Cystitis
You have a patient that might have cystitis. Which statement by the patient suggests that cystitis is likely?
A-“I pee a lot.”
B-“It burns when I pee.”
C-“I go hours without the urge to pee.”
D-“My pee smells sweet.”
What is A-“It burns when I pee.”
What is bacteria and white blood cells.
Who is more likely to develop post-streptococcal glomerulonephritis?
What is males.
During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?
A. Stress Incontinence
B. Reflex Incontinence
C. Functional Incontinence
D. Urge Incontinence
What is D. Urge Incontinence.
If a patient has polycystic kidney disease what else does the patient most likely have a history of?
What is hypertension.
You are planning your medication teaching for your patient with a cystitis prescribed phenazopyridine (Pyridium). What do you include?
What is tell them their urine might turn bright orange, all secretions could turn orange, and could ruin underwear.
What is Male?
A client has been admitted to the hospital with a diagnosis of acute glomerulonephritis. During history-taking the nurse first asks the client about a recent history of:
A. bleeding ulcer
B. deep vein thrombosis
C. myocardial infarction
D. streptococcal infection
What is D. streptococcal infection.
The nurse is teaching an older female patient how to manage stress incontinence at home. She instructs her to contract her pelvic floor muscles for at least 10 seconds followed by a brief period of relaxation. What is this intervention called?
1. Prompted voiding
2. Crede technique
3. Valsalva maneuver
4. Kegel exercises
What is D. Kegel exercises.
A patient is diagnosed with polycystic kidney disease, what lab findings are suspected for this patient?
What is BUN and creatinine are increased; creatinine clearance is decreased.
What can be found in urine when diagnosed with cystitis?
What is bacteria and white blood cells.
A client diagnosed with pyelonephritis asks the nurse "What is the disease?" The nurse's best response "Pyelonephritis is an:
A. inflammation of the kidney and renal pelvis."
B. inflammation of the prostate gland."
C. inflammation of the urethra."
D. inflammation of the bladder."
What is A. inflammation of the kidney and renal pelvis."
What are the lab changes that come along with acute glomerulonephritis (urine and blood)?
What is UA has RBC and protein; GFR may be decreased; BUN elevated.
A patient is experiencing which type of incontinence if she experiences leaking urine when she coughs, sneezes, or lifts heavy objects?
What is stress incontinence.
The nurse is giving the client with polycystic kidney disease instructions for replacing the elements that are lost in the urine as a result of impaired kidney function. The nurse instructs the client to increase the intake of which of the following in the diet?
A. sodium and water
B. sodium and potassium
C. water and phosphorus
D. calcium and phosphorus
What is A. sodium and water.
The client asks the nurse, "How did I get this urinary tract infection?" The nurse should explain that in most instances, cystitis is caused by:
A. Congenital strictures in the urethra.
B. An infection elsewhere in the body.
C. Urinary stasis in the urinary bladder.
D. An ascending infection from the urethra.
What is D.
Although various conditions may result in cystitis, the most common cause is an ascending infection from the urethra. Strictures and urine retention can lead to infections, but these are not the most common cause. Systemic infections are rarely causes of cystitis.
A patient is diagnosed with pyelonephritis what are the main interventions for this infection?
What is analgesics, antibiotics, force fluids, empty bladder every 2 hours, urine cultures, and bed rest.
Clinical manifestations of acute glomerulonephritis include which of the following?
A. Chills and flank pain
B. Oliguria and generalized edema
C. Hematuria and proteinuria
D. Dysuria and hypotension
What is C. Hematuria and proteinuria.
A patient is diagnosed with stress incontinence. What interventions will you include when teaching the patient?
What is diet reduction if obese, avoid alcohol and caffeine, kegel exercises to strengthen pelvic floor.
Which nursing intervention is most appropriate in providing care for an adult patient with newly diagnosed adult onset polycystic kidney disease (PKD)?
A. Help the patient cope with the rapid progression of the disease.
B. Suggest genetic counseling resources for the children of the patient.
C. Expect the patient to have polyuria and poor concentration ability of the kidneys.
D. Implement appropriate measures for the patient's deafness and blindness in addition to the renal problems.
What is B. Suggest genetic counseling resources for the children of the patient.
What bacteria accounts for 70 to 80 percent of most cases of cystitis?
What is Ecoli.
Which of the following symptoms do you expect to see in a patient diagnosed with acute pyelonephritis?
A. Jaundice and flank pain
B. Costovertebral angle tenderness and chills
C. Burning sensation on urination
D. Polyuria and nocturia
What is B. Costovertebral angle tenderness and chills
If patient is hypertensive and oliguric during acute glomerulonephritis what restriction needs to be put in place?
What is sodium restriction.
A nurse is preparing to initiate a bladder training program for a client who has a voiding disorder. Which of the following actions should the nurse take? Select all that apply.
A. Establish a schedule of voiding prior to meal times
B. Have the client record voiding times
C. Gradually increase the voiding intervals
D. Reminded client to hold urine until next scheduled voiding time
E. Provide a sterile container for voiding
What is B. Have the client record voiding times, C. Gradually increase the voiding intervals, D. Reminded client to hold urine until next scheduled voiding time.
A client newly diagnosed with polycystic kidney disease has just finished speaking with the physician about the disorder. The client asks the nurse to explain again what the most serious complication of the disorder might be. In formulating a response, the nurse incorporates the understanding that the most serious complication is:
A. diabetes insipidus
B. end-stage renal disease (ESRD)
C. chronic urinary tract infection (UTI)
D. syndrome of inappropriate antidiuretic hormone (SIADH) secretion
What is B. End-stage renal disease (ESRD).