Post Exam/Test
Where/What?
Finding
Values
Diagnosis
100
After doing an IVP (intravenous pyleogram) or any test where we use IV contrast, we must instruct the patient to do this.
What is drink 2-4 of fluids in the next 24 hours?
100
This type of urinary catheter is inserted thru the abdomen and into the bladder.
What is a suprapubic catheter?
100
On assessment of patients stoma, note that its dusky colored. This is my next action.
What is notify the prescriber immediately?
100
I am usually between 1.010 and 1.025
What is specific gravity of urine?
100
Painless hematuria that comes and goes can often be a symptom.
What is bladder cancer?
200
Nurses will ask you to do the following intervention - strain all urine when this is a finding on X-Ray.
What is urolithiasis?
200
Patients of any gender with urge incontinence should be taught to practice this 10 set, 10 repetitions, three times a day.
What are Kegel exercises?
200
Acute glomerulonephritis can be a result of recent infection with this bacteria.
What is streptococcal infection?
200
These are interventions when I suspect an air embolus on a hemodialysis patient.
What are turn the patient on their left side with their head down, stop the dialysis machine, administer oxygen and notify the physician?
200
Patients need to understand the following when they receive this diagnosis:
Nephrectomy of the diseased kidney (as long as the other kidney is healthy) will be planned
Nephroma's are typically malignant
Symptoms of this disease include painless hematuria, fever, weight loss and malaise
Pain and feeling the mass is common in later stages
What is cancer of the kidney (nephroma)?
300
Patient on peritoneal dialysis is doing an exchange and the dialysate is draining very slowly, this is why I had the patient do this action.
What is turn the patient side to side?
300
Symptoms of acute pyelonephritis include the following 3 things.
What is flank pain on the affected side, high fever and chills, n/v, costovertebral (CVA) tenderness pyuria, and headache?
300
Surgical procedure to blast renal calculi.
What is lithotripsy?
300
This vitamin will increase the acidity of the urine, making it less likely for bacteria to grow.
What is Vitamin C supplement? (often used for patient with cystitis)
300
Impaired renal function will often lead to this skin condition as well.
What is intense itching?
400
Patient admitted to outpatient unit for cystoscopy with biopsy of the bladder planned. The patient complains of chest discomfort, might have a urinary tract infection and is taking anticoagulants. The surgeon will likely take an action and do what....
What is cancel the surgery, even though we know the client may have bladder cancer?
400
Type of incontinence when woman leaks occasional urine when laughing or coughing.
What is stress incontinence?
400
Patient presents to the emergency room with periorbital edema, decreased urinary output and smoky urine. This is the most likely genitourinary diagnosis.
What is acute glomerulonephritis?
400
This serum lab test tells us how efficiently the glomeruli removes nitrogenous wastes that result from protein metabolism.
What is BUN (Blood urea nitrogen)?
400
Hemodialysis patient's should have these things assessed frequently and avoid certain types of foods.
What is checking the bruit/thrill to the dialysis access and potassium rich foods (orange juice)?
500
Peritoneal dialysis: when the patient has effluent (outflowing dialysate) that is cloudy, we often send the drainage for culture and gram stain. This is done because we have a concern that the patient may have an infection - called this.....
What is peritonitis?
500
What is hydronephrosis?
500
Type of diets (2) that put patients at risk of developing renal calculi
What is vegetarian and high calcium?
500
Measure intake & output, monitor vital signs, bedrest, low protein diet and restrict sodium - these are all interventions for this diagnosis.
What is acute phase of glomerulonephritis?
500
Complication of hemodialysis that results in cerebral edema is known as this.
What is disequilibrium syndrome?
600
Common complication after cystoscopy, I should call the provider if it lasts more than 24 hours.
What is dysuria?
600
These immunosuppressant medications after transplantation are often taken for this long.
What is lifetime? (the amount will decrease over time but as long as the organ is in your body - even if not working - you will be on some form of immunosuppressant)
600
During the early phases of kidney disease, one may experience this phenomenon where urine output is about 400-500 ml/day.
What is oliguria?
600
Patient has glomerulonephritis, what type of diet should I expect to be ordered for this patient?
What is low sodium?
600
This is when chronic renal failure has progressed and my kidneys can no longer maintain homeostasis and dialysis or kidney transplant is needed.
What is ESRD (End stage renal disease)?