Urologic Disorders Pt1
A patient with dysuria and urgency has suprapubic tenderness. Which diagnostic tests confirm cystitis (2)?
What are the UA and urine culture?
The leading cause of urologic cancer
What is smoking?
This antibiotic class should be avoided in renal failure due to the risk of nephrotoxicity.
What are aminoglycosides?
Lab values which indicate kidney dysfunction (2)
What are BUN and Creatinine?
What is GFR?
A patient with fever, flank pain, and CVA tenderness likely has this condition.
What is pyelonephritis?
A patient presents with painless gross hematuria and flank pain, and a history of smoking. Which cancer is most likely?
What is kidney cancer?
A patient with pyelonephritis and sulfa allergy should avoid this common antibiotic.
What is trimethoprim-sulfamethoxazole (Bactrim)?
Indications that an AV fistula is patent
What are palpation of a thrill and auscultation of a bruit?
Most common cause of death in patients with CKD.
What is cardiovascular disease?
A patient with severe flank pain and hematuria is diagnosed with a kidney stone. What is the priority nursing concern for this patient?
What is pain management?
What are the stoma is red, beefy, and moist?
A patient with an allergy to cephalosporins are at an increased risk for allergic reactions to this class of antibiotic.
What are penicillins?
Cloudy dialysate is indicative of _________.
What is an infection?
A patient with CKD develops metabolic acidosis. Which lab value confirms this?
What is low serum bicarbonate (HCO3)?
A patient with recurrent uric acid stones should be advised to limit their consumption of which dietary component?
What are purines (i.e., beer, sardines, anchovies, and organ meats)?
A patient with an ileal conduit asks about the difference between an ileal conduit and an intra-abdominal reservoir (i.e., Indiana, Mainz, or Florida Pouch). What is the best explanation?
What is "the ileal conduit is an incontinent diversion because urine continuously drains through the stoma without voluntary control"?
This medication should be used in conjunction with Kayexalate if a patient has hyperkalemia with EKG changes.
What is IV Calcium Gluconate?
Potential complication of hemodialysis
*Hint: often experienced at the patient's first dialysis treatment*
What is dialysis disequilibrium syndrome?
Drugs which should not be administered to CKD patients due to the risk of serious complications (absent reflexes, decreased mental status, dysrhythmias, hypotension, and respiratory failure)
What are magnesium-based laxatives?
The nurse is caring for a patient post-lithotripsy to breakup a kidney stone. The patient complains of burning upon urination. What should be the action of the nurse.
What is inform the patient that this is an expected symptom post-lithotripsy?
A patient with a neobladder reports nocturnal incontinence. What teaching should the nurse provider?
What are Kegel/Pelvic floor exercises?
What is bowel necrosis?
Diet for a patient receiving hemodialysis.
What are low sodium, low potassium, and moderate protein?
A red flag in the early postoperative period after a renal transplant.
What is a sudden decrease in urine output?