NUR 565 Exam 4
- The most common indicator of acute renal failure is
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Azotemia
- A patient had excessive blood loss and prolonged hypotension during surgery. His
postoperative urine output is sharply decreased and his blood urea nitrogen (BUN) is elevated.The most likely cause for the change is acute
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ischemic tubular necrosis.
- A patient is beginning to recover from acute tubular necrosis.The recovery phase of ATN is
characterized by
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diuresis.
- Regardless of the cause, chronic kidney disease results in progressive per- manent loss of
nephrons, glomerular filtration and renal
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endocrine functions.
- As chronic kidney disease progresses, the second stage (renal insufficien- cy) is identified by
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isotonic polyuria 1 / 3
- Both high-turnover and low-turnover renal osteodystrophy, the skele- tal complications of
chronic kidney disease, are manifested by abnormal
and defective bone .
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absorption; remodeling
- Impaired skin integrity and skin manifestations are common in persons with chronic kidney
disease. Pale skin and subcutaneous bruising are often present as a result of
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impaired platelet function.
- When acute tubular necrosis (ATN) has occurred instead of prerenal azotemia, laboratory
test findings will show the presence of excessive urine
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protein
- Manifestations of childhood renal disease are varied and may differ from adult onset renal
failure. Features of childhood chronic kidney disease in- clude
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developmental delays 2 / 3
- Reduced glomerular filtration rate (GFR), with a serum creatinine level that remains in the
normal range, is associated with aging because is re
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muscle mass
- An 86-year-old female patient has been admitted to the hospital for the treatment of
dehydration and hyponatremia after she curtailed her fluid intake to prevent urinary incontinence.The patients most recent laboratory results are suggestive of acute renal failure. How would this patients renal failure be categorized?
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Prerenal
- A patient with significant burns on his lower body has developed sepsis on the third day
following his accident. Which of the following developments is most clearly suggestive of ischemic acute tubular necrosis rather than prerenal failure?
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The patients GFR does not increase after restoration of renal blood flow.
- Which of the following individuals likely faces the greatest risk for the development of
chronic kidney disease?
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A patient with a recent diagnosis of type 2 diabetes who does not monitor his blood sugars or control his diet
- The primary care provider for a newly admitted hospital patient has added the glomerular
- / 3
filtration rate (GFR) to the blood work scheduled for this morn- ing. The patients GFR will be extrapolated from serum levels of