Which changes occurs to the urinary system with aging? - ANSWER Bladder capacity decreases
Encouraging patients to empty their bladder soon after
... [Show More] feeling the urge rather than delaying emptying prevents - ANSWER Cancer of the bladder and incontinence
Which lab result is indicative of decreased kidney function - ANSWER Serum BUN 24 mg/dl and creatinine 2.1 mg/dl
Nursing care for the patient before receiving an ivp includes - ANSWER Assessing for any allergies to iodine
bun & creatinine
A renal ultrasound examination can detect - ANSWER The size shape and location of structures of the urinary system
If a patient has dark amber to orange colored urine the nurse would expect that this pt may be suffering from - ANSWER Dehydration
Urine output from an adult should be a minimum of - ANSWER 30 mL/hr
Teaching for a patient taking an antispasmodic or antimuscarinic medication for spasms of the bladder, overactive bladder, or urinary incontinence should include which statement - ANSWER You may need to use hard candy or ice chips for dry mouth
If a patient is experiencing urinary incontinence the nurse should advise the patient to avoid what? - ANSWER Beverages containing caffeine
What is considered a normal amount of residual urine? - ANSWER 100ml or less
Common signs and symptoms of cystitis include painful urination frequency and urgency and - ANSWER Low back pain
Glomerulonephritis most commonly occurs after which type of infection? - ANSWER Group a beta hemolytic streptococcal infection
Nephrotic syndrome is characterized by hyperlipidemia, hypoalbuminemia, severe edema, and... - ANSWER Proteinuria
Which patient is at the highest risk for developing renal stones? - ANSWER Male gender immobile history of uti
The nurse is caring for a patient who is suspected of having chronic pyelonephritis. which symptom provides the greatest support to the diagnosis? - ANSWER Weakness
A patient has been diagnosed with acute glomerulonephritis. What will most likely be noted in the patient's health history? - ANSWER Recent diagnosis of impetigo
Acute renal failure most commonly occurs in pt who have had injury to the kidney, inflammation, damage from toxic chemicals and... - ANSWER Infection
Stage 2 chronic renal failure is characterized by... - ANSWER BUN and serum creatinine levels beginning to rise, oliguria, and edema
Nursing assessment finding that indicate a properly functioning arteriovenous graft or fistula include... - ANSWER Palpable thrill and Audible Bruit
Interventions that require a doctor's order... - ANSWER Labs
Medications
Foley Catheters
Diagnostic Testing
Diet Change
IV
One way of prioritizing nursing care - ANSWER Maslow's
Airway, Breathing, Circulation
5 Steps of Nursing Process - ANSWER Assessment
Nursing Diagnosis
Implementation
Planning
Evaluation
A chemistry panel gives what information - ANSWER Electrolytes, Protein, BUN, Creatinine
Basic Metabolic Panel
Complete Metabolic Panel
Hormones that regulate fluid and electrolytes - ANSWER Aldosterone
ADH
What is used to assess fluid stasis - ANSWER Weight, Labs, Vital Signs, I&O
What are the goals in treating pts with kidney disorders - ANSWER Relieve Pain
Reduce Fever
Prevent further damage to kidney
What are these patients at risk for:
Trauma Pt
Marathon Runner
Uncontrolled Diabetic
Patient with Vomiting and Diarrhea - ANSWER Fluid Volume Deficit
Sodium is responsible for... - ANSWER Regulation of osmolarity balancing the intake and excretion of sodium in the body
Increases in electrolytes in the body can be caused by... - ANSWER Too little water ingestion
Ingestion of too much of the electrolyte
S/S of Fluid Volume Excess - ANSWER Bounding Pulse
DIstended Neck Veins
Increased BP
Crackles
and Dependent Edema
S/S of Fluid Volume Deficit - ANSWER Dry Mucosa
Flat neck veins
What symptoms would you see in a pt with potassium imbalance? - ANSWER Muscle Cramps
Cardiac Dysrhythmias
Constipation
ABG: pH 7.49, Paco2 33, HCO3 24 - ANSWER Respiratory Alkalosis
ABG: pH 7.49 , Paco2 42 , HCO3 28 - ANSWER Metabolic Alkalosis
Metabolic Alkalosis can be caused by? - ANSWER Loss of gastric secretions, too many antacids, and potassium wasting diuretics [Show Less]