MS Ch. 40: Urologic Disorders STUDY GUIDE

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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


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