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Exam 7: GU Study Questions

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