kidney worksheet

Question 1

is pale to deep amber colored urine a normal urine finding?

Answer 1

yes

Question 2

is aromatic urine a normal urine finding?

Answer 2

yes

Question 3

is cloudy urine a normal urine finding?

Answer 3

no

Question 4

is more than 30cc/hr a normal urine finding

Answer 4

yes

Question 5

what diagnostic study is best indicator of kidney filtration function.

Answer 5

creatinine clearance test

Question 6

what does the creatinine clearance test measure?

Answer 6

amount of creatinine filtered by glomeruli over a 24 hour period

Question 7

does cranberry juice help with UTIs?

Answer 7

No

Question 8

what is the bladders holding capacity?

Answer 8

300-500 ccs

Question 9

can a urinalysis detect kidney trauma?

Answer 9

yes

Question 10

nonbacterial inflammation of glomeruli in both kidneys

Answer 10

glomerulonephritis

Question 11

what diseases cause glomerulonephritis

Answer 11

staph, strep throat or respiratory infection

Question 12

will patient with glomerulonephritis urine specific gravity be increased or decreased?

Answer 12

increased

Question 13

what is azotemia

Answer 13

elevation of BUN and creatinine levels

Question 14

what allergy should you check for before intravenous pyelogram

Answer 14

• check for iodine allergy

Question 15

what to do after intravenous pyelogram

Answer 15

-assess for allergic reaction
-encourage fluids
-increase IV fluid rate to flush dye out of system

Question 16

what should be done to a patient’s IV fluid rate after a intravenous pyelogram

Answer 16

increase it

Question 17

radiological study where contrast is injected intravenously to evaluate function and identify obstructions in kidney, ureter and bladder

Answer 17

intravenous pyelogram

Question 18

study where radioactive isotope is injected in translumbar or femoral catheter & xrays are taken to test renal circulation and identify perfusion insufficiencies

Answer 18

renal arteriogram

Question 19

what allergy should you check for before renal arteriogram

Answer 19

iodine allergy

Question 20

should a pt who got a renal arteriogram maintain bed rest? if so why and for how long?

Answer 20

yes for 8 hrs to prevent bleeding and hematoma at cath insertion site

Question 21

what should you monitor for after renal arteriogram

Answer 21

pulses distal to insertion site

Question 22

lighted scope inserted through urethra to see bladder.

Answer 22

cystoscopy

Question 23

what can a cystoscopy be used for

Answer 23

-tumor resection
-bladder biopsy
-stone removal
-bleeding cauterizing
-radium seed implantion

Question 24

what to assess pt s/p cystoscopy for

Answer 24

hematuria
fever

Question 25

needle inserted into kidney as pt inhales and sample is aspirated is a procedure called?

Answer 25

renal biopsy

Question 26

what to assess before renal biopsy

Answer 26

coagulation status (PT/PTT)

Question 27

should a pt s/p renal biopsy be on bed rest? if so for how long?

Answer 27

4 hrs

Question 28

what should you monitor in pt s/p renal biopsy

Answer 28

urine output bleeding/hematoma at needle insertion site

Question 29

kidneys, ureters, bladder and renal vessels visualized to evaluate size, position and patency through sound waves passed over abdomen.

Answer 29

renal ultrasound

Question 30

does a renal ultrasound require any preparation. If so what and why?

Answer 30

hell nah cause its not painful or invasive

Question 31

procedure where catheter is inserted via urethra and dye is injected. x-rays are taken while pt voids to visualize bladder and urethra.

Answer 31

cystourethrogram

Question 32

what to check for before cystourethrogram

Answer 32

iodine allergy

Question 33

what to assess for after cystourethrogram

Answer 33

hematuria fever (sign of infection)

Question 34

bladder spasms are called

Answer 34

tenesmus

Question 35

foul smelling urine is called

Answer 35

pyuria

Question 36

how to wipe to prevent lower uti

Answer 36

front to back

Question 37

what antibiotics are given for utis? [generic names sorry :(]

Answer 37

phenazopyridine trimethopriml sulfanethoxazole iprofloxacin

Question 38

what will a pt with pyelonephritis urinalysis be positive for

Answer 38

WBC RBC casts bacteria

Question 39

would you want a patient to drink 8 glasses of water every day

Answer 39

no they may need more it depends on the individual

Question 40

would you want a patient to take their antibiotic until their symptoms are relieved

Answer 40

no you want them to finish the full course of antibiotics

Question 41

should a patient maintain bed rest until hematuria, proteinuria and hypertension subside?

Answer 41

yes

Question 42

what kidney disease does strep throat cause?

Answer 42

glomerulonephritis

Question 43

can a urinalysis confirm renal stones?

Answer 43

yes

Question 44

can a cystoscopy confirm renal stones?

Answer 44

yes

Question 45

can a intravenous pyelogram confirm renal stones?

Answer 45

yes

Question 46

can an x-ray confirm renal stones?

Answer 46

yes

Question 47

can an ultrasound confirm renal stones?

Answer 47

yes

Question 48

should a patient with urinary stones take vitamin D?

Answer 48

no

Question 49

should a pt with urinary stones use a diuretic to promote urination? why or why not

Answer 49

no because it can cause bladder spasms

Question 50

urinary stones are also called

Answer 50

renal calculi

Question 51

what are urinary stones made of

Answer 51

calcium cystine oxalates uric acid

Question 52

can hypercalcemia cause renal stones

Answer 52

yes

Question 53

can urinary stasis cause urinary stones

Answer 53

yes

Question 54

what is urinary stasis

Answer 54

urinary retention

Question 55

can alkaline urine be a cause of urinary stones

Answer 55

yes

Question 56

can gout cause urinary stones? why or why not

Answer 56

yes because of the elevated uric acid lvls

Question 57

renal colic radiating from flank to abdomen, alternating retention, nausea, vomiting, hematuria, diaphoresis, restlessness, low-grade fever, urgency and UTI are signs of what?

Answer 57

urinary stones

Question 58

what should you do with urine from pt with urinary stones?

Answer 58

strain through gauze to check for stone passage

Question 59

what should be monitored in pt with urinary stones?

Answer 59

electrolytes uric acid calcium levels

Question 60

what condition would you follow a low purine diet with alkaline ash foods

Answer 60

uric acid stones

Question 61

what are examples of alkaline ash foods

Answer 61

milk fruits rhubarb (vegetable) vegetables

Question 62

what condition would you follow a reduced dairy diet with acid ash foods?

Answer 62

calcium stones (duh)

Question 63

what are examples of acid ash foods

Answer 63

meat whole grains cranberry juice prunes

Question 64

removal of stone from renal pelvis through flank incision and urethral catheter and drain are inserted

Answer 64

pyelolithotomy

Question 65

endoscope passed through small incision made over kidney to remove calculi or disenigrate it with ultrasonic waves

Answer 65

percutaneous lithotripsy

Question 66

kidney removal if extensive damage occured to parenchyma (tissue) and penrose is placed in renal bed

Answer 66

nephrectomy

Question 67

what is a penrose

Answer 67

soft, flexible rubber tube used to drain surgical site during surgery

Question 68

ureter incision made through abdominal or flank excision to extract a stone.

Answer 68

urethrolithostomy

Question 69

kidney prenchyma cut through flank incision to extract stone. nephrostomy tube is placed to divert urine awat from kidney

Answer 69

nephrolithotomy

Question 70

pt placed in warm bath as ultrasonic waves crush stone

Answer 70

transcutaneous shock wave lithotripsy

Question 71

3 phases of acute renal failure

Answer 71

oliguric diuretic recovery

Question 72

what can the oliguric phase cause

Answer 72

hypercalcemia

Question 73

would you expect peaked T waves on ECG of pt in oliguric phase of acute renal failure

Answer 73

yes

Question 74

would you expect a high serum pH in a oliguric phase pt

Answer 74

yes

Question 75

what kind of meds would be given for acure renal failure

Answer 75

anti-infectives antacids diuretics potassium lowering agents antihypertensives sodium bicarbonate

Question 76

why would anti-infectives be given to acute renal failure pts

Answer 76

to treat the organisms

Question 77

why would diuretics be given to acute renal failure pt

Answer 77

to treat fluid overload

Question 78

why would antacids be given to acute renal failure pt

Answer 78

to bind with phosphates

Question 79

why would sodium bicarbonates be given to acute renal failure pt

Answer 79

to treat acidosis

Question 80

what is filtered through membrane in dialysis

Answer 80

urea creatinine sodium potassium

Question 81

would you give a pt an antibiotic before dialysis? why or why not?

Answer 81

no because it can get filtered out

Question 82

why would you give a dialysis pt aluminum hydroxide?

Answer 82

for phosphate loss

Question 83

what kind of drug is aluminum hydroxide?

Answer 83

phosphate binder

Question 84

why would you give a dialysis pt fosrenol?

Answer 84

for phosphate loss

Question 85

what kind of drug is fosrenol?

Answer 85

phosphate binder

Question 86

what are the 3 types of peritoneal dialysis

Answer 86

intermittent manual intermittent automatic intermittent ambulatory

Question 87

what kind of dialysis uses the petitioneum as a membrane to filter blood?

Answer 87

peritoneal dialysis

Question 88

does peritoneal dialysis have to be done only in the hospital?

Answer 88

no it can be done at home

Question 89

what are the 2 types of dialysis

Answer 89

hemodialysis peritoneal dialysis

Question 90

how often is hemodialysis done

Answer 90

3x/week

Question 91

how often is peritoneal dialysis done?

Answer 91

multiple times a day

Question 92

what kind of dialysis does pt have a bag connected and it is done all day?

Answer 92

peritoneal dialysis

Question 93

what should you do and have pt do before dialysis (especially peritoneal dialysis pts)

Answer 93

obtain weight have them void

Question 94

how long does a dialysis session last

Answer 94

4 hrs

Question 95

which type of dialysis is most effective

Answer 95

hemodialysis

Question 96

can a pt with peritoneal dialysis walk and do activities during dialysis?

Answer 96

yes

Question 97

what is there an increased risk of in personal dialysis pts

Answer 97

infection