Kidneys Don’t Fail Me Now
Read the purpose and objectives for this test, and then take the test. When you're done, click
Submit Test to process your CE. To save your answers and return to your test later, click Save
Test. NOTE: Clicking your browser's "Back" button before saving your test will clear the test
answers you have selected and you will have to start over.
As soon as you pass and pay for a CE test, you'll receive immediate online confirmation of the
contact hours earned. Note: All test submission and payment must be received by the
expiration date.
PURPOSE
To identify the risk factors for and manifestations of acute renal failure (ARF), its current
diagnostic measures and treatments, and specific nursing interventions to treat the disease
and prevent its development.
OBJECTIVES
After reading the article(s) and taking the test, you will be able to:
1. Accurately assess for risks and manifestations associated with ARF.
2. Describe recommended treatments for ARF.
3. Explain nursing interventions and patient teaching to manage and prevent ARF.
1.
ARF occurs when
a. there's a major build-up of RBCs.
b. the glomerular filtration rate is between 120 ml/min and 125 ml/min.
c. half of the nephrons lose their ability to function.
2.
Prerenal failure is caused by
a. renal calculi.
b. decreased blood flow to the kidneys.
c. acute tubular necrosis.
3.
Patients with ARF develop
a. electrolyte and acid-base abnormalities.
b. excessive erythropoietin production.
c. collapse of the immune system.
4.
The classic sign of ARF is urine output of less than
a. 400 ml/day.
b. 600 ml/day.
c. 800 ml/day.
5.
Which of the following statements is true?
a. ARF can always be cured with proper drug therapy.
b. Administering aminoglycosides to at-risk patients can prevent ARF.
c. The sooner ARF is recognized and treated the less likely that chronic renal
failure will occur.
6.
Which of the following statements is true?
a. Renal calculi can cause prerenal failure.
b. The serum blood urea nitrogen level is less accurate than the serum creatinine
level as an indicator of renal function.
c. Daily weights aren't helpful in monitoring a patient with ARF.
7.
Based on the serum creatinine level, which of the following patients is most likely
to have ARF?
a. Mrs. M., whose serum creatinine level was 1.4 mg/dl on Monday and 2.1
mg/dl on Tuesday
b. Mr. N., whose serum creatinine level was 1.4 mg/dl on Monday and 1.5 mg/dl
on Tuesday
c. Mrs. O., whose serum creatinine level was 1.4 mg/dl on Monday and 1.3
mg/dl on Tuesday
8.
Based on the creatinine clearance value, which of the following patients is most
likely to have ARF?
a. Mr. A., whose creatinine clearance level was 90 ml/min on Monday and 60
ml/min on Tuesday
b. Mrs. C., whose creatinine clearance level was 90 ml/min on Monday and 85
ml/min on Tuesday
c. Mrs. D., whose creatinine clearance level was 90 ml/min on Monday and 95
ml/min on Tuesday
Hydronephrosis is an example of
9.
PLEASE NOTE: This question is free due to editorial changes. Please
select d. FREE to receive a correct score for this question.
a. prerenal ARF.
b. intrinsic ARF.
c. postrenal ARF.
d. FREE
10.
Mrs. R. is recovering from ARF and is ready for discharge. During discharge
teaching, you need to make sure she knows
a. the importance of taking nonsteroidal anti-inflammatory drugs (NSAIDs) to
decrease nephron inflammation.
b. the importance of increasing fluid intake to at least 3 L/day.
c. the signs and symptoms of renal failure.
11.
Drugs with a renal protective effect include
a. NSAIDs.
b. aminoglycosides.
c. angiotensin-converting enzyme inhibitors (ACE-Is).
All of the following patients are at high risk for ARF, except the
12.
PLEASE NOTE: This question is free due to editorial changes. Please
select d. FREE to receive a correct score for this question.
a. patient with chronic angina who's taking a beta-blocker.
b. trauma patient with severe blood loss.
c. patient with renal calculi.
d. FREE
13.
Acute tubular necrosis can be caused by
a. decreased blood flow from shock.
b. a contrast medium.
c. renal calculi.
14.
Mrs. R's creatinine clearance level is 72 ml/min. This lab value is consistent with
a. mild renal failure.
b. moderate renal failure.
c. severe renal failure.
15.
Mr. S. is in ARF with severe acid-base imbalance. His health care provider would
appropriately prescribe
a. an ACE-I.
b. a potassium-sparing diuretic.
c. hemodialysis.
Submit This Test
Save this test and
complete it later.