Urinary
This urine test provides the most accurate measurement of renal function.
What is the greatest risk following a kidney biopsy?
Hemorrhage
This is the usual cause of acute glomerulonephritis.
Streptococcal infection
At least 18 years old
Which facial characteristic is a sign of fluid retention?
Periorbital edema (swelling around the eyes)
What is the earliest symptom of bladder cancer?
Painless hematuria (blood in the urine)
What symptom most likely precipitated glomerulonephritis?
Sore throat
What education should the nurse provide about the medication Pyridium?
Staining of clothing
What is a risk when performing frequent catheterizations?
Introducing pathogens into the bladder
What class of medications are usually prescribed for a UTI?
Antibiotics
This assessment is priority after urinary diversion surgery.
Bowel sounds
Which lab value change is expected when a patient in renal failure has entered the oliguric stage?
Increased BUN
What is the primary goal of treatment for a patient with pyelonephritis?
Prevent further kidney damage that could lead to renal failure
What is a risk of the medication gentamicin?
Ototoxicity
This must occur for a patient with acute glomerulonephritis to get off of bed rest.
Blood pressure returns to normal levels
What would you suspect a patient has if they are complaining of urgency, frequency, symphysis pubis area pain, and dark cloudy urine?
Cystitis
What would you expect if you assess an AV fistula in the arm and there is no thrill present when palpating?
The AV fistula has occluded
What is true about the urine osmolality when the kidney is adequately functioning?
It is equal to the osmolality of the serum
This is a normal finding after a kidney transplant.
What would you expect to detect when palpating an arteriovenous fistula site?
A thrill
What is a positive Grey Turner sign?
Retroperitoneal bleeding and bruising over the flank
What are some age related changes of the kidney? (four)
Decreased erythropoietin, decreased glomerular filtration, decreased ability to concentrate/dilute urine, and sclerosis of renal blood vessels
What action should be taken when collecting a 24 hour urine specimen?
Discard the first voiding when starting the test
What discharge instructions should be provided to a patient who has had a lithotripsy?
Watch for stone debris in the urine over the next 1-4 weeks
A deficiency of erythropoietin in a patient with chronic renal failure will cause this.
Anemia as a result of a diminished number of RBCs being produced