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PHARMACOLOGY
PATHOPHYSIOLOGY
ASSESSMENT
NURSING CONSIDERATIONS
LABS/DIAGNOSTICS
100
This class of drugs are used for treatment of acute UTI's by inhibiting synthesis of folic acid. It's active against a broad spectrum of microbes.
What are sulfonamides?
100
The nephron
What is the functional unit of the kidney?
100
Inspection, Auscultation, Percussion and Palpation
What is the proper order of physical assessment of the renal sysytem?
100
The nurse instructs the patient that he needs to remove all metal objects and insures there are no internal metal objects such as a pacemaker. The patient must lie down and remain still throught the test for 45 minutes and will hear a loud whirring sound. Assess for claustrophobia. This is in preparation of what procedure?
What is an MRI?
100
BUN and creatinine are tests for______
What is renal function?
200
Furadantin and Macrobid inhibit the growth of bacteria in the urine. They do not achieve effective concentrations in blood or tissues outside the urinary tract. They are a class of_____.
What urinary tract antiseptics?
200
One of the most common renal diseases resulting from a sudden bacterial inflammation primarily affecting interstitial area, the renal pelvis and less commonly, the renal tubules. With treatment and follow-up, the prognosis is good.
What is acute pyelonephritis?
200
Before palpating the patient's bladder have the patient do what?
What is void (or empty) the bladder.
200
The nurse advises the patient that he will need to fast for 8 hours before this test and that after he will need to hydrate. You confirm the patient history that there is no hypersensitivity to iodine-based contrast media or allergy to shellfish. After the procedure your patient will need to remain flat in bed. This is in preparation for _____ _______.
What is renal angiography?
200
An invasive histologic exam that differnetiates glomerular from tubular renal disease
What is percutaneous renal biopsy?
300
This class of drug suppresses bacterial growth by inhibiting an enzyme necessary for DNA synthesis and are active against broad spectrum of microbes. Cipro and Levaquin are examples.
What fluroquinolones?
300
A sudden interruption of kidney function from obstruction, reduced circulation or renal paranchymatous disease. Usually reversible with treatment. Otherwise can lead to end stage renal disease or death.
What is Acute Renal Failure (ARF)?
300
When the bladder is empty, percussion produces this sound.
What is abdominal tympany.
300
Your patient is a middle aged man. You encourage fliuds up to 2000-3000 ml/day, instruct him to avoid caffeine/artificial sweeteners and to limit spicy or acidic foods. The patient is also insctructed to follow a timed voiding schedule. These interventions are for what renal condition?
What is benign prostatic hyperplasia or BPH?
300
This invasive instrumentation test helps determine the cause of bladder dysfunction by assessing neuromuscular function.
What is cystometry?
400
___________is a cholinergic drug used to increase bladder tone and function and to treat nonobstructive urinary retention and neurogenic bladder.
What is Urecholine?
400
This hormone, produced by the pituitary gland, when deficient results in water re-absorption causing dilute urine.
What is ADH?
400
If the bladder is full, percussion produces this sound.
What is dullness?
400
The nurse records the patient's weight before and after this treatment which is a substitute for kidney function during kidney failure.
What is peritoneal dialysis?
400
This non-invasive test measures volume of urine expelled in ml/sec. to evaluate lower urinary tract function and demonstrate bladder outlet obstruction.
What is uroflowmetry?
500
This class of drugs relaxes smooth muscles of the urinary tract, decreases bladder muscle spasms and reduces urinary incontinence, urgency and frequency. They should not be given if the patient has narrow-angle glaucoma.
What are anticholinergics-antispasmodics?
500
This hormone, produced by the adrenal gland, regulates sodium retention and controls potassium secretion by tubular epithelial cells.
What is Aldosterone?
500
Fist (or mediate) percussion of this organ is done with the patient sitting upright and with the nurse's palm over the organ and gently striking the back of the palm with her fist.
What is kidney percussion over the costal vertebral angle?
500
The nurse weighs the patient, monitors vitals and lab values before during and after treatment, and assesses patency of the blood access device for this thrice weekly treatment.
What is hemodialysis?
500
The main radiologic test for the urinary system consisting of plain , contrast free X-rays that shows kidney size, position and structure as well as calculi and other lesions
What is KUB radiography?