Test 1 (urinary)

Question 1

Causes of nosocomial UTIs?

Answer 1

Catheters (poor insertion),

Question 2

UTIs s/sx?

Answer 2

Freq, Urgency, dysuria, hematuria, pyuria, pain (perineal, suprapubic, flank, CVA)

Question 3

Pyelonephritis s/x

Answer 3

CVA tenderness, fever, chills, n/v, pain (epigastrim, colicky)

Question 4

Pyelonephritis Tx (drugs)

Answer 4

Bactrim/ septra, cephalosporin, quinolones, nitrofurantoin, pyridium (pain)

Question 5

Pyelonephritis Tx:

Answer 5

fluids 2-3L/day, acidify urine (juice), no caffeine alcohol, void 2-3qh,

Question 6

UTIs severe Tx:

Answer 6

Aminoglycosides (Garamycin), acetaminophen (fever), more fluids, pyridium (pain)

Question 7

how do we prevent UTIs?

Answer 7

hydration, hygiene (peri area), void after sex, acidify urine (juice), avoid obstructions, neuro problems (Ms, Spinal), cholinergics (will make you pee)

Question 8

Who is at risk for urinary retention?

Answer 8

neuro disease or injury, obstruction, bed rest, medication, dehydration.

Question 9

Glomerulonephritis S/x

antigen complex destroys bm

Answer 9

fever, chills, weak, n/v, HTN, Periorbital edema, pain (Abd, flank) oliguria

Question 10

Glomerulonephritis Dx:

Answer 10

GROSS proteinurea hematurea, cola colored, low serum protein, High BUN, Creatine, azotemia.

Question 11

Glomerulonephritis Tx:

Answer 11

Cillin, bed rest (pressure off bm), Diet: low Na, low prot, high Cho, restrict K if needed. Diuretics: Edema, HTN. Antihypertensives, plasmaphoresis.

Question 12

Glomerulonephritis N/c?

Answer 12

I/O, Edema, Bp, e-, BUN Creat (UA)

Question 13

Nephrotic syndrome

Answer 13

Severee protein urea*

Question 14

Nephrotic syndrome Tx:

Answer 14

corticosteroids, immunosupressants (cytoxan), Diet: low Na, low prot, High calorie. fluids, and replenish albumin. Diuretics aldosterone.

Question 15

NS n/C

Answer 15

I/O abd girth, weight, Bp, anticoagulation (teach safety), bed rest.

Question 16

Lithiasis-stones S/x

Answer 16

Pain/Colicky Flank, CVA, radiates groin, back, abdomen, testes. UTI s/s N/V. pallor, diaphoresis,

Question 17

lithiasis Dx:

Answer 17

UA (hematourea, ph, crystals) Urine culture sensitivity, strain all urine KUB (xray)
cytoscopy,

Question 18

Lithiasis Tx:

Answer 18

Almost 90% pass, Pain control, fluids 3/l/ day, strain urine, anti emetics, spasmodics, anticholingergics. warmth bath, moist heat (relax Pt)