Renal Procedures

Question 1

Position during cystoscopy

Answer 1

Lithotomy

Question 2

Desire to void during Cystoscopy? Normal or not?

Answer 2

Normal.

Question 3

General Anesthesia for Cystoscopy: NPO for how many hours?

Answer 3

6-8 hrs

Question 4

Nursing Intervention for patient taking Local Anesthesia

Answer 4

Advise the patient to Increase Fluid intake up to 3L or 3000ml

Question 5

Provide adequate bed rest after cystoscopy to prevent?

Answer 5

To prevent Orthostatic Hypotension/Supine Hypotensive Syndrome

Question 6

Why do patient need to Increase Fluid Intake when taking Local Anesthesia?

Answer 6

To prevent Ascending UTI

Question 7

DOC for Sedation

Answer 7

Valium/Diazepam

Question 8

↓ 30 mmHg from Systolic BP due to irritation of the mucus membrane in the urinary tract

Answer 8

Supine Hypotensive Syndrome

Question 9

Is burning urination is expected a day or two after cystoscopy?

Answer 9

Yes, it is normal.

Question 10

Normal color of urine after cystoscopy for 24-48h

Answer 10

Pink-tinged color urine

Question 11

Signs of Infection

Answer 11

• Fever
• Chills
• Abdominal/Flank pain

F, C, A/F P

Question 12

Rationale behind providing Hot-Sitz Bath after Cystoscopy

Answer 12

To relieve pelvic/perineal discomfort.

Question 13

Do we secure consent for cystoscopy? Why?

Answer 13

Yes. It is an invasive procedure.

Question 14

Do we assess for Allergy before Intravenous Pyelogram? Why?

Answer 14

Yes, due to the use of contrast medium which may cause allergic reactions

contrast medium such as hypaque has iodine

Question 15

If you’re assessing patient’s allergy in IV Pyelogram, what element will you ask for?

Answer 15

Iodine

Question 16

Give an example of a Contrast Medium

Answer 16

Hypaque

Question 17

Contrast Medium is administered via?

Answer 17

IV

Question 18

What will you obtain after Contrast Medium?

Answer 18

Chest X-ray

Question 19

What should be at bedside during IV Pyelogram due to the contrast medium?

Answer 19

Epinephrine

prepare for any allergic reaction/anaphylactic shock

Question 20

When will you allow your patient to take food, if he/she is NPO for Intravenous Pyelogram?

Answer 20

If there’s a passage of flatus.

Question 21

Bowel Prep for Intravenous Pyelogram

Answer 21

Enema/Laxative

Question 22

Rationale behind the use of Enema/Laxative in diagnostic procedures

Answer 22

To evacuate the feces for better visualization.

Question 23

Signs of Delayed Allergic Reaction

Answer 23

• Pruritus
• Rashes
• Shortness of Breathe
• Dyspnea

P, R, SOB, Dys

Question 24

How many hours do we obtain CBC before & after renal biopsy?

Answer 24

6-8 hours

Question 25

Normal Prothrombin Time

Answer 25

11-16 secs

Question 26

Therapeutic Range of PT

Answer 26

1.5 x 2 than the normal

Question 27

Position for Renal Biopsy

Answer 27

Prone

Question 28

After renal biopsy, avoid streneous activities for how many weeks?

Answer 28

2 weeks

Question 29

It is a painless procedure that has no special preperation.

Answer 29

KUB

Question 30

Signs of Infection

Answer 30

Fever, Chills, Abd tenderness & pain

Question 31

Do we increase fluid intake after using Contrast Medium?

Answer 31

Yes

Question 32

Rationale behind increasing fluid intake for Contrast Medium

Answer 32

To prevent kidney damage which may lead to renal failure; contrast medium is nephrotoxic

Question 33

Why do we instruct our patient to undergo NPO for 6-8 hrs when using General Anesthesia?

Answer 33

To prevent aspiration; general anesthesia stops peristaltic movements temporarily

Question 34

We check PTT, hgb, and hct before renal biopsy to determine the presence of?

Answer 34

Anemia

Question 35

Patient's position during renal biopsy

Answer 35

Prone

Question 36

Why "prone" is the recommended position for Renal Biopsy?

Answer 36

Location of the kidney: retroperitoneal

Question 37

It is a painless procedure with no special preperation.

Answer 37

KUB

Question 38

Rationale behind sedation

Answer 38

To calm/relax the patient during the procedure; Prevent anxiety

Question 39

How many hours of bed rest after renal biopsy?

Answer 39

24 hrs

Question 40

Foods that are high in Iodine

Answer 40

Shellfish, Shrimp, Seafoods

Question 41

Low UO, bright bleeding/hematuria, abd or flank pain, chills/fever after Cystoscopy may indicate?

Answer 41

Bleeding & Infection

Question 42

Red/Dark/Smoky Color Urine is present in?

Answer 42

UTI

Question 43

How many ml of fluids will you instruct the patient to take after Local Anesthesia?

Answer 43

3000ml