Urinary - Infection
name one instance that is necessary for an indwelling catheter!
anesthesia, stage III or IV pressure ulcer with incontinence, critical I/Os, urinary retention/obstruction
what is the priority assessment in an elderly patient at risk for a UTI?
cognition/level of consciousness
name 2 important teaching points for UTI treatment or prevention outside of the hospital setting
shower instead of bathe, drink plenty of water, avoid caffeine, carbonation, and other urethral irritants, wipe front to back!!!
nephrotic syndrome is characterized by protein in the urine exceeding how many g/day?
3.5
the stages of kidney failure are based off of what lab value?
GFR
Pyridium (phenazopyridine) is often used to alleviate what UTI symptom?
pain/burning with urination
what assessment finding is the most accurate indicator of fluid loss or gain?
daily weight
name one important dietary teaching point for the prevention of kidney stones.
avoid large amounts of protein, drink plenty of fluids, reduce sodium intake, do not take calcium supplements
name a pre-renal cause of kidney dysfunction
dehydration, hypovolemia, heart failure, hypertension, etc.
what is the first sign of peritonitis in a patient undergoing peritoneal dialysis?
cloudy dialysate
The urinary tract is the most common site of ___________ infections.
nosocomial OR hospital-acquired
what lab test is the best indicator of overall kidney function?
creatinine clearance
name one important dietary restriction for the patient with ESKD
fluid restriction, limited protein, limited sodium
diabetes (leading cause) and hypertension (second leading cause)
what acid-base imbalance occurs most often with kidney failure?
metabolic acidosis
What will be found in ALL urine cultures that test positive for a UTI?
white blood cells
what is the priority nursing diagnosis for a patient diagnosed with neurogenic bladder?
risk for infection (r/t urinary stasis and frequent straight caths)
what are the 2 things the nurse is assessing for when auscultating and palpating an AV fistula?
bruit and thrill
what is the most common symptom of bladder cancer?
visible painless hematuria
name one of the most dangerous electrolyte imbalances that can result from renal failure
hyperkalemia or hypernatremia
UTIs are the most common cause of acute bacterial ______ in patients older than 65.
sepsis
How often should the nurse provide catheter care/peri care to a patient with a foley?
at least twice a day!!!
what is the non-surgical treatment that uses ultrasound shock waves to break apart kidney stones to make them easier to pass?
lithotripsy
oliguria, hematuria, fluid retention, edema and hypertension are most associated with what kidney disorder?
acute nephritic syndrome
name 4 medications that you would hold if your patient is about to go to dialysis
any cardiac meds :-)