Exam 6 Need to Knows Flashcards
what are foods you should avoid with hyperkalemia?
potatoes or bananas
what is the goal of a patient with renal failure?
decreased albumin levels within one week
what is the function of the kidnyes?
regulation of acid base balance, vitamin d, control of bp, regulation of fluid volume, excretes waste
what are the signs and symptoms of cystitis?
dysuria, hematuria, urgency, suprapubic discomort
what is the advantage of ultrasound over IVP and ct scan?
doesn’t expose pt to radiation or contrast
after dialysis a pt returns with cloudy effluent and had abdominal pain, what do you do?
notify hcp and obtain a specifmen for culture of effluent
a pt has a arteriovenous fistula in the left arm, what sign is placed over the pts bed?
no iv or bp in left arm
what are some things toxic to kidneys?
NSAIDS, cocaine use, iv contrast, 2 more (not tyleonol or functional incontinence)
how do you tell if epoetin injections are working properly?
normal hct leveles
your patient has ivp what do you include for preparation?
check for allergies to iodine and shellfish
what is the preferred method for obtaining a urine specimen to establish bacteria in urine
catch urine cleanly in midstream
what shoes more teaching is needed for a patient trying to prevent UTIs?
“i will discontinue my medication when i no longer have any symptoms”
what will teaching plan describe for a pt who is scheduled for a extracorpeal lithotripsy?
fragmenting of stones by electrical charge
what statement shows that phenazopyridine is effectively working?
“urinating is not painful”
what condition requires genetic counseling?
pkd
expected age related change of the urinary system
decreased gfr
what will nurse question is pt is admited with kidney injury
ivp tomorrow morning
risk factor for acute glomeruleonephritits?
strep infection 2 weeks ago
what are the risk factors for kidney cancer?
obesity and cigarette smoking
what do you do for a client with renal calculi?
strain all the urine and send to the lab
a patient has chronic kidney disease.. what should they choose off of the menu
blueberry muffine, poached egg, and tea
a patient has high potassium level what do you give?
calcium gluconate, dextrose and insulin, iv fluids or diuretics
foods to avoid if you have uric acid kidney stones
low purine (sardines and other meat)
what food should you avoid with calcium oxalate kidney sontes?
chocolate
if someone has staghornkidney stones, what will have to be performed?
percutaneous nephrolithotomy
stress incontinence occurs when
laughing or coughing
what is functional incontinence?
can’t get to bathroom because of environmental factorsw
what is overflow incontinence?
enlarged prostate and frequent urination
what is urge incontinence?
strong urge to go with uncontrollable leak
what is a sign of kidney infection?
costovertebral tenderness
what do you monitor for in pts with pkd if cysts ruper
hematuria
when is appropriate time to do sonography?
right after client voids to see if they are emptying their bladder
what would show further teaching with patients that is scheduled for dialysis?
I will drink plenty fluids after
what do you do if a patient is restless and has fever after dialysis ?
call hcp
