Medsurg 3 part 99

Question 1

best formula for determining appropriate urine output

Answer 1

.5 ml/kg per hour

Question 2

How do you know an AV fistula is patent

Answer 2

there should be a thrill and bruit

Question 3

biggest safety issue of peritoneal dialysis

Answer 3

infection

Question 4

the biggest issue with CKD is

Answer 4

F/E imbalance

Question 5

Normal finding for an AV fistula that’s maturing

Answer 5

swelling up

Question 6

incontinence: jumping, coughing

Answer 6

stress

Question 7

incontinence: not able to get to the bathroom and pull down pants in time

Answer 7

functional

Question 8

incontinence: suddenly pee

Answer 8

urge

Question 9

incontinence: retaining urine and then little amounts dribble out

Answer 9

overflow

Question 10

H/O gout, think

Answer 10

uric acid stones

Question 11

CVA pain =

Answer 11

renal calculi/pyelonephritis

Question 12

ketones in urine, think

Answer 12

dehydration/starvation

Question 13

Nitrates in urine, think

Answer 13

UTI

Question 14

Crystals in urine, think

Answer 14

calculi

Question 15

Creatinine in blood, think

Answer 15

kidney problem

Question 16

BUN elevated, think

Answer 16

dehydration

Question 17

IVP

Answer 17

Intravenous Pylogram, injection of dye to find abnormalities

Question 18

Normal and abnormal findings after Urinary endoscopy

Answer 18

Normal:
small amount of blood, pain

Abnormal:
Temperature

Question 19

Drug that’s very tough on the kidneys, can cause ototoxity

Answer 19

Gentamycin

Question 20

UTI hygiene teaching

Answer 20

take showers not baths

Question 21

after you correct a Hydronephrosis, there’s a risk for

Answer 21

hypOvolemia because the urine output is going to increase

Question 22

In general with kidney problems, the diet should be

Answer 22

low protein

Question 23

A couple other signs of calculi

Answer 23

tachycardia

Fever

Question 24

Uric acid kidney stone diet

Answer 24

low animal protein (alkaline)

Question 25

Calcium kidney stone diet

Answer 25

Vit C No green leafy (acid)

Question 26

flank pain, think

Answer 26

pyelonephritis

Question 27

Dysuria (painful urine), think

Answer 27

UTI

Question 28

Before an x ray on a woman

Answer 28

pregnancy test

Question 29

Major cause of pre-renal AKI

Answer 29

dehydration

Question 30

Major cause of intra-renal AKI

Answer 30

contrast dye | diabetes

Question 31

At a low dose, how does dopamine affect the kidney

Answer 31

causes renal artery dilation, which increases perfusion to to the kidney

Question 32

General tx of AKI

Answer 32

increase fluids

Question 33

CKD skin issue

Answer 33

itchy skin because they're sweating out urea

Question 34

small pellets or shredded, think

Answer 34

obstruction

Question 35

With a suspected cholelithiasis, test for

Answer 35

elevated Bili