WGU Patho D236 Lesson 10, Exams of Advanced Education

WGU Patho D236 Lesson 10 Solution

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2025/2026

Available from 02/11/2026

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WGU Patho D236 Lesson 10
A patient has been diagnosed with pyelonephritis and asked the provider to explain the
condition. What is the best response?
Pyelonephritis is an infection of the kidneys that most commonly is caused by a
bacterium called E. coli
A patient with acute kidney injury may require either continuous renal replacement
therapy(CRRT) or hemodialysis. What is a major difference between CRRT and
hemodialysis
•CRRT-cleanses the blood in a 24 hour cycle
•hemodialysis-is performed over 4 to 6 hours several times a week
What are the three different kinds of dialysis?
-Hemodialysis
-Peritoneal
-CRRT
A patient reports a family history of renal cancer to the provider and ask how to reduce
the risk of experiencing renal cancer. What advice should the provider include in patient
teaching
Do not smoke tobacco
Avoid exposure to secondhand smoke
Maintain a healthy weight
Keep blood pressure less than 130/80
Test your urine for blood yearly
Decreased perfusion medication's for toxins, infection and injuries can result in what
kind of injury
Acute kidney injury
Manifestations of what kind of injury include:
-Elevated levels of creatinine
-Elevated BUN
-Fluid overload
-Electrolyte in balance
-Metabolic acidosis
Acute kidney injury
What are prerenal causes of an acute kidney injury
Anything in the body that prevents perfusion to the kidneys;
-Hemorrhage
-dehydration
-Shock
-Heart failure
What are some complications of acute kidney injury?
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WGU Patho D236 Lesson 10

A patient has been diagnosed with pyelonephritis and asked the provider to explain the condition. What is the best response? Pyelonephritis is an infection of the kidneys that most commonly is caused by a bacterium called E. coli A patient with acute kidney injury may require either continuous renal replacement therapy(CRRT) or hemodialysis. What is a major difference between CRRT and hemodialysis

  • CRRT- cleanses the blood in a 24 hour cycle
  • hemodialysis- is performed over 4 to 6 hours several times a week What are the three different kinds of dialysis? -Hemodialysis -Peritoneal -CRRT A patient reports a family history of renal cancer to the provider and ask how to reduce the risk of experiencing renal cancer. What advice should the provider include in patient teaching Do not smoke tobacco Avoid exposure to secondhand smoke Maintain a healthy weight Keep blood pressure less than 130/ Test your urine for blood yearly Decreased perfusion medication's for toxins, infection and injuries can result in what kind of injury Acute kidney injury Manifestations of what kind of injury include: -Elevated levels of creatinine -Elevated BUN -Fluid overload -Electrolyte in balance -Metabolic acidosis Acute kidney injury What are prerenal causes of an acute kidney injury Anything in the body that prevents perfusion to the kidneys; -Hemorrhage -dehydration -Shock -Heart failure What are some complications of acute kidney injury?

-chronic renal failure -High blood pressure And diabetes Chronic renal failure often results on what do you want to the lack of erythropoietin production Anemia What is cholestasis? The significant reduction of bile situation and flow What are the two types of cholestasis?

  • intrahepatic cholestasis
  • Extrahepatic cholestasis This type of cholestasis as a result of diseased, hepatocytes or disease, intrahepatic bile ducts Intrahepatic cholestasis This type of cholestasis is the result of a duct obstruction outside of the liver(such as gall stones for pancreatic tumor) Extrahepatic cholestasis How have choledocholithiasis lead to acute pancreatitis? Why would this result and damage to pancreatic cells? -Occurs when bio flow is obstructed by a gallstone in the common bile duct. -this can lead to a back up of digestive enzymes from the pancreas, that can perform autodigestion and damage pancreatic cells This term is used to describe stones that form in the urinary system Urolithiasis What are the three different types of stones and what part of the urinary system do they occur in? -Nephrolithiasis(kidney) -Ureterolithiasis (ureter) -Cystolithiasis (bladder) What are factors might be responsible for calculus forming, and what are the possible ramifications if a stone cannot be passed in the urine? -stasis of urine allows for Crystal formation, which is commonly caused by urinary obstruction or neurogenic bladder -as the stone is pushed to the yard or it can cause bleeding buildup of pressure, -low urine flow - leading to backflow of toxic urine in the kidney which could lead to possible damage of the nephrons in the kidney failure. An ascending lower urinary track infection(more commonly in women or during pregnancy) often leads to what condition Glomerulonephritis Pyelonephritis Nephrolithiasis Acute kidney injury

What type of cancer is also known as Reno camper and occurs when cells in the kidney grow out of control, clump together and form a malignant tumor? -The most common factor for developing this cancer is smoking Kidney cancer What kind of infection would cause: -pelvic pain -Increased urge to urinate -Pain with urination -Blood in the urine Bladder infection What type of infection may cause: -Back pain -nausea -vomiting -Fever Kidney infection A 42-year-old patient comes to the ER complaining of severe right to flank plain. He reports that it started about 24 hours ago. The pain is severe and radiates to his Groin. He is also having nausea and vomiting. What we know this is process produces fat when a patient presents with right flank pain.? Pyelonephritis and Renal Calculi What are most kidney stones made up of? Calcium oxalate How are calcium oxalate kidney stones formed? Hyperabsorption of calcium from the gastrointestinal tract Patient with a history of multiple sclerosis presents with a fever, nausea and vomiting that began several days ago. The patient also reports mild flank pain. Which disorder is the patient most likely experiencing? Pyelonephritis A patient events with the wall left-sided flank pain. The patient was working extensively outside yesterday on a hot day and did not drink much water. The patient's medication list in the case for use of calcium containing antacid for heartburn. Which disorder is a patient was like you're experiencing. Kidney stone (Renal Calculi) What is the strongest risk factor for bladder cancer? Cigarette smoking