Renal/Urinary 1
difference between urinalysis and urine culture collection?
what is clean catch vs sterile catch
what in a UA detects possible UTI? Leukocytes or white blood cells culture detects bacteria
Signs and Symptoms to be mindful of when your client is taking a diuretic?
what is hypokalemia, Muscle pain, cramping, weakness, orthostatic hypotension
when concerned that your client is retaining urine, what will the nurse do as part of their interventions
what is pelvic assessment, bladder scan
What symptom is related to no BP?
What is no PP?
what is decreased urinary output
What is the minimum urine output?
What can diseases lead to decrease cardiac output and decreased urinary output
Anemia is most closely associated with renal disease due to the decrease of this hormone release.
what is erythropoietin
What increases the risk of Cystitis
what are, Taking long bubble baths, Incomplete bladder emptying, Sexual intercourse, improper wiping, holding urine for long periods of time.
renal stones can be made or compromised of what 2 elements
what is calcium or uric acid
what causes each?
What nursing interventions are priority for a renal stone client?
Monitor Is and Os
Increase fluid intake at least 3 liters per day
Dietary recommendations for both ?
Restrict protein (animal meat), red meat, organ meat and beer.
What must nurses do with every client with a renal stone?
Strain urine for stones
After this procedure, monitor urine output because contrast dye increases the risk for kidney failure in older adults
what is a procedure using Contrast media
what must the nurse do prior to this procedure?
Client Teaching?
What complications occur is pyelonephritis is left untreated?
What are.....
Sepsis or septic shock
Renal scarring, which can lead to chronic kidney disease (CKD)
Recurrent infections
Renal abscess formation
Hypertension related to kidney damage
Acute kidney injury (AKI) in severe or bilateral infections
Renal failure leads to what major sides effects (signs/symptoms)
what is decreased urinary output, concentrated electrolytes and fluid retention.
Name the 3 types of Acute Kidney Failure
What is pre-renal, intrarenal and post-renal?
Clients with an obstructive renal stone may need a nephrostomy tube, what are your nursing interventions
what is monitor for s/s of infection, monitor drainage color, clarity, and amount.
What do you teach your client when having a unilateral nephrostomy tube?
What are the typical signs and symptoms of BPH, and how do they affect a patient’s quality of life?
What are...?
Differentiate between peritoneal dialysis and hemodialysis ?
what is peritoneal is through abdomen and hemo is through a AV fistula in the arm using blood access.
Nursing actions with both?
In dialysis will clients have urine output?
Clients with chronic renal failure should be on what type of diet?
what is Low sodium, low potassium, low sodium, fluid restrictions
exercise recommend to help decrease incontinence?
what are kegel exercises
what is renal colic?
what is when the stone moves through the renal and urinary system it will cause pain and spasms where when the stone stops moving, the pain will subside. This will happen back and forth until the stone is finally passed
What disease does the surgical procedure TURP treat?
what is BPH,
what is BPH
Client with peritoneal dialysis presents to the clinic with a hard firm abdomen, what is your initial nursing action?
what is notify the provider
what are you concerned it happening?
What else can identify this concern?
what should we teach the client about in flow and outflow of dialysis solution
Client with ESRD (End Stage Renal Disease) will exhibit what pH imbalance?
what is acidosis
a client with polycystic kidney disease should restrict what major element
what is sodium
why?
Sodium would cause the kidneys to have reduced function and remove less water resulting in higher blood pressure
Client has a large sized urinary catheter in place, what should you expect the client to complain of with a larger foley?
what is sensation to void, urge to void, no pain,
when titrating the CBI what nursing observation do you use to titrate the amount of fluid flowing into the bladder?
what is pink tinged urine
what is the purpose of dialysis ??
what is to remove all toxins, medications, and level out the electrolyte concentration in the blood.
client who is post-TURP, what should the nurse do first if the client develops a low grade fever (101 F)
what is notify the MD immediately