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M6 13-005
Exam 7: GU Study Questions
| Question | Answer |
|---|---|
| How would a prostatitis patient subjectively describe his pain? | Burning sensation when voiding |
| Teach a patient with a recurrent UTI to include what? | Cranberry juice in daily diet |
| Most likely nursing Dx for Pt diagnosed with Glomerulonephritis, suffering from exertional dyspnea? | Activity intolerance r/t chronic disease state |
| What is burning abnormal tissue w/ electrical spark? | Fulguration |
| Medication for cystitis may include? | Anti-microbial |
| Thiazide diuretics must be closely monitored in Pts with what disease process? | Diabetes: increases blood sugar (may need to adjust coverage) |
| What is a cystoscopy used for? | Dx/Evaluate urinary tract issues |
| Serum Creatinine reports determine | Kidney function |
| What diagnostic exam may be ordered for BPH patient? | Cystoscopy |
| Which diretic is also prescribed for hyperaldosteronism? | Spirinolqctone/Aldactone (K+ Sparing) |
| What would you tell a post-nephrectomy patient to avoid upon discharge? | Avoid people with respiratory infections |
| Immediate post-op considerations for nephrectomy patient? | Bleeding, Respiratory Status, Urinary Output |
| Which medication should patients closely monitor taking in conjunction with a thiazide diuretic, such as HCTZ? | Digitalis (Digoxin); Enhances effects, which may lead to arrhythmias |
| Common S/S of urolithiasis | Pain, initiated in flank & radiating to inguinal region |
| Common S/S of cystitis | Frequency & dysuria |
| Dx Test to determine poly-cystic kidney disease | US, blood chemistry, Excretory urography, x-ray |
| Common causes of urinary tract obstruction | Strictures/kinks |
| What increases prevalence of UTI on aging women | Urinary stasis |
| What is Neostigmine? Whats is it used for? | Urinary tract stimulant; post-op/post-delivery urinary retention |
| The catheter of choice for a BPH patient would be | Coude |
| What is oliguria? | Decreased urine output |
| Greatest nursing intervention to maintain bowel/bladder function for a prostatic cancer patient? | Maintain catheter patency |
| Medication included in treatment of BPH? | Alfuzosin (Uroxatral) |
| Medication included in UTI treatment? | Ciproflaxin (Cipro) |
| Filtration of solutes occurs where in the kidneys | Bowman's Capsule (Glomeruli are here) |
| Nephritis is a term to describe what 2 processes? | Inflammation and altered function |
| Removal of the prostate through the urethra is termed: | Transurethral resection |
| What lab will reflect acute renal failure (ARF)? | Elevated BUN/Cr |
| Term Describing and elevated BUN/Cr | Azotemia |
| Solutions iused for continuous bladder irrigation should be | Room temperature |
| Primary treatment goal of polycystic kidney disease | Symptom relief |
| Normal urine output for adolescent patient? | 0.5-1mL/kg/hr Infants 2mL/kg/hr, Children 1-2mL/kg/hr, adults 30cc/hr |
| If K+ sparing diuretics are complimentary to another diuretic, what is their supplemental purpose? | Trat HTN, Treat heart failure, Prevent hypokalemia |
| How is Kock Pouch different from Bricker's procedure? | Kock pouch controls urine via nipple-like valve |
| Older female patient is prescribed oxybutynin (Ditropan) to treat what? | Overactive bladder (antispasmodic) |
| Why do kegel exercises? | Improve perineal muscle tone |
| Pain S/S of urinary tract obstruction are typically characterized as: | ranging from dull to incapactitating |
| A UTI patient with moderate bladder pain may be given what medication for the pain? | Pyridium |
| Commons adverse effect of Finasteride (Proscar) | Impotence |
| Goal of treatment with Finasteride? | Stronger stream/No hesitency |
| Any patient on diuretic therapy should be monitored for what? | Hypokalemia (unless it's K+ sparing) |
| A report of severe flank pain radiating to inguinal/testicular area would signify: | Nephrolithiasis (stone formation) |
| Nephron's major function | Regulate pH |
| Continuous Ambulatory Peritoneal Dialysis (CAPD) is usually performed by: | The patient |
| A kidney transplant patient asks what what Cyclosporine is: | An immunosuppressant |
| Treating pylenophritis includes | Antibiotics & forcing fluids |
| Common S/S of pyelonephritis | Chills, fever, flank pain |
| How is mannitol administered? | IV (filtered) |
| What is a Robinson catheter used for? | Intermittent Catheterization |
| A pelvic fracture patient with hematuria may get what diagnostic test? | KUB |
| How many phases are in ARF? | 3 (Oliguric, Diuretic, Recovery) |
| What medication discolors urine reddish-orange? | Pyridium |
| Urine'smain constituents include what? | Water & nitrogenous wastes |
| A hydronephrosis patient has severe renal impairment. What treatment would you expect? | Nephrectomy, Antibiotics, Opioids |
Created by:
jtzuetrong
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