 mL/min. Which signs and symptoms below may this patient present with?

Select all that apply:

• Hypervolemia

• Hypokalemia

• Increased BUN level

• Decreased Creatinine level

• Hyperkalemia

Multiple Choice

A 55 year old male patient is admitted with a massive GI bleed. The patient is at risk for what type of acute kidney injury?

• Post-renal

• Intra-renal

• Pre-renal

• Intrinsic renal

Multiple Select

A 36 year old male patient is diagnosed with acute kidney injury. The patient is voiding 4 L/day of urine. What complications can arise based on the stage of AKI this patient is currently in? Select all that apply:

• Water intoxication

• Hypotension

• Low urine specific gravity

• Hypokalemia

• Hyponatremia

Multiple Choice

A patient with AKI has a urinary output of 350 mL/day. In addition, morning labs showed an increased BUN and creatinine level along with potassium level of 6 mEq/L. What type of diet ordered by the physician is most appropriate for this patient?

• High-protein and low-potassium, no sodium limitation

• High-protein, low-potassium, and low-sodium

• Low-protein, low-potassium, and low-sodium

• Low-protein and high-potassium

Multiple Choice

______________ is solely filtered from the bloodstream via the glomerulus and is NOT reabsorbed back into the bloodstream but is excreted through the urine.

• Urea

• Creatinine

• Potassium

• Magnesium

Multiple Choice

Nephrotic syndrome is a sequelae of an infection with a Group A beta-hemolytic streptococcal infection (GABHS).

• True

• False

Multiple Select

A patient is diagnosed nephrotic syndrome. What signs and symptoms below are common in this condition? Select-all-that-apply:

• Hypertension

• Low levels of cholesterol and triglycerides

• Foamy, frothy urine

• Massive Proteinuria

• Edema

Multiple Choice

In patients who are experiencing acute glomerulonephritis, the glomerulus is permeable to what substances? (what abnormal findings would you see on a UA in a patient with acute glomerulonephritis?)

• Red blood cells and protein

• Protein and white blood cells

• Red blood cells, protein, and lipids

• Proteins

Multiple Choice

Hypertension occurs in both acute glomerulonephritis and nephrotic syndrome.

• True

• False

Multiple Choice

What rare renal failure integumentary clinical manifestation is shown here?

What is the cause?

• Azotemia glitter/

  Excessive creatinine

• Renal residue/

  Elevated phosphorus

• Uremic Frost/

  High levels of BUN

• Baking soda syndrome/

  Hypocalcemia

Multiple Select

Which of the following medications can cause some form of intrarenal damage? Select all that apply. 

• Iodinated contrast media

• NSAIDS

• Aminoglycosides

• Famotidine (Pepcid)

• Rosuvastatin (Crestor)

Multiple Select

The nurse is working on a med/surg floor that specializes in renal/urology patients. More than one of the nurse's patients have postrenal mediated AKI. Which patients fall into that category?

Select all that apply. 

• 59 year old male with contrast-induced nephropathy (CIN)

• 85 year old male patient with hydronephrosis caused by BPH

• 45 year old female patient with septic shock as a result of peritonitis

• 25 year old female patient with a large ureteral stone awaiting a laser lithotripsy

• 76 year old female patient with unintentional NSAID toxicity and a horseshoe kidney malformation (see picture)