exam 2 Flashcards
kidney stones composed of uric acid are associated with which risk factor?
a. hydronephrosis
b. UTI
c. increased ca in blood
d. gout
d
swelling of the ureter because of a blockage is called
hydroureter
a person with oliguria has a urine output of ____ per day.
< 400 mL
which is a protective factor against a UTI?
a. urine is basic
b. urine flo wis multi-directional
c. presence of urea
d. pregnancy
c
a: acidity
b. uni-directional
d: risk factor for UTI
a client with a UTI is taking ciprofloxacin, which condition requires a follow up?
a. urine is orangish
b. dysuria is present
c. new onset of pain and swelling in elbow
d. red man syndrome
c
dysuria: expected with UTI
cipro: joint and tendon rupture
a patient is diagnosed with renal cell carcinoma. in reviewing the chart, the nurse identifies this risk factor.
a. patient smoked 1 ppd for 20 years
b. patient is female
c. patient has a 25 BMI
d. patient has a high fat diet
a
risk factors for renal cell carcinoma:
male
obesity
genetic predisposition
SMOKING
a client with ESRD may present with which clinical manifestations? SATA.
a. anemia
b. anorexia
c. hypokalemia
d. edema
e. hypermagnesemia
a. anemia
b. anorexia
d. edema
e. hypermagnesemia
which statement is true regarding glomerulonephritis?
a. the secondary condition is caused by systemic disease
b. this condition always affects both kidneys
c. it is only a chronic condition
d. manifestations include anemia and proteinuria
a
can affect one or both kidneys
acute or chronic condition
S/S: hematuria, azotemia, fluid retention
which is NOT a treatment for AKI?
a. lasix
b. dextrose and insulin
c. sodium polystyrene sulfonate
d. potassium
D
lasix: K OUT cells
dextrose and insulin: K IN cells
sodium polystrene sulfonate: K OUT cells (binder)
the nurse is caring for a patient who is jaundice and complaining of itching all over. which lab value would be consistent with the patient’s presentation?
a. increased albumin
b. decreased PT time
c. decreased ammonia
d. increased ALT
D
PT time would be prolonged
the nurse is admitting a patient from an outside hospital who has jaundice. in report the nurse is told the patient has hepatocellular jaundice. which statement is consistent with this diagnosis?
a. bilirubin levels will not be affected with this type of jaundice
b. this patient most likely has some kind of obstruction causing bilirubin to be elevated
c. this condition is caused by liver cells failing and being unable to complete their job
d. this patient is most likely anemic
c
the nurse is caring for a patient with hepatitis C virus. what statement Is true?
a. transmitted fecal-oral
b. unlikely to develop into chronic hep
c. often times present with no symptoms
d. has a vaccine
c
80% develop into chronic
transmitted through parenteral or sexual
the patient has been told they have alcoholic steatohepaitits. what is consistent with this condition? SATA.
a. mildest form of liver disease
b. precursor to cirrhosis
c. hepatocytes are inflamed
d. hepatocytes have begin to degenerate
e. irreversible changes have occurred
f. fibrosis and scarring present
b. precursor to cirrhosis
c. hepatocytes are inflamed
d. hepatocytes have begin to degenerate
e. irreversible changes have occurred
scaring = later cirrhotic stage
mildest form of liver disease = fatty liver
what statement is incorrect about portal HTN?
a. associated with system hypotension
b. causes decreased CO
c. diagnosed primarily with complications
d. there is no treatment except a liver transplant
B - INCREASES CO
which are risk factors for cholelithiasis? SATA.
a. male gender
b. high levels of estrogen
c. high fat diet
d. infection
e. diabetes
fat, female, 40s
B, C
infection and DM = risk factors for choleCYSTITIS
