Exam 6 Need to Knows

Question 1

what are foods you should avoid with hyperkalemia?

Answer 1

potatoes or bananas

Question 2

what is the goal of a patient with renal failure?

Answer 2

decreased albumin levels within one week

Question 3

what is the function of the kidnyes?

Answer 3

regulation of acid base balance, vitamin d, control of bp, regulation of fluid volume, excretes waste

Question 4

what are the signs and symptoms of cystitis?

Answer 4

dysuria, hematuria, urgency, suprapubic discomort

Question 5

what is the advantage of ultrasound over IVP and ct scan?

Answer 5

doesn’t expose pt to radiation or contrast

Question 6

after dialysis a pt returns with cloudy effluent and had abdominal pain, what do you do?

Answer 6

notify hcp and obtain a specifmen for culture of effluent

Question 7

a pt has a arteriovenous fistula in the left arm, what sign is placed over the pts bed?

Answer 7

no iv or bp in left arm

Question 8

what are some things toxic to kidneys?

Answer 8

NSAIDS, cocaine use, iv contrast, 2 more (not tyleonol or functional incontinence)

Question 9

how do you tell if epoetin injections are working properly?

Answer 9

normal hct leveles

Question 10

your patient has ivp what do you include for preparation?

Answer 10

check for allergies to iodine and shellfish

Question 11

what is the preferred method for obtaining a urine specimen to establish bacteria in urine

Answer 11

catch urine cleanly in midstream

Question 12

what shoes more teaching is needed for a patient trying to prevent UTIs?

Answer 12

“i will discontinue my medication when i no longer have any symptoms”

Question 13

what will teaching plan describe for a pt who is scheduled for a extracorpeal lithotripsy?

Answer 13

fragmenting of stones by electrical charge

Question 14

what statement shows that phenazopyridine is effectively working?

Answer 14

“urinating is not painful”

Question 15

what condition requires genetic counseling?

Answer 15

pkd

Question 16

expected age related change of the urinary system

Answer 16

decreased gfr

Question 17

what will nurse question is pt is admited with kidney injury

Answer 17

ivp tomorrow morning

Question 18

risk factor for acute glomeruleonephritits?

Answer 18

strep infection 2 weeks ago

Question 19

what are the risk factors for kidney cancer?

Answer 19

obesity and cigarette smoking

Question 20

what do you do for a client with renal calculi?

Answer 20

strain all the urine and send to the lab

Question 21

a patient has chronic kidney disease.. what should they choose off of the menu

Answer 21

blueberry muffine, poached egg, and tea

Question 22

a patient has high potassium level what do you give?

Answer 22

calcium gluconate, dextrose and insulin, iv fluids or diuretics

Question 23

foods to avoid if you have uric acid kidney stones

Answer 23

low purine (sardines and other meat)

Question 24

what food should you avoid with calcium oxalate kidney sontes?

Answer 24

chocolate

Question 25

if someone has staghornkidney stones, what will have to be performed?

Answer 25

percutaneous nephrolithotomy

Question 26

stress incontinence occurs when

Answer 26

laughing or coughing

Question 27

what is functional incontinence?

Answer 27

can't get to bathroom because of environmental factorsw

Question 28

what is overflow incontinence?

Answer 28

enlarged prostate and frequent urination

Question 29

what is urge incontinence?

Answer 29

strong urge to go with uncontrollable leak

Question 30

what is a sign of kidney infection?

Answer 30

costovertebral tenderness

Question 31

what do you monitor for in pts with pkd if cysts ruper

Answer 31

hematuria

Question 32

when is appropriate time to do sonography?

Answer 32

right after client voids to see if they are emptying their bladder

Question 33

what would show further teaching with patients that is scheduled for dialysis?

Answer 33

I will drink plenty fluids after

Question 34

what do you do if a patient is restless and has fever after dialysis ?

Answer 34

call hcp