MS Ch. 40: Urologic Disorders STUDY GUIDE
What is the X-Ray study that uses radioisotopes instead of contrast media?
Renal Scan
What are the Early signs of Hemorrhage?
Tachycardia
What should you teach the patient who has BPH?
Void as soon as you feel the urge instead of holding it in Space out fluid intake during the day
What are Factors that foster the development of stones?
Family history, Lifestyle, Diet, calcium, exercise
Assessment for AV fistula in hemodialysis patients?
Feel for "thrill" and swish
For which disorder are patients placed on activity restrictions?
Glomeronephritis
Which condition can untreated streptococcus lead to?
Glomerulonephritis
What is the inflammation of renal pelvis?
Pyelonephritis
Why would you use a closed system to irrigate a catheter?
Reduce the risk of infection
What is the primary nursing intervention in Hypocalcemia?
Seizure precautions
What is the #1 cause of bladder cancer?
Smoking
IVP (Intravenous Pyelogram)
Test that uses contrast medium to map...
What is the priority nursing measure with a Nephrostomy Tube?
No kinks in tube Draining properly
What nursing intervention would you use with a patient that has fluid volume excess?
Auscultate Lungs x 8
What is hematuria?
Blood in the Urine
What does pain in the flank area usually indicate?
Pyelonephritis
What would be the primary assessment for a patient with renal stones?
Input and Output
What is the most common sign of bladder cancer?
Intermittent Painless Hematuria
What are the symptoms of cystitis?
Painful urination Low-grade fever Bladder spasm
What is the most common symptom seen with renal cancer?
Painless gross hematuria
Complication of Peritoneal dialysis
Peritinitus
What are Glomerulonephritis complications
Urinary Output less than 400 mL/ 24 hours
What are Risk factors for a UTI?
Wiping the wrong way, being a woman bubble bath, coffee, tea, carbonated drinks
What are the symptoms of End-stage renal disease?
Yellow- gray skin color
Which hormone influences water eliminated the urine?
ADH
Blood volume causes changes in this?
Blood Pressure
What is the priority assessment for a patient with decreases output and increased BUN/ Creatinine
Blood Pressure
What are the symptoms expected after a Prostatectomy?
Blood in urine for several days Pink urine within 24 hours
What does Grey-Turner sign usually indicate?
Blunt Trauma to the kidneys
What is an unusual/ unexpected symptom after a Prostatectomy?
Bright red urine
What is the Normal Range of Serum Potassium ?
3.5 to 5.0
What is the primary nursing intervention in the Diuretic Stage of Renal Failure?
Assess for fluid volume defecit
What test is an indicator of the kidneys ability to excrete urine?
BUN
What is the lab indicator for implementation of hemodialysis in chronic renal failure?
BUN 70 mg or higher
How does metabolic compensation occur in acid-base disorders?
Bicarbonate and Hydrogen
What lab result is the BEST indicator of renal function ?
Creatinine Clearance
What is the main indicator of the Oliguric Stage of acute renal failure?
Decrease of less than 400 ml of urine a day
What is the cause of anemia in Renal failure?
Erythroprotein Decreases
What is the main complication of Renal Cancer?
Hemorrage
What are the dietary considerations in kidney failures?
High Carb/ Low Protein
What are the signs and symptoms of BPH?
Hint: FUN Frequency, Urgency, Nocturia
In which condition would you use Vitamin D and Phosphate Binders?
Hypocalcemia
What is the inflammatory disease of the bladder that is chronic and idiopathic?
Interstitial Cystistis
What is the procedure that uses sound waves to break up kidney stones?
Lithotripsy
What is the indicator of glomerular damage in urine?
Presence of protein
Which diagnosis requires genetic counseling?
Polycystic Kidney Disease
