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Kidney and Urinary > Renal Diagnotic Procedures > Flashcards

Renal Diagnotic Procedures Flashcards

1
Q

What structures does renal x-ray’s make visual?

A

Renal calculi
Strictures
Calcium deposits
Obstruction

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2
Q

Nursing actions for renal X-ray?

A

Ask patient if they are pregnant
Remove clothes, jewelry, metal objects

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3
Q

What does renal ct scan reveal? And what can it contain?

A

Kidney size, obstruction, cysts, or masses

It can contain iodine (IV contrast media)

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4
Q

Nursing actions for renal ct scan?

A

Ask client if pregnant
Remove jewelry, clothes, metal objects
(Include preop and postop from excretory urography, excluding bowl preparation)

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5
Q

What are the complications of renal ct scan

A

Acute kidney injury
Bigger risk for:
Older adults, dehydrated clients, clients with previous renal insufficiency and clients taking nephrotoxic drugs

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6
Q

Renal MRI

A

Useful for staging cancer

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7
Q

Nursing actions for renal MRI

A

Clients have to remain still
Clients with metal implants are not eligible due to magnet can move the metal implant

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8
Q

Renal ultrasound

A

Assess the kidneys, images ureters, bladder, masses,cyst, calculi, obstruction of the lower urinary tract
-alternative to excretory urography

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9
Q

Nursing actions of renal ultrasound

A

Provide skin care by removing gel after procedure

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10
Q

Cystography, cystourethrography, voiding cystourethrogram (VCUG)

A

Detects urethral or bladder unjustly after instillation of contrast media through urinate catheter, providing image of bladder and ureters.

Detects via an x-ray during urination whether urine refluxes into the ureters

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11
Q

Nursing actions for VCUG

A

Monitor for infection-72 hours
Encourage increased fluid intake
—dilutes urine
—minimize burning in urination
Monitor urine output
—report less than 30mL

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12
Q

Complications of VCUG

A

UTI due to catheter placement
Cloudy, foul smelling urine
Urine positive for leukocyte esterase and nitrites, sediment and RBC’s

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13
Q

Kidney biopsy

A

Removal sample of tissue by excitation or needle aspiration

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14
Q

Nurse actions for kidney biopsy

A

Clients receive sedation and ongoing monitoring

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15
Q

Pre procedure for kidney biopsy

A

Review coagulation studies
Ensure client has been NPO 4 to 6 hours

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16
Q

Post procedure for kidney biopsy

A

Monitor vital signs
Assess dressings and urinary output
Review Hgb and Hct
Administer analgesia

17
Q

Complications of kidney biopsy

A

Hemorrhage
Infection
Cloudy, foul smelling urine

18
Q

Cystoscope, cystourethroscopy

A

Used to discover abnormalities of bladder wall and/or occlusions or ureters or urethra

19
Q

Nursing actions for Cystoscope, cystourethroscopy

A

Clients receive anesthesia
Check for finding if bleeding and infection (72hrs)

20
Q

Pre procedure for Cystoscope, cystourethroscopy

A

NPO after midnight
Admin laxative or enemas

21
Q

Intra procedure for Cystoscope, cystourethroscopy

A

Monitor vitals
Place client in lithotomy position

22
Q

Post procedure of Cystoscope, cystourethroscopy

A

Monitor vital & urine output
Document color of urine
—can be pink tinged
Irrigate urinary catheter with 0.9 NS if blood clots are present or the urine output is decreased
Encourage oral fluids

23
Q

Complications of Cystoscope, cystourethroscopy

A

UTI
Cloudy, foul smelling urine

24
Q

Retrograde, pyelogram, csytogram, urethrogram

A

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

Identifies fistula, diverticula, and tumors in the bladder by instilling contrast media

25
Q

Renal scan

A

Assess renal blood flow & estimates glomerular filtration rate after IV injection of radioactive material

26
Q

Post procedure for renal scan

A

Assess blood pressure
Alert clients about orthodontic hypotension
Increase fluid intake

27
Q

Excretory urography

A

Detects obstruction, parenchyma masses, assesses the size of the kidneys.
IV contrast media enhances images

28
Q

Pre procedure for Excretory urography

A

Encourage increased fluids
Bowel cleansing with laxative an enema
NPO after midnight
Determine allergies
Check creatinine and BUN levels
Withhold metformin for 24hrs

29
Q

Postprecedure Excretory urography

A

Administer parenteral fluid or oral fluids
Diuretics
Check creatinine and BUN levels before resuming metformin

Kidney and Urinary (3 decks)

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