exam 3

Question 1

UA

Question 2

Ultrasound

Answer 2

Nursing care: provide skin care by removing gel after procedure

Complications: minimal risk to client

Question 3

CT

Answer 3

Nursing care:
Complications: Contrast dye can cause kidney damage.

Question 4

MRI

Answer 4

Nursing actions: Clients lie down and have to remain completely still. No metal implants.
Complications: Poor imaging if a client is unable to lie still.

Question 5

Types of UA

Answer 5

Early morning, clean catch, 24 hour, c/s, random

Question 6

Client education for 24 hour urine

Answer 6

Void before starting timer.
Every drop needs to enter the container
Keep on ice
Educate patient that they must void into this container every time they have to go.

Question 7

Cystography post

Answer 7

Monitor for infection for the first 72 hours after procedure
Monitor urine output.
Encouraged increase fluid intake to decrease burning on urination.

Question 8

Cystography complications

Answer 8

UTI: infection due to cath

Question 9

Cystoscopy is used t0?

Answer 9

discover abnormalities of bladder wall and or occlusions or ureter or urethra.

Question 10

Nursing actions for pre Cystoscopy?

Answer 10

NPO after midnight
admin laxatives, enemas for bowel prep the night before the procedure

Question 11

Nursing actions intra cystoscopy

Answer 11

Monitor vs, lithotomy position

Question 12

Nursing actions for post cystoscopy?

Answer 12

Monitor vs/ urine ouput
document color of urine( can be pink tinged)
Irrigate if blood clots are present or urine output is decreased.
Irrigate cath with normal saline

Question 13

Complications of Cystoscopy

Answer 13

UTI: cloudy, burning, foul odor, urgency.

Question 14

Positive UTI test, what will be present?

Answer 14

Positive leukocyte esterase, nitrites, sediment and rbc.

Question 15

IV pyelogram does what?

Answer 15

Identifies obstruction or structural disorders of the ureters and renal pelvis of the kidneys.

Same as Cystoscopy for procedures. complications.

Question 16

Renal scan pre/post procedure?

Answer 16

assess bp before and after
educate patient about orthostatic hypotension

increase fluid intake to promote excretion of radioisotope.

Question 17

If client recieves captorpril during the procedure what happens?

Answer 17

changes the blood flow to the kidneys

Question 18

Complications of renal scan?

Answer 18

Radioactive materials do not cause nephrotoxicity
Clients are not at risk from radioactive materials that they excrete in the urine.