Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Semester Two - Nursing 112 > Urinary Tract Obstruction/Burns > Flashcards

Urinary Tract Obstruction/Burns Flashcards

1
Q

A noninvasive procedure to break up renal stones into sand-like particles through the use of shockwaves

A

Extracorporeal Shockwave Lithotripsy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

An incision into the ureter to remove a urinary stone

A

Ureterolithotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Acute or chronic inflammation of the renal pelvis and parenchyma of the kidney calyces due to a bacterial infection

A

Pyelonephritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dilation of the kidney calyces due to a bladder outlet obstruction

A

Hydronephrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Stainless steel wire placed in the urinary tract system to hold back the walls thus allowing an unobstructed flow of urine

A

stent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Urinary Tract Stone

A

Urolithiasis or Nephrolithiasis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

An incision into the kidney to remove a stone

A

Nephrolithotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

X-Ray examination that visualizes the urinary tract after the administration of IV contrast material

A

Intravenous Pyelogram

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Examination of the bladder through the use of a lighted scope

A

Cytoscopy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

An incision into the renal pelvis to remove a stone

A

pyelolithotomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When a catheter is inserted into the renal pelvis due to an obstruction of the ureter

A

Nephrostomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Serum Creatinine Normal

A

0.6-1.5mg/100mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is creatinine?

A

The end product of muscle and protein metabolism and is liberated at a constant rate. Results are higher in men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

BUN Normal

A

10-30mg/100mL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is blood urea nitrogen?

A

Concentration of urea in blood is regulated by rate at which kidney excretes urea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Creatinine Clearance

A

waste product of protein breakdown. clearance of creatinine by the kidney approximate glomerular filtration rate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Urine Osmolality

A

total concentration of particles in a solution.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Intravenous Pyelogram

A

allows visulization of urinary tract with contrast medium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Recommended fluid intake

A

2500mL/day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the purpose of Intravenous Pyleogram?

A

Allows visulization of urinary tract with contrast medium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

How many hours NPO before intravenous pyleogram?

A

8 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What to look for during IVP

A
  • anaphylaxis
  • resp distress
  • urticaria
  • drop in BP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Emergency drugs for IVP

A

benadryl and epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Delayed reaction to contrast dye in IVP
* itching * nausea * resp. problems * oliguria
26
What should you encourage after IVP?
fluid intake
27
What allergy should you be on alert for for an IVP?
* shellfish * iodine
28
Purpose of cytoscopy
Use of a tubular lighted scope to inspect interior of bladder
29
What should the nurse encourage during cytoscopy?
relaxation actitivies, deep breathing
30
What should a client expect after a cytoscopy?
* burning with urination * pink tinged urine * urinary frequency
31
In clients with urinary tract obstruction, BUN does what?
is elevated
32
In clients with urinary tract obstructions, serum creatinine does what?
is increased
33
A client with a urinary tract obstruction will exhibit what?
* hematuria * chronic urinary tract infections * renal colic * fever * tenderness on palpation of renal area
34
Clients with urinary tract calculi may have a history of what?
* family members with urinary tract calculi * sedentary lifestyle * previous urinary tract stones
35
Metabolic factors contributing to urinary tract obstructions
increased urine levels of calcium, oxaluric acid, uric acid or citric acid
36
Climate factors contributing to urinary tract obstructions
warm climate that contributes to incidence of dehydration (increase fluid loss, low urine volume, concentrated urine)
37
diet factors contributing to urinary tract obstructions
* high protein diet that increases uric acid excretion * excessive intake of tea or fruit juices that increase urinary oxalate levels * high intake of calcium and oxalate in diet * low fluid intake that increases urianry concentration
38
Genetic factors that contribute to urinary tract obstruction
family history of stone formation, cystinuria, gout, or renal acidosis
39
lifestyle factors contributing to urinary tract obstructions
sedentary occupation, immobility
40
Foods high in calcium
* milk * cheese * fish with bones * ice cream * beans * chocolate
41
Foods high in oxalate
* spinach * asparagus * nuts * tomatos * chocolate
42
Foods high in purines
* sardines * herring * kidney * liver * goose * mussels * venison
43
Burn
injury to the tissues of the body caused by heat, chemicals, electrical current, or radiation
44
Common causes of burns in children
* hot water scalds most freq in toddlers * flame related burns most common in older children * 10-20% of documented cases of child abuse include burn injuries * children playing with matches or lighters account for 1 in 10 house fires
45
Rule of Nines
guide for determining the total body surface area affected by a burn
46
Head and Neck
9
47
Each Arm
9
48
Anterior Trunk
18
49
Posterior Trunk
18
50
Each Leg
18
51
Peritneum
1
52
Palm
1
53
1st 24-48 hours Cardiovascular pathophysiology
increase vas. permeability in area of burn injury due to infammatory response --\> Loss of plasma proteins and electrolytes --\> increase in interstitial fluid --\> Decrease in intravascular volume......damaged tissue at burn site
54
1st 24-48 hours respiratory pathophysiology
damage to airway secondary to direct burn injury or inhalation of noxious gases
55
1st 24-48 hours renal pathophysiology
decreased urinary output secondary to decreased renal blood flow, loss of protein at burn site, stress response to burn injury
56
What lab values would be expected in a burn patient?
BUN + CR increase, increase in BG
57
When does the diuretic phase take place after a burn?
24-48 hours
58
24-48 hours cardiovascular pathophysiology
interstitial to intravascular fluid shifts
59
24-48 hours renal pathophysiology
increased urinary output
60
What lab balues would be expected from a burn patient 24-48 hours after a burn?
diuresis and low specific urine gravity
61
Parkland Formula
4mL LR X body weight (kg) X % of body surface area burned = 24 hour total fluid replacement
62
Application of parkland formula
1/2 of total 24 hour fluid replacement in first 8 hours 1/4 of total 24 hour fluid replacement in second 8 hours 1/4 of ttotal 24 hour fluid replacement in third 8 hours

Semester Two - Nursing 112 (90 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions