Week 8: Renal

Question 1

Causative factors of UTI

Answer 1

E.Coli, enterococcus, staphylococcus

Question 2

Pathophysiology of kidney stones (calculi)

Answer 2

supersaturated crystals precipitate and cause stone formation

Question 3

Pathophysiology of pyelonephritis

Answer 3

chronic UT obstruction > inflammation > development of calyces, destruction of tubules, scarring > lesions cause fibrosis between the tubules

Question 4

Chronic pyelonephritis

Answer 4

a progressive process causing scarring and deformation of the renal calices and pelvis

Question 5

Acute pyelonephritis

Answer 5

patchy interstitial infectious inflammatory process > abscess formation and tubular necrosis

Question 6

4 indications for undertaking a GCS

Answer 6

head injury, changes in stable state, assess consciousness, patients response

Question 7

Physiological changes with Cushing’s traid

Answer 7

^ systolic BP with widening pulse, bradycardia, irregular breathing patterns

Question 8

Equipment necessary for lumbar puncture

Answer 8

sterile gloves, sterile drape, skin prep, local anaethetic, 2 CSF tubes, spinal needle (22 or 25 guage)

Question 9

3 complications of a lumbar puncture

Answer 9

failure to obtain sample, need to repear, headache, numbless,

Question 10

Location in the spine where a lumber puncture is performed

Answer 10

between L3 and L4

Question 11

Define TURP

Answer 11

Transurethral resection of Prostate

Question 12

Nursing interventions for a TURP patient

Answer 12

temp, pain assessment, monitor urine/bladder washout, palpate bladder, FBC

Question 13

Complications of a TURP

Answer 13

lower back pain, infection, blood clots, DVT