medsurg exam 2 review

Question 1

Peritoneal dialysis patients have an increased risk of what kind of infection

Answer 1

peritonitis

Question 2

peritonitis signs and symptoms

Answer 2

abdominal pain
anorexia (loss of appetite)
nausea/vomiting
confusion

Question 3

how many liters of fluid should you encourage a kidney stone pt to drink

Answer 3

3 liters

Question 4

should you encourage a kidney stone pt to walk around? [TEST QUESTION]

Answer 4

yes

Question 5

what condition does dark, bubbly urine indicate?

Answer 5

cholecystitis

Question 6

what dietary education should a chronic kidney disease pt be given for protein?

Answer 6

reduce protein in diet

Question 7

what dietary education should a chronic kidney disease pt be given for sodium

Answer 7

reduce sodium

Question 8

what dietary education should a chronic kidney disease pt be given for potassium?

Answer 8

reduce potassium

Question 9

what dietary education should a chronic kidney disease pt be given for phosphorus?

Answer 9

reduce phosphorus

Question 10

what dietary education should a chronic kidney disease pt be given for calories

Answer 10

increase calories

Question 11

can a pt with cystitis drink caffeine or carbonated beverage?

Answer 11

no

Question 12

how should a pt wipe themselves to avoid a UTI? [delete my # if u get this wrong]

Answer 12

front to back

Question 13

what kidney disorder causes mass protein loss and protein in urine?

Answer 13

nephrotic syndrome

Question 14

what class of drugs should be given to a patient with urge incontinence?

Answer 14

anticholinergic medications

Question 15

can a pt with urge incontinence drink caffeine?

Answer 15

no

Question 16

what type of incontinence would a vaginal repair be performed

Answer 16

stress incontinence

Question 17

would you perform a vaginal repair on a pt with urge incontinence?

Answer 17

no

Question 18

what labs would be elevated in a patient with chronic kidney disease?

Answer 18

BUN
Creatinine

Question 19

what phase of acute kidney failure is there reduced urine output

Answer 19

oliguric phase

Question 20

urine output of less than 400cc/day indicates what phase of acute kidney failure

Answer 20

oliguric phase

Question 21

edema, weight GAIN, hypercalcemia, HYPERvolemia and hypertension are s/s of what phase of acute kidney failure

Answer 21

oliguric phase

Question 22

how long does the oliguric phase of acute kidney failure last

Answer 22

1-2 weeks

Question 23

what labs will be elevated in a pt in the oliguric phase of acute kidney failure

Answer 23

BUN and creatinine

Question 24

urine output of more than 3L/day indicates what phase of acute renal failure

Answer 24

diuretic phase

Question 25

HYPOvolemia and weight LOSS indicates what phase of acute renal failure?

Answer 25

diuretic phase

Question 26

how long does the diuretic phase of acute renal failure last?

Answer 26

several days to 1 week

Question 27

urine output between 4-5L/day and normal BUN & creatinine lvls indicates what phase of acute renal failure?

Answer 27

recovery phase

Question 28

end-stage kidney disease does what to blood pressure?

Answer 28

elevates it

Question 29

uremia, pruritus (itchy skin), confusion, slurred speech, tachypnea and elevated BP are s/s of what kidney disease?

Answer 29

end-stage renal disease

Question 30

what causes bone pain in pts with kidney disease

Answer 30

hypercalcemia (calcium is pulled from bones)

Question 31

flank pain, hypertension and polyuria indicates what kidney disease?

Answer 31

polycystic kidney disease

Question 32

inflammation of the bladder wall is called?

Answer 32

cystitis

Question 33

inflammation of the urethra is called?

Answer 33

urethritis

Question 34

bladder spasms are called?

Answer 34

tenesmus

Question 35

foul smelling urine is called?

Answer 35

pyuria (*peeyouria*)

Question 36

lower urinary tract infections include?

Answer 36

urethritis cystitis

Question 37

what antibiotics treat urinary tract infections

Answer 37

bactrim cipro pyridium

Question 38

sulfanethoxazole is an antibiotic also called

Answer 38

bactrim

Question 39

iprofloxacin is an antibiotic also called

Answer 39

cipro

Question 40

phenazopyridine is an antibiotic also called

Answer 40

pyridium

Question 41

what antibiotic turns pee reddish orange

Answer 41

pyridium

Question 42

what antibiotic causes bladder spasms

Answer 42

pyridium

Question 43

is pyridium a urinary analgesic and antiseptic?

Answer 43

yes

Question 44

upper urinary tract infections include

Answer 44

pyelonephritis glomerulonephritis

Question 45

inflammation of the renal parenchyma (kidney tissue) is called

Answer 45

pyelonephritis

Question 46

costovertebral angle pain, flank pain, chills and fever are s/s of what kidney disease

Answer 46

pyelonephritis

Question 47

where is the costovertebral angle

Answer 47

below the 12th rib and between the spine

Question 48

what would a pyelonephritis patient's urine test positive for

Answer 48

RBC WBC casts bacteria

Question 49

what does uremia do to the skin

Answer 49

makes it dry and itchy

Question 50

reduction of what reduces uremia risk

Answer 50

protein

Question 51

is it normal to gain 5 lbs in one day?

Answer 51

no

Question 52

what medication treats hyperkalemia

Answer 52

kayexolate

Question 53

polystyrene sulfonate is also called

Answer 53

kayexolate

Question 54

polystyrene sulfonate treats what

Answer 54

hypercalcemia

Question 55

medication that moves potassium out of body

Answer 55

kayexolate

Question 56

a nurse with holds morphine from dying cancer patient because she is worried it will kill her. what ethical principle did she use?

Answer 56

non maleficence

Question 57

surgical removal of both fallopian tubes and ovaries is called

Answer 57

bilateral salpingo-oophorectomy

Question 58

surgical removal of uterus, fallopian tubes and ovaries

Answer 58

total hysterectomy with bilateral salpingo-oophorectomy

Question 59

what will cause a patient not to be able to have sex after a total hysterctomy with bilateral salpingo-oophorectomy

Answer 59

vaginal dryness

Question 60

menopause, hot flashes and vaginal dryness occur after what surgical procedure

Answer 60

total hysterectomy with bilateral salpingo-oophorectomy

Question 61

does menopause occur in all patients no matter their age after total hysterectomy with bilateral salpingo-oophorectomy?

Answer 61

yes

Question 62

what education would you give a pt with vaginal dryness after total hysterectomy with bilateral salpingo-oophorectomy

Answer 62

artificial lube estrogen cream for vagina

Question 63

will a patient need a pap smear every 6 months after a total hysterectomy with bilateral salpingo-oophorectomy [professor will cry if u get this wrong on the test]

Answer 63

no

Question 64

what does a WBC count of 17,000 indicate in a female patient? [test question]

Answer 64

infection

Question 65

what kind of foods should a pt with kidney stones avoid

Answer 65

tree nuts: peanuts cashews almonds hazelnuts (*kidney stone pts not fw that sus shit)

Question 66

what can you use to prevent foot drop in a patient if a foot board is not available

Answer 66

high top shoes

Question 67

what are side effects of radiation on a pt s/p mastectomy

Answer 67

fatigue myelosuppression

Question 68

would a pt with breast cancer get alopecia (hair loss)

Answer 68

no because radiation would not be given on their head

Question 69

what kind of lotion can be used after chemo

Answer 69

hydrating no fragrance no metal no alcohol

Question 70

what is the prognosis for a stage 4 breast cancer pt

Answer 70

terminal

Question 71

which cancer is the most deadly

Answer 71

ovarian

Question 72

what is BRCA-1

Answer 72

breast cancer gene

Question 73

mouth soreness is called

Answer 73

stomatitis

Question 74

restlessness, headache, seizure and coma are s/s of what hemodialysis complication

Answer 74

dysequillibrium syndrome

Question 75

what drug would be given to a pt with dysequillibrium syndrome

Answer 75

phenytoin

Question 76

a nurse notices a pt who is restless, experiencing headaches, seizure and coma after hemodialysis. what is the pt suffering from and what med would be given PRN [test question]

Answer 76

dysequilllibrium syndrome phenytoin

Question 77

if hemoglobin and hematocrit are low, how will the pts 02 be?

Answer 77

low

Question 78

s/s that kidney is being rejected by body after transplant

Answer 78

kidney pain kidney enlargement

Question 79

how will pts BP be after hemodialysis

Answer 79

low

Question 80

is hypotension an expected side effect of hemodialysis

Answer 80

yes

Question 81

a pt states that her sister has a history of cervical cancer what screening would you suggest for the pt?

Answer 81

pap smear