Unit 11: Chapters 65, 66, 67, 68
(SATA) The nurse is teaching self care measures is to a patient who had lithotripsy for kidney stones. What information does the nurse include?
Finish the entire prescription of antibiotics to prevent urinary tract infections. Balance regular exercise with sleep and rest. Drink at least 3 L of fluid a day. Urine may be bloody for several days.
Which clinical manifestation is a patient with an obstruction in the urinary system is associated specifically with hydronephrosis?
Flank asymmetry
The patient was diagnosed with a fungal urinary tract infection. Which drug does the nurse anticipate the patient will be treated with?
Fluconazole
The nurse tells the patient that the healthcare provider recommends a fluid intake of at least 2 L/day. The nurse asks the patient to report on fluid intake for the last 24 hours to assess typical intake. The patient reports a lot. After calculating the 24 hour intake the nurse tells the patient what?
Fluid consumption is meeting the 2L/day recommendation
An older adult patient with a cognitive impairment is living in an extended care facility. The patient is in continent, but as the family points out, he will urinate in the toilet if somebody helps him. Which type of incontinence does the nurses fact is this patient?
Functional
The nurse assessing a patient for bladder distention. Which technique does the nurse use?
Gently palpate for the outline of the bladder, percuss the lower abdomen, continue toward the umbilicus until dull sounds are no longer produced.
The nurse is teaching a man about how to prevent urinary tract infections. Went for Maisch and does the nurse include?
Gently wash the genital area before intercourse
The nurse is preparing to assess a female patient's urethra prior to the insertion of a Foley catheter. In addition to gloves, which equipment does the nurse obtain to perform the initial assessment?
Good light source
Which patient it is most likely to exceed the renal threshold if there is non-compliance with the prescribed therapeutic regimen?
Has type 2 diabetes mellitus
The patients recurring cystitis appears to be related to sexual intercourse. The patient seems uncomfortable talking about the situation. What communication technique does the nurse used to assist the patient?
Have a frank and sensitive discussion with the patient
Young female patient reports experiencing burning with urination. What question does the nurse asked to differentiate between a vaginal infection and a urinary infection?
Have you noticed any vaginal discharge?
A healthy female patient has no physical symptoms, but urinalysis results reveal a protein level of >0.8 mg/dL and a WBC count of 4 per high powered field. What question would the nurse ask the patient in order to assist the health care provider to correctly interpret the urinalysis results?
Have you recently performed any strenuous exercise?
(SATA) The patient has undergone a kidney biopsy. And the immediate post procedural., The nurse notified to have provider about which findings?
Hematuria with blood clots. Decreased urine output. Flank pain. Decreasing blood pressure.
A patient has undergone a kidney biopsy. What does the nurse monitor for in the patient related to the procedure?
Hemorrhaging
Impairment of the thirst mechanism associated with aging makes an older adult patient more vulnerable to which disorder?
Hypernatremia
The nurse is taking history on a 55 year old patient who denies an serious chronic health problems. Which SUDDEN onset sign/symptom suggests possible kidney disease in this patient?
Hypertension
Vitaminwater D is converted to active form in the kidney. If this function were to fail, which electrolyte imbalance would occur?
Hypocalcemia
Which statement by a patient indicates effective coping with a Kock's pouch?
I check the pouch every 2 to 3 hours depending on my fluid and diet
The nurses evaluating outcome criteria for a patient being treated for urgent continents. Which statement indicates the treatment has been successful?
I had trouble at first, but now I go to the toilet every three hours
The nurse here is an report that the patient is being treated for a fungal urinary tract infection. And addition to performing routine care and assessments, the nurses extra vigilant for signs of symptoms of which systematic disorder that may underlie the fungal urinary tract infection?
Immune system compromise
A patient is returning from the post anesthesia care unit after surgery of bladder cancer resulting in a continuous ureterostomy.where does the nurse expect the stoma to be?
In the mid abdominal area
A patient has a urinalysis ordered. When is the best time for the nurse to collect the specimen?
In the morning
A nurse is talking to a group of older women about changes in the urinary system related to aging. What system is likely to be a common concern for this group?
Incontinence
A patient with urinary incontinence is prescribe oxybutynin. What precautions or instructions does the nurse provide related to this therapy?
Increase fluids and dietary fiber and take
Limiting fluid intake would have what affect on urine?
Increase the concentration of urine
(SATA) A patient of polycystic kidney disease with exhibit which signs and symptoms?
Increased abdominal girth, Hypertension, Kidney stones
And polycystic kidney disease, the effect of rain in angiotensin system and the kidney has which result?
Increased blood pressure
OK show polycystic Candace he is usually experiences constipation. What does the nurse recommend?
Increased dietary fiber and increased fluids
In addition to kidney disease, which patient condition causes the BUN to rise above the normal range?
Infection
The nursing student sees in order for a urinalysis for a patient with frequency, urgency, and dysuria. In order to collect a specimen what does the student do?
Instructed patient on how to collect a clean catch specimen
The cytoscopy results for patient include a small capacity bladder, the presence of hunters ulcers, and small hemorrhages after bladder distention. How does the nurse interpret this report?
Interstitial cystitis
The patient reports intense urgency, frequency, and bladder pain. Urinalysis results show white blood cells and red blood cells in urine culture results are negative for infection. How does the nurse interpret these findings?
Interstitial cystitis
The patient had surgery for bladder cancer. To prevent recurrence of superficial bladder cancer, the nurse anticipate that the healthcare provider is likely to recommend which treatment?
Intervesical installation of bacille Calmette-Guerin
(SATA) The nurses interviewing a patient with suspected polycystic kidney disease. What questions does the nurse ask the patient?
Is there any family history of polycystic kidney disease or kidney disease? Have you had any constipation or abdominal discomfort? Have you noticed a change in urine color or frequency? Have you had any problems with headaches?
The patient returns to the unit after a renal scan. Which instruction about the patient's urine does the nurse and get the unlicensed assistant personnel caring for the patient?
It does not place anyone at risk because of the small amount of radioactive material
The patient is considering vaginal can therapy, but is a little hesitant because she does not understand how it works. What does the nurse tell her about that she'll come on therapy improves and comments?
It strengthens pelvic floor muscles
The patient is it made it for an elective orthopedic surgical procedure. The patient also has a personal and family history of urolithiasis. Which circumstance creates the great risk for recurrent urolithiasis?
Keeping the patient NPO for extended periods
The healthcare provider verbally informed the nurse that the patient needs glue or Quinnelan anabiotic to treat a UTI. The pharmacy delivers gabapentin. What should the nurse do first
Look at the written order to clarify the name of the medication
The patient is scheduled for a CT with iodine contrast medium. Which medication is discontinued 24 hours before the procedure and for at least 48 hours until help me function has been reevaluated?
Metformin
(SATA) What does the nurse include in the care plan for patient who has pyelolithotomy?
Monitor the amount of bleeding from the incisions. Strain for year-end to monitor the passage of stone fragments. Encourage fluids to avoid dehydration and supersaturation. Monitor for changes in urine output. Edminister anabiotic's to eliminate or prevent infections.
The nurse is caring for a patient with urolithiasis. Which medication is likely to be given in a cute face to relieve the patient severe pain?
Morphine sulfate
Which description of the recessive form for polycystic kidney disease is correct?
Most people with this form of polycystic kidney disease die in early childhood
The home health nurse is assessing an older adult patient who refuses to leave the house to see friends or participate in any usual activities. She reports taking a bath several times a day and becomes very upset when she has an egg carton it absurd. What is the priority problem for this patient?
Negative self image
The patient has sustained a minor kidney injury. Which structure must remain functional in order to form urine from blood?
Nephron
The advanced practice nurses performing a digital rectal exam nation and notes that the rectal sphincter contracts on digital insertion. How does the nurse interpret this fighting?
Nerve supply to the bladder is most likely intact.
The patient has a family history of autosomal dominant form of polycystic kidney disease and has therefore been advised to monitor for any reports symptoms. What is an early symptom of polycystic kidney disease?
Nocturia
Which renal change associated with aging does the nurse expect an leer patient to report?
Nocturnal polyuria
The nurse is reviewing the laboratory results for a patient being evaluated for trouble with passing urine. The urinalysis shows tubular epithelial cells on microscopic examination. How does the nurse interpret these findings?
Obstruction is prolonged
(SATA) The nurse is taking history on a patient with a change in urinary patterns. In addition to medical and surgical history, what does the nurse ask about to complete the assessment?
Occupational exposure to toxins, Use of illicit substances, Recent travel to geographic regions that pose infectious disease risks
The nurse is caring for an obese older adult patient with dementia. The patient is alert and ambulatory, but has functional incontinence. Which nursing intervention is best for this patient?
Offer assistance with toileting every two hours
Which group has the highest level of prevalence for urinary tract infections?
Older women
During the day, the nursing student is measuring urine output and observing for urine characteristics in a patient. Which abnormal finding is the most urgent,which must be reported to supervising nurse?
Output is decreased
The patient is diagnosed with urethral stricture. What findings does the nurse expect to see documented in the patient's chart for this condition?
Overflowing apartments
When patients have problems with kidneys or urinary tract, what is the most common symptom that prompts them to seek medical attention?
Pain in flank or abdomen or pain while urinatin
The nurse is talking to a 68-year-old male patient who has lifestyle choices and occupational exposure of it put him at high risk for bladder cancer. The nurse is Miss concerned about with urinary characteristics?
Painless hematuria
The nurse is assisting an inexperienced health care provider to assess a patient who has an aneurysm. The nurse would intervene if the provider performed which action?
Palpated deeply to lactate masses or tenderness
In which patient circumstance with the nurse question the order for the insertion of an indwelling catheter?
Patient has functional incontinence related to Alzheimer's disease
Which event is most likely to trigger renin production?
Patient sustains significant blood loss
Which patient with incontinence is most likely to benefit from surgical intervention?
Patient with overflow incontinence caused by obstruction
Which task related to care of patients you have and willing catheters can be delegated to an unlicensed assistive personnel?
Perform daily catheter care by washing the perineum and proximal portions of the catheter with soap and water
The healthcare provider has recommended Intermatic self catheterization for a patient with long-term problems of incomplete bladder emptying. Which information does the nurse gave the patient about the procedure?
Perform proper handwashing and cleaning of the catheter to reduce the risk for infection
The urine output of a patient with a kidney stone has decreased from 40 mL per hour to 5 mL per hour. What is the nurses priority action?
Performe the Crede maneuver on the patients bladder
An elderly patient has been in bed several days after a fall. The nurse encourages ambulation to stimulate movement of urine through the ureter by what phenomenon?
Peristalsis
In which circumstance is the regulatory role for aldosterone most important in order for the person to maintain homeostasis?
Person has been hiking in the desert for several hours
Which personal action most likely caused the kidneys to produce and release erythropoietin?
Person moved to high altitude area where atmospheric oxygen is low
A 24 hour urine specimen is required from a patient. Which strategy is best to ensure that all the urine is collected for the full 24 hours?
Place a sign in the bathroom reminding everyone to save the urine
A patient reports flank pain and tenderness. What technique does the nurse use to assess for constovertebral angle tenderness?
Place one palm over the constovertebral area, thump with other fist.
The nurse is reviewing the results of a patient ultrasound in the kidney. They report reveals and enlarged kidney which suggest which probable problem?
Polycystic kidney disease
Why me a patient polycystic kidney disease experience constipation?
Polycystic kidneys and large and put pressure on the large intestine
The nurse and nutritionist are evaluating the diet and the nutrition therapies for a patient with kidney problems. Blood Urea Nitrogen (BUN) levels for this patient are tracked because of the direct relationship to the intake and metabolism of which substance?
Protein
The nurse is reviewing laboratory results for patient polycystic kidney disease. Which laboratory abnormalities indicates glomeruli involvement?
Protein urea
The nurse is caring for an older adult patient with urinary incontinence. The patient is alert and orientated, but refuses to use the call bell and has fallen several times will try to get to the bathroom. What is the nurses priority concern for this patient?
Provide ball prevention methods
The healthcare provider in forms the nurse that there is a change in orders because the patient has a decrease in creatinine clearance rate. What change does the nurse anticipate?
Reduction of drug dosage
The patient has been started on oxybutynin for urinary incontinence. What is the major action of this medication?
Relax his bladder muscles
What is an advantage of a renal scan compared to a CT scan for diagnosing at the perfusion, function, and structure of the kidneys?
Renal scan is preferred if the patient is allergic to iodine or has impaired kidney
A patient suspected that having polycystic kidney disease. Which diagnostic study has minimal risks and can reveal polycystic kidney disease?
Renal sonography
A patient with polycystic kidney disease reports sharp flank pain followed by blood in the urine. How does the nurse interpret these signs and symptoms?
Ruptured cyst
Which test is the best indicator of kidney function?
Serum creatinine
A patient with a history of kidney stones presents with severe flank pain, nausea, vomiting, pallor, and diaphoresis. He reports freely passing urine, but it is bloody. The priority for nursing care is to monitor for which patient problem?
Severe pain
The nurse sees that an older patient has a blood osmolarity of 303 mOsm/L. Which additional assessment will the nurse make before notifying the health care provider about the laboratory results?
Signs of dehydration
A patient received an antibiotic prescription several hours ago and I started the medication, but request some relief from the burning. What comfort measures does the nurse suggest?
Sit in a sitz bath and urinate into the warm water
Which patient has the highest Chris for bladder cancer?
Sixty year-old female patient he smokes two packs of cigarettes per day and works in a chemical factory
The nurse is reviewing a care plan for a patient who has functional incontinence. There is a note that containment is recommended, especially at night. What is the major concerns with this approach?
Skin integrity
The patient returns to the medical surgical unit after having shockwave lithotripsy. What is an appropriate nursing intervention for the police procedural care of this patient?
Strain the urine to monitor the passage of stone fragments
The patient reports the loss of small amounts of year and during Coffeen sneezing jogging or lifting. Which type of incontinence to be systems describe?
Stress
(SATA) A middle aged woman has urinary stress incontinence related to week pelvic muscles. The patient is highly motivated to participate in self-care. Which interventions does the nurse include in the treatment plan?
Suggest keeping a detail diary of urine leakage, activity, and foods eaten. Suggest wearing absorbent undergarments during the assessment process. Teach pelvic floor exercise therapy. Teach about vaginal coon therapy. Referred to a nutritionist for diet therapy for weight reduction.
What does the increase in the ratio of BUN to serum creatinine indicate?
Suggests non kidney factors causing al elevation in BUN
A patient is diagnosed with renal artery stenosis. Which sound does the nurse expect to hear by auscultation when a bruit is present in a renal artery?
Swishing sound
Which patient is most likely to produce urine with a specific gravity of less than 1.005?
Takes diuretic medication everyday
Patient has agreed to try bladder training program. What is the priority nursing intervention and starting this therapy?
Teach the patient how to be alert, aware, and able to resist the urge to urinate
A patient with a history of polycystic kidney disease reports door, aching for you can you and be your analysis is negative for infection. The healthcare provider tells the nurse that the pain is chronic and related to enlarge and kidneys compressing abdominal contents. What nursing intervention is best for this patient?
Teaching methods of relaxation such as deep breathing
The nurses to signing a habit training bladder program for an older adult patient was alert but mildly confused. What task associated with the training program is to be delegated to the unlicensed assistive personnel?
Tell the patient it is time to go to the toilet and assist him to go on a regular schedule
The nurse reads in the assessment note made by the advanced practice nurse that the "left kidney cannot be palpated" How does the nurse interpret this notation?
The left kidney is normally deeper and cannot be palpated
The patient has been performing Keagle exercises for two months. How does the nurse know whether the exercises are working?
The patient is able to stop the urinary stream
The community health nurse is talking to a group of African American adults about renal health. The nurse encourages the participants to have which type of yearly examination to screen for kidney problems?
Urinalysis and microalbuminurea
The patient reports straining to pass very small amounts of urine today, despite a normal fluid intake, and reports having the urge to urinate. The nurse palpates the bladder and finds that it is distended. Which condition is most likely to be associated with these findings
Urinary stricture
Which year and characteristics suggest that the patient is drinking a sufficient amount of fluid?
Urine is a pale yellow color
The nurse is getting ship report to the oncoming nurse about the care of a patient who had a nephrostomy tube placed three days ago and is to remain in place until the urinary obstruction is resolved. What is the most important point to clearly communicate about the urine drainage?
Urine is draining only into the collection bad, not the bladder; therefore the minimum expected drainage is 30 mL per hour
The nurse is reviewing the laboratory results for an older adult patient with an indwelling catheter. The urine culture is pending, but your analysis shows greater than 10 power five colony forming units, and the differential white blood count shows a left shift. How does the nurse interpret these findings?
Urosepsis
A patient appears to be very uncomfortable with the nurse's questions about urinary functions and patterns. What is the best technique for the nurse to use to elicit relevant information and decrease the patient's discomfort?
Use the patient's own terminology
Which hormone is released from the posterior pituitary and makes the distal convoluted tubule and the collecting duct permeable to water to maximize reabsorption and produce concentrated urine?
Vasopressin
Which diagnostic test and corporate contrast dye, but does not place the patient at risk for nephrotoxicity?
Voiding cystourethrogram
After the nurse instructs education polycystic kidney disease on homecare, the patient knows to contact the healthcare provider immediately when signs and symptoms occur?
Weight has increased by 3 pounds in two days
The nurse is interviewing a 35 year old woman who needs evaluation for a potential kidney problem. The women reports she has been pregnant twice with two healthy children. What would the nurse ask about health problems during pregnancy?
Were you treated for gestational diabetes?
The nurse is taking nutritional history on a patient. The patient states, "I really don't drink as much water as I should." What is the nurse's best response?
What would encourage you to drink the recommended 2L/day?
The employee health nurse is conducting a presentation for employees who work in A&P manufacturing plant. If you order to protect against bladder cancer, the nurses eyes is that everyone who works with chemicals should do what?
Where personal protective equipment such as gloves and masks
The nurse is planning the care for several patients who are undergoing diagnostic testing which patient is likely to need the most time for post procedural care?
Will have a Cytoscopy
An older adult male patient reports in acute problem with urine retention. The nurse advises the patient to seek medical attention because permanent kidney damage can occur in what time frame?
Within 48 hours
An older adult male patient calls the clinic because he has not passed any urine all day long. What is the nurses best response?
You could have an obstruction, so you should come in to be checked
The patient reports symptoms indicating a urinary tract infection. Results from which diagnostic test will verify the urinary tract infection?
Your analysis to test for leukocyte esterase and nitrate
Which patient has the highest risk for developing a complicated urinary tract infection?
22-year-old man who has a neurogenic bladder due to a spinal cord injury
The nurse is teaching a woman how to prevent urinary tract infections. What information does the nurse include
Clean the peroneal area from front to back
Which urine characteristic listed on a urinalysis report arouses the nurse's suspicion of a problem in the urinary tract?
Cloudiness
The patient is diagnosed with hydronephrosis. What is complications that could result from this condition?
Damage to the nephrons
A patient is diagnosed with urethral stricture. The nurse prepares the patient for which temporary treatment?
Dilation of the urethra
The nurse is determining whether a patient has a history of hypertension because of the potential for kidney problems. Which question is best to elicit this information?
Have you ever been told that you have high blood pressure?
A patient has a bladder suspension and a suprapubic catheter is in place. The patient wants to know how long the Cather will remain in place. What is the nurses best response?
It will be removed when you can void and residual urine is less than 50 mL
What does the BUN test measure?
Kidney excretion of urea nitrogen
The nurse is performing an assessment of the renal system. What is the first step in the assessment process?
Observe the flank region for asymmetry or discoloration
What is the common problem hydronephrosis, Hydro ureter, and urethral stricture sure and kidney function?
Obstruction
Which patient is most likely to have decreased calcium level?
Patient with kidney disease
A patient had a cytoscopy.after the procedure, what does the nurse expect to see in this patient?
Pink tinged urine
(SATA) The nurse is developing a teaching plan for a patient with polycystic kidney disease. Which topics does the nurse include?
Teach how to measure and record blood pressure. Assist to develop a schedule for self administering drugs. Explain the potential side effects of the drugs.
P patient with chronic kidney disease develops anorexia, nausea, and vomiting, muscle cramping, and pruritus. How does the nurse interpret these findings?
Uremia
The patient reports severe flank pain. Report indicates that year and is turbid, mellitus, and rust colored; red blood cells, white blood cells, and bacteria are present; and microscopic analysis shows sisters. What does the data success
Urolithiasis and infection
Which patient narrative describes symptoms of dysuria?
"It burns when I pee"
What is the average urine output for a healthy adult for a 24 hour period?
1500 mL to 2000 mL
The nurse is teaching to patient about self-care measures to prevent urinary tract infections. Which daily food intake does the nurse recommended patient to prevent a bladder infection?
2 to 3 L of water
Which patient should not be advised to take cranberry juice?
33-year-old woman who had dysuria associated with interstitial cystitis
Which description of the part is I'm on Dominic former polycystic kidney disease is correct?
50% of people with this form of polycystic kidney disease develop kidney disease by age 50
The nurse is caring for a patient who sustained major injuries in an automobile accident. Which blood pressure will result in a compromised kidney function, in particular the Glomerular Filtration Rate (GFR)?
70/40 mm Hg
Teaching enter minutes self catheterization for incontinence is appropriate for which patient?
A 25-year-old male paraplegic
Which patient is most likely to have mixed incontinence?
A 54-year-old woman who had four full-term pregnancy is
Mastering voluntary micturition is normal development for which person?
A healthy 20 month old toddler
The nurses working in a long-term care facility. Which circumstance is cause for greatest concern, because the facility has a large number of residents were developing urinary tract infections?
A large percent of residents have indwelling urinary catheter's
Which over the counter medication does the nurse further explore impact on kidneys?
Acetaminophen
The healthcare provider tells the nurse that the patient with polycystic kidney disease has sought wasting. Which intervention is there is likely to use related to nutrition therapy?
Advise that a low sodium diet is not currently necessary
Which ethnic group has the highest risk for kidney failure and needs special attention for patient teaching related to hypertension and sodium intake?
African Americans
The nurse is caring for a patient with a nephrostomy. The nurse notifies the healthcare provider about which assessment finding?
Amount of drainage decreases and the patient reports back pain
Which hematologic disorder is most likely to occur if the hormonal function of the kidneys is not working properly?
Anemia
For the patient with polycystic kidney disease, which antihypertensive medication may be used because it helps control the self growth aspects of polycystic kidney disease and reduce microalbuminuria?
Angiotensin converting enzyme inhibitors
Which pain management strategy does the nurse teach a patient who has pain from infected kidney cyst of polycystic kidney disease?
Applied dry heat to the abdomen or flank
The nurse is teaching the patient a behavioral intervention for bladder compression. In order to correctly perform the Creedy method, what does the nurse teach the patient to do?
Apply firm and steady pressure over the bladder area with the palm of the hand
(SATA) A healthy 34 year old man with no physical complaints has a BUN of 26 mg/dL. Which questions would the nurse ask to identify nonrenal factors that could be contributing to this laboratory result?
Are you taking or have you ever taken any steroid medications? Have you recently experienced any physical or emotional stress? Have you noticed any blood in the stool or have you vomited any blood?
The nurse is performing an assessment on a patient with probable stress incontinence. Which assessment techniques does the nurse used to validate stress incontinence?
Ask the patient to cough while wearing a parineal pad
A patient has a Nephrostomy and a nap frost me tube is in place. What is included in the postoperative care for this patient?
Assess the amount of drainage in the collection bag
The nurse is caring for a patient with an indwelling catheter or what intervention guess the nurse used to minimize catheter related infections?
Assess the patient daily to determine need for a catheter
The nurse is caring for a patient with functional incontinence. The unlicensed assistive personnel reports that the linens have been changed four times within the past six hours, but the patient refuses to wear a diaper. What does the nurse to next?
Assess the patient for any new urinary problems and ask about toileting preferences
A patient with polycystic kidney disease reports a severe headache and is at risk for a berry aneurysm. What is the nurses party action?
Assessed for neurologic changes and check vital signs
Which dietary changes does the nurse suggested to patient with urgent continents?
Avoid alcohol and caffeine
A 22-year-old patient comes to the clinic for a wellness check up. History feels that the patients parent has an autosomal dominant form of polycystic kidney disease. Which vital sign suggest the patient should be evaluated for polycystic kidney disease?
BP 136/88 mm Hg
The nurse is caring for a patient with dehydration. Which laboratory test results does the nurse anticipate to see for this patient?
BUN rises faster than creatinine level
What role does drug therapy have as an intervention for overflow urinary incontinence?
Bathanechol chloride maybe used short term after surgery
(SATA) Based on the nurses knowledge of the normal function of the kidney, which large particles are not found in the urine because they are too large to filter through the glomerular capillaries walls?
Blood cells Albumin Other proteins
The nurse is caring for a patient who has an indwelling catheter and subsequently developed a urinary tract infection. The patient has been receiving antibiotics for several days, but develops hypertension, rapid pulse, and confusion. The nurses s suspects urosepsis and alerts the healthcare provider. Which diagnostic test is the provider most likely to order to confirm urosepsis?
Blood culture
The nurse performs a dipstick urine test for a patient being evaluated for kidney problems. Glucose is present in the urine. How does the nurse interpret the results?
Blood glucose is greater than 220 mg/dL
Ketones in the urine may indicate which occurrence or process?
Body's use of fat for cellular energy
The home health nurse reads in the patient's chart that the patient has asymptomatic bacterial urinary tract infection. Which intervention will the nurse performed?
Closely monitor for conditions that cause progression to acute infection
(SATA) The nurse is assessing a patient with chronic kidney problem. The nurse notes that the patient has pedal edema and periorbital edema. What additional assessments will the nurse make to assess fluid overload?
Compare current blood pressure to baseline. Weigh the patient and compare to baseline. Auscultate lung fields to determine if fluid is present.
For patient who needs an indwelling catheter for at least two weeks which intervention would help reduce the bacterial colonization along the catheter?
Consider the use of a coated catheter
The healthcare team is using a collaborative and interdisciplinary approach to design a treatment plan for patient polycystic kidney disease. What is the top priority?
Controlling hypertension
Damage to which renal structure or tissue can change the actual production of urine?
Convoluted tubules
A Mailcoach student comes to the clinic reporting burning or difficulty with urination and discharge from the urethral meatus. Based on the patient's chief complaint, what is the most logical question for the nurse to ask the patient's medical history?
Could you have been exposed to sexually transmitted disease is?
A patient is scheduled for retrograde urethrography. Post procedural care is similar to post procedural care get in with which test?
Cystoscopy
Several patients are scheduled for testing to diagnose potential kidney problems which test requires a patient you have a urinary catheter inserted before the test?
Cytography
The patient has a urinary tract infection symptoms but there are no bacteria in the urine. The healthcare provider suspects interstitial cystitis. The nurse for Paris patient teaching material for which diagnostic test?
Cytoscopy
A patient with polycystic kidney disease reports nocturia. What is nocturia caused by?
Decreased urine concentrating ability
Which abnormal findings would be associated with chronic kidney disease?
Decreased urine specific gravity
The patient comes to the clinic and reports severe flank pain, bladder distention, and nausea and vomiting with increasingly smaller amounts of year in with Frank blood. The patient states I have kidney stones and I just need a prescription for pain medicine. What is the nurses primary concern?
Determining if there is an obstruction
Patients who have central nervous system lesions from stroke, multiple sclerosis, or parasacral spinal cord lesions may have which type of urinary incontinence?
Detrisor hyperflexia
(SATA) Several patients at the clinic have just been diagnosed with urinary tract infections. Which patients may need longer antibiotic treatment or different agents in the typical first line medications?
Diabetic patient Immunosuppressed patient Pregnant patient
The nurse hears in report that the patient is having renal colic pain. When performing the physical assessment of this patient during a severe pain episode, what additional sign/symptom may the nurse expect to observe?
Diaphoresis
An older adult male patient has a history of an enlarged prostate. The patient is most likely to report which symptom associated with this condition?
Difficulty starting urine stream
(SATA) A young woman tells the nurse that she gets frequent urinary tract infections that seem to follow sexual intercourse which questions with the nurse ask?
Do you use a diaphragm or spermicides for contraception? Do you and your partners wash the peroneal area before intercourse? Some positions cause more irritation during sex. Have you noticed this?
The nurse is teaching to patient with urgent continents about dietary modifications. What is the best information the nurse gets the patient about fluid and take?
Drink 120 mL every hour or 240 mL every two hours and limit fluids after dinner.
The nurses counseling in a patient with recurrent symptoms Maddock urinary tract infections about dietary therapy. What information does the nurse if the patient?
Drink 50 mL of concentrated cranberry juice every day
A patient with polycystic kidney disease has nocturia. What is the nurse encouraged patient to do?
Drink at least 2 L of fluid daily
The nurse is teaching a patient scheduled for an ultrasonography. What pre-procedural instruction does the nurse give the patient?
Drink water to fill the bladder
A patient had a renal scan. What is included in the post procedural care of the patient?
Encourage tomorrow fluids to assist expiration of isotope
