questions Flashcards

1
Q
  1. The nurse teaches the female patient who has frequent UTIs that she should
A

b. void before and after sexual intercourse.

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2
Q
  1. One of the nurse’s most important roles in relation to acute poststreptococcal glomerulonephritis (APSGN) is to
A

a. promote early diagnosis and treatment of sore throats and skin lesions.

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3
Q
  1. The edema that occurs in nephrotic syndrome is due to
A

d. decreased colloidal osmotic pressure caused by loss of serum albumin.

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4
Q
  1. A patient is admitted to the hospital with severe renal colic. The nurse’s first priority in management of the patient is to
A

a. administer opioids as prescribed.

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5
Q
  1. The nurse recommends genetic counseling for the children of a patient with
A

b. tobacco use.

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6
Q
  1. In planning nursing interventions to increase bladder control in the patient with urinary incontinence, the nurse includes (select all that apply)
A

a. teaching the patient to use Kegel exercises.c. teaching the patient biofeedback mechanisms to train pelvic floor muscles.

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7
Q
  1. A patient with a ureterolithotomy returns from surgery with a nephrostomy tube in place. Postoperative nursing care of the patient includes
A

b. encouraging fluids of at least 2 to 3 L/day after nausea has subsided.

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8
Q
  1. A patient has had a cystectomy and ileal conduit diversion. Four days after surgery, you note mucous shreds in the drainage bag. The nurse should
A

d. document it as a normal observation.

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9
Q

stones diet

A

calcium, oxalate, purine

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10
Q

Kidney stones composed of uric acid are associated with which risk factor?

A

gout

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11
Q

type of stone associated with hydronephrosis

A

calcium oxalate stones

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12
Q

type of stone associated with UTI

A

struvite (staghorn)

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13
Q

swelling ureter because of a blockage is called?

A

hydroureter

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14
Q

what is hydronephrosis?

A

swelling of kidney

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15
Q

what is oliguria?

A

urine output <400ml/day

<30 ml/hr

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16
Q

which is a protective factor against UTI?

A

presence of urea
urine is acidic
urine is unidirectional

17
Q

client with UTI is taking ciprofloxacin, which condition requires follow-up?

A

new onset pain and swelling in elbow

18
Q

pt with diagnosed renal cell carcinoma has which risk factor?

A

pt smoked 1 ppd for 20 years
pt is male
pt is obese

19
Q

GFR and kidney disease?

A

95 - stage 1
15 - stage 4
40 - stage 3
70 - stage 2

20
Q

pt with ESRD present with which clinical manifestations?

A
anemia
anorexia
hyperkalemia
edema
hypermagnesemia
low albumin
21
Q

true regarding glomerulonephritis?

A

secondary condition caused by systemic disease
condition always affects both kidneys
it can be chronic or acute
presented as HARP acronym
- hematuria, azotemia, retention, proteinuria

22
Q

tx for AKI?

A

lasix
dextrose and insulin
sodium polystyrene sulfonate