Renal Failure Quiz

24 Questions  I  By T3tiffany
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Health Quizzes & Trivia
Acute and chronic renal failure. Diagnostic tests and treatment.

  
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  • 1. 
    __________ failure is caused by obstruction of urine flow. (urethral obstruction by enlarged prostate or tumor; ureteral or kidney pelvis obstruction by calculi)
    • A. 

      Prerenal

    • B. 

      Intrarenal

    • C. 

      Postrenal

    • D. 

      Perirenal


  • 2. 
    Agents that damage the kidney tissue are called:
    • A. 

      Nephrons

    • B. 

      Nephrotoxins

    • C. 

      Antibodies

    • D. 

      Enterotoxins


  • 3. 
    Acute renal failure is generally identified by oliguria (urine output <_____ mL/day).

  • 4. 
    The risk for __________________ is particularly high when ischemia and exposure to a nephrotoxin occur at the same time.

  • 5. 
    ________ renal failure is a slow, insidious process of kidney destruction. It may go unrecognized for years as nephrons are destroyed and renal mass is reduced.

  • 6. 
    The cause of ___________ failure is impaired blood supply to the kidney (Fluid Volume Deficit, hemorrhage, heart failure, shock)
    • A. 

      Prerenal

    • B. 

      Intrarenal

    • C. 

      Postrenal

    • D. 

      Perirenal


  • 7. 
    Whici is a normal value of Blood Urea Nitrogen (BUN)?
    • A. 

      0.5-1.1 mg/dL

    • B. 

      5-20 mg/dL

    • C. 

      40-70 mg/dL

    • D. 

      250-500 mg/dL


  • 8. 
    During the _________ phase of Acute Renal Failure, Oliguria develops and the kidneys cannot efficiently eliminate metabolic wastes, water, electrolytes, and acids.

  • 9. 
    Impaired metabolic processes such as Hyperkalemia, Acidosis, Hyperlipidemia, Hyperuricemia, and malnutrition are some effects of ___________.
    • A. 

      Hematuria

    • B. 

      Oliguria

    • C. 

      Uremia

    • D. 

      Nephrotoxins


  • 10. 
    _________ renal Failure is a rapid decline in renal function with an abrupt onset

  • 11. 
    Which phase of Acute Renal Failure results in FVE and edema due to salt and water retention, hypertension, Azotemia, hyperkalemia, muscle weakness, nausea, diarrhea, and high serum creatinine and BUN levels?
    • A. 

      Initiation phase

    • B. 

      Maintenance phase

    • C. 

      Recovery fase

    • D. 

      Intrarenal phase


  • 12. 
    When the kidneys have too few nephrons to excrete metabolic wastes and regulate fluid and electrolyte balance adequately, the client is said to have ____________, the final stage of Chronic Renal Failure.
    • A. 

      End-stage renal disease (ESRD)

    • B. 

      Renal insufficiency

    • C. 

      Acute tubular necrosis

    • D. 

      Dialysis


  • 13. 
    Clients on continuous ambulatory peritoneal dialysis (CAPD) must empty their peritoneal cavity and replace the dialysate every __________ hours.
    • A. 

      24

    • B. 

      6-8

    • C. 

      4-6

    • D. 

      48


  • 14. 
    "urine in the blood"

  • 15. 
    Which diagnostic test would be monitored to evaluate glomerulat filtration rateand renal function?
    • A. 

      Sreum creatinine and BUN

    • B. 

      Urinalysis

    • C. 

      Kidney biopsy

    • D. 

      Creatinine cleatance


  • 16. 
    A client on peritoneal dialysis notices that the collecting bag of dialysate is cloudy, what is this an indication of?
    • A. 

      The client needs to change their dialysate

    • B. 

      The patient needs a kidney transplant

    • C. 

      Medication was added to the dialysate

    • D. 

      The patient is infected and experiencing peritonitis


  • 17. 
    ________ failure is caused by Acute damage to renal tissue and nephrons or acute tubular necrosis: abrupt decline in tubular and glomerular function due to either prolonged ischemia and/or exposure to nephrotoxins. (Acute glomerulonephritis, malignant hypertension, ischemia; nephrotoxic drugs or substances; red blood cell destruction; muscle tissur breakdown due to trauma, heatstroke)
    • A. 

      Prerenal

    • B. 

      Intrarenal

    • C. 

      Postrenal

    • D. 

      Perirenal


  • 18. 
    Clients with chronic renal failure should notify the physician of any weight:
    • A. 

      Loss of 2 pounds over a 5 day period

    • B. 

      Gain of 2 pounds over a 2 day period

    • C. 

      Loss of 5 pounds over a 5 day period

    • D. 

      Gain of 5 pounds over a 2 day period


  • 19. 
    When the kidneys cannot effectively regulate fluid and electrolyte balance and eliminate metabolic waste products, intake of these substances must be regulated. Fluid and Sodium intahe are ________.
    • A. 

      Encouraged

    • B. 

      Limited

    • C. 

      Restricted


  • 20. 
    _________ is the most frequent complication during hemodialysis.
    • A. 

      Hypertension

    • B. 

      Bleeding

    • C. 

      Infection

    • D. 

      Dialysis dementia


  • 21. 
    Which is the treatment of choice for many clients with end-stage renal disease?
    • A. 

      Hemodialysis

    • B. 

      Kidney transplant

    • C. 

      Continuous Renal Replacement Therapy (CRRT)

    • D. 

      Peritoneal dialysis


  • 22. 
    Which of these drugs is nephrotoxic?
    • A. 

      Diuretics

    • B. 

      ACE inhibitors

    • C. 

      NSAIDs

    • D. 

      Sodium bicarbonate/ Potassium bicarbonate


  • 23. 
    The client with renal failure should be on which type of diet?
    • A. 

      High protein, high carbohydrate, low calorie

    • B. 

      Adequate calorie intake, high carbohydrate, limited protein

    • C. 

      Limited protein, low carbohydrate, adequate calorie intake

    • D. 

      Low calorie, limited protein, low carbohydrate


  • 24. 
    ____________ is a treatment for renal failure in which blood id continuously circulated (artery to vein or vein to vein) and filtered, allowing excess water and solutes to empty into a collecting device. Fluid may be replaced with a balanced electrolyte solution as needed during treatment.
    • A. 

      Hemodialysis

    • B. 

      Continuous ambulatory peritoneal dialysis

    • C. 

      Continuous cyclic peritoneal dialysis

    • D. 

      Continuous Renal Replacement Therapy


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