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Med Surg Exam 6

Chapters 36 & 37

QuestionAnswer
Which is the best indicator of fluid balance? Daily weight
Which are signs of a UTI? Dysuria, Frequency, Foul odor, Hematuria
A patient with hyperkalemia is at risk for: Arrhythmias
Which lab indicates kidney dysfunction? Elevated BUN
Which prevents UTIs? Wipe front to back, Increase fluids, Void after intercourse
Which medication causes potassium loss? Lasix
Phenazopyridine causes: Orange urine
Which are AKI lab findings? Increased creatinine, Increased BUN, Decreased urine output
Residual urine of 180mL indicates: Retention
Priority before IV contrast: Check creatinine
Which are signs of kidney stones? Flank pain, Hematuria, Clear urine, Nausea
Best nursing action for kidney stones: Strain urine
Which are phases of AKI? Initiating, Oliguric, Diuretic, Recovery
Which indicates dehydration? High specific gravity
Nephrotic syndrome includes: Edema, Proteinuria, Foamy urine, Hyperlipidemia
Which incontinence is "can't make it to bathroom"? Urge
AV fistula care includes: Check thrill, NO BP, NO IV, Check bruit
Which indicates UTI in older adults? Confusion
24-hour urine collection requires: Discard first urine, Collect all urine, Refrigerate, Record time
Which is normal urine? Pale yellow
Metformin & contrast risk: Lactic acidosis
Which indicate UTI? Urgency, Frequency, Burning, Foul smell
Which electrolyte imbalance causes tetany? Low calcium
Which phase has <400mL urine? Oliguric
Which are dehydration findings? Elevated BUN, Elevated Creatinine, Elevated Specific Gravity, Decreased Urine Output
Which med increases potassium? Aladactone
Best test for UTI? Urinalysis
Which are complications of kidney stones? Infection, Hydronephrosis, Sepsis, CKD
Which is priority in AKI prevention? Hydration
Which are nephrotoxic? Contrast dye, NSAIDs, Aminoglycosides, Chemotherapy
Which is stress incontinence? Leakage with cough
Which indicate glomerulonephritis? Hematuria, Proteinuria, Edema, Oliguria
Which lab rises first in kidney failure? Creatinine
Which are CKD findings? Edema, Hyperkalemia, Anemia, Fluid overload
Which is the best AKI indicator? Urine output
Dialysis indications: Fluid overload, Hyperkalemia, Confusion, Uremia
Which urine finding indicates infection? WBCs
Which increase UTI risk? Catheter, Female anatomy, Aging, Instrumentation
Which test uses contrast dye? IV pyelogram
Which are kidney functions? Acid-base balance, Electrolytes, RBC production, Hormones
Most effective way to determine fluid status of the body with kidney disease? Body weight
Which of the following foods would be encouraged on Lasix with a K+ of 3.0mEq/L? Bananas
An expected finding in a client with acute kidney disease would be a decreased serum creatinine level? False
An elevated BUN would manifest in a client who is dehydrated? True
Type of incontinence associated with a client having difficulty getting to the bathroom due to functional limitations? Disability associated incontinence
Client in oliguric phase of AKI, what in addition to daily weights should a nurse perform? Assess I&O
The kidneys help to maintain acid base balance by managing hydrogen and bicarbonate? True
Which of the following meds would be given to a client who is hyperkalemic? Kayexalate (Sodium polystyrene)
Which medication is known to change urine to reddish orange color which can lead to stains on clotting? Pyridium
What med should be held 24 hour prior to testing with IV contrast and 28 hours after as it can cause lactic acidosis? Metformin
The purpose of lithotripsy is to deliver shockwaves to a stone with intent of breaking it into smaller pieces? True
Which of the following actions would the nurse not take when caring for a client with renal calculi? Limit fluids (maintain IV hydration, strain urine, provide pain relief)
Which of the following would not be justifiable reason for urinary catheterization? Urinary incontinence (Shock, Neurogenic bladder, Urinary tract obstruction)
Created by: efilchner
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