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concept 3 > medsurg exam 2 review > Flashcards

medsurg exam 2 review Flashcards

1
Q

Peritoneal dialysis patients have an increased risk of what kind of infection

A

peritonitis

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2
Q

peritonitis signs and symptoms

A

abdominal pain
anorexia (loss of appetite)
nausea/vomiting
confusion

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3
Q

how many liters of fluid should you encourage a kidney stone pt to drink

A

3 liters

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4
Q

should you encourage a kidney stone pt to walk around? [TEST QUESTION]

A

yes

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5
Q

what condition does dark, bubbly urine indicate?

A

cholecystitis

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6
Q

what dietary education should a chronic kidney disease pt be given for protein?

A

reduce protein in diet

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7
Q

what dietary education should a chronic kidney disease pt be given for sodium

A

reduce sodium

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8
Q

what dietary education should a chronic kidney disease pt be given for potassium?

A

reduce potassium

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9
Q

what dietary education should a chronic kidney disease pt be given for phosphorus?

A

reduce phosphorus

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10
Q

what dietary education should a chronic kidney disease pt be given for calories

A

increase calories

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11
Q

can a pt with cystitis drink caffeine or carbonated beverage?

A

no

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12
Q

how should a pt wipe themselves to avoid a UTI? [delete my # if u get this wrong]

A

front to back

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13
Q

what kidney disorder causes mass protein loss and protein in urine?

A

nephrotic syndrome

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14
Q

what class of drugs should be given to a patient with urge incontinence?

A

anticholinergic medications

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15
Q

can a pt with urge incontinence drink caffeine?

A

no

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16
Q

what type of incontinence would a vaginal repair be performed

A

stress incontinence

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17
Q

would you perform a vaginal repair on a pt with urge incontinence?

A

no

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18
Q

what labs would be elevated in a patient with chronic kidney disease?

A

BUN
Creatinine

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19
Q

what phase of acute kidney failure is there reduced urine output

A

oliguric phase

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20
Q

urine output of less than 400cc/day indicates what phase of acute kidney failure

A

oliguric phase

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21
Q

edema, weight GAIN, hypercalcemia, HYPERvolemia and hypertension are s/s of what phase of acute kidney failure

A

oliguric phase

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22
Q

how long does the oliguric phase of acute kidney failure last

A

1-2 weeks

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23
Q

what labs will be elevated in a pt in the oliguric phase of acute kidney failure

A

BUN and creatinine

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24
Q

urine output of more than 3L/day indicates what phase of acute renal failure

A

diuretic phase

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25
Q

HYPOvolemia and weight LOSS indicates what phase of acute renal failure?

A

diuretic phase

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26
Q

how long does the diuretic phase of acute renal failure last?

A

several days to 1 week

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27
Q

urine output between 4-5L/day and normal BUN & creatinine lvls indicates what phase of acute renal failure?

A

recovery phase

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28
Q

end-stage kidney disease does what to blood pressure?

A

elevates it

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29
Q

uremia, pruritus (itchy skin), confusion, slurred speech, tachypnea and elevated BP are s/s of what kidney disease?

A

end-stage renal disease

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30
Q

what causes bone pain in pts with kidney disease

A

hypercalcemia (calcium is pulled from bones)

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31
Q

flank pain, hypertension and polyuria indicates what kidney disease?

A

polycystic kidney disease

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32
Q

inflammation of the bladder wall is called?

A

cystitis

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33
Q

inflammation of the urethra is called?

A

urethritis

34
Q

bladder spasms are called?

A

tenesmus

35
Q

foul smelling urine is called?

A

pyuria (peeyouria)

36
Q

lower urinary tract infections include?

A

urethritis
cystitis

37
Q

what antibiotics treat urinary tract infections

A

bactrim
cipro
pyridium

38
Q

sulfanethoxazole is an antibiotic also called

A

bactrim

39
Q

iprofloxacin is an antibiotic also called

A

cipro

40
Q

phenazopyridine is an antibiotic also called

A

pyridium

41
Q

what antibiotic turns pee reddish orange

A

pyridium

42
Q

what antibiotic causes bladder spasms

A

pyridium

43
Q

is pyridium a urinary analgesic and antiseptic?

A

yes

44
Q

upper urinary tract infections include

A

pyelonephritis
glomerulonephritis

45
Q

inflammation of the renal parenchyma (kidney tissue) is called

A

pyelonephritis

46
Q

costovertebral angle pain, flank pain, chills and fever are s/s of what kidney disease

A

pyelonephritis

47
Q

where is the costovertebral angle

A

below the 12th rib and between the spine

48
Q

what would a pyelonephritis patient’s urine test positive for

A

RBC
WBC
casts
bacteria

49
Q

what does uremia do to the skin

A

makes it dry and itchy

50
Q

reduction of what reduces uremia risk

A

protein

51
Q

is it normal to gain 5 lbs in one day?

A

no

52
Q

what medication treats hyperkalemia

A

kayexolate

53
Q

polystyrene sulfonate is also called

A

kayexolate

54
Q

polystyrene sulfonate treats what

A

hypercalcemia

55
Q

medication that moves potassium out of body

A

kayexolate

56
Q

a nurse with holds morphine from dying cancer patient because she is worried it will kill her. what ethical principle did she use?

A

non maleficence

57
Q

surgical removal of both fallopian tubes and ovaries is called

A

bilateral salpingo-oophorectomy

58
Q

surgical removal of uterus, fallopian tubes and ovaries

A

total hysterectomy with bilateral salpingo-oophorectomy

59
Q

what will cause a patient not to be able to have sex after a total hysterctomy with bilateral salpingo-oophorectomy

A

vaginal dryness

60
Q

menopause, hot flashes and vaginal dryness occur after what surgical procedure

A

total hysterectomy with bilateral salpingo-oophorectomy

61
Q

does menopause occur in all patients no matter their age after total hysterectomy with bilateral salpingo-oophorectomy?

A

yes

62
Q

what education would you give a pt with vaginal dryness after total hysterectomy with bilateral salpingo-oophorectomy

A

artificial lube
estrogen cream for vagina

63
Q

will a patient need a pap smear every 6 months after a total hysterectomy with bilateral salpingo-oophorectomy [professor will cry if u get this wrong on the test]

A

no

64
Q

what does a WBC count of 17,000 indicate in a female patient? [test question]

A

infection

65
Q

what kind of foods should a pt with kidney stones avoid

A

tree nuts:
peanuts
cashews
almonds
hazelnuts
(*kidney stone pts not fw that sus shit)

66
Q

what can you use to prevent foot drop in a patient if a foot board is not available

A

high top shoes

67
Q

what are side effects of radiation on a pt s/p mastectomy

A

fatigue
myelosuppression

68
Q

would a pt with breast cancer get alopecia (hair loss)

A

no because radiation would not be given on their head

69
Q

what kind of lotion can be used after chemo

A

hydrating
no fragrance
no metal
no alcohol

70
Q

what is the prognosis for a stage 4 breast cancer pt

A

terminal

71
Q

which cancer is the most deadly

A

ovarian

72
Q

what is BRCA-1

A

breast cancer gene

73
Q

mouth soreness is called

A

stomatitis

74
Q

restlessness, headache, seizure and coma are s/s of what hemodialysis complication

A

dysequillibrium syndrome

75
Q

what drug would be given to a pt with dysequillibrium syndrome

A

phenytoin

76
Q

a nurse notices a pt who is restless, experiencing headaches, seizure and coma after hemodialysis. what is the pt suffering from and what med would be given PRN [test question]

A

dysequilllibrium syndrome
phenytoin

77
Q

if hemoglobin and hematocrit are low, how will the pts 02 be?

A

low

78
Q

s/s that kidney is being rejected by body after transplant

A

kidney pain
kidney enlargement

79
Q

how will pts BP be after hemodialysis

A

low

80
Q

is hypotension an expected side effect of hemodialysis

A

yes

81
Q

a pt states that her sister has a history of cervical cancer what screening would you suggest for the pt?

A

pap smear

concept 3 (17 decks)

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