Renal🤰🏽

Question 1

Anuria

Answer 1

urine output of less than 100 mL in 24 hrs

Question 2

what is a normal urine output in 1 hour?

Answer 2

30 ml/ hr

Question 3

Azotemia

Answer 3

syndrome from increased BUN and increase creatine together

Question 4

Sypmtoms of a UTI

Answer 4

Frequency, urgency, nocturia, dysuria

Question 5

Oliguria

Answer 5

decreased urine output

Question 6

Polyuria

Answer 6

increase urine output more than 2000mL per 24hr

Question 7

Uremia

Answer 7

manifestations of renal failure

Question 8

When you get old, what are some changes to your renal system?

Answer 8

Reduced renal blood flow

Decreased glomerular filtration rate

Decreased tubule length

Decreased sense of thirst

Question 9

When you get old, what are some changes to your bladder?

Answer 9

Changes in detrusor muscle elasticity

Decreased bladder capacity

Decreased muscle tone of urinary sphincters

Enlarged prostate

Question 10

Normal Specific gravity

Answer 10

1.000-1.030

Question 11

What are things that should never be in our urine?

Answer 11

Glucose, Ketone bodies , Protein, Leukocyte Esterase, crystals, bacteria

Question 12

Normal pH of urine

Answer 12

anywhere between 4-8

Question 13

What happens if you leave a urine sample out?

Answer 13

Bacteria can grow!

Zip it up and throw thats shit on ice

Question 14

Normal Serum Creatinine

Answer 14

0.2 – 1.0 mg/dl

Question 15

What is Serum Creatinine a good indicator for?

Answer 15

renal failure 😜

Question 16

Normal BUN

Answer 16

8-10 mg/dl

Question 17

If the BUN is rising but the Serum Creatinine is bot then….

Answer 17

this aint no renal issue

Question 18

When you are collecting a urine sample, what do you tell the patient to do?

Answer 18

Do not let the first dew drops go into the jar

Question 19

How do you collect a urine sample from a foley cath?

Answer 19

form the tube NOT the bag

Question 20

Cystitis

Answer 20

Inflammation of the bladder

Question 21

Urethritis

Answer 21

Inflammatory process in urethra

Question 22

Urethral stricture

Answer 22

narrowing of the the tubes that bring down urine

Question 23

5 types of incontinence

Answer 23

stress

urge

overflow

functional

“mixed”

Question 24

Stress Urinary Incontinence

Answer 24

weakening of the bladder neck

Associated w/ childbirth

Question 25

Urge Urinary Incontinence

Answer 25

Overactieve bladder Loss of urine r/t strong need/desire to urinate and inability to suppress feeling

Question 26

Overflow urinary incontinence

Answer 26

underactive bladder Bladder is over distended Constant dribble can be due to meds, spinal cord damage, BPH

Question 27

Functional Urinary Incontinence

Answer 27

Caused by factors other than urinary tract issues EX: Loss of cognitive function

Question 28

Mixed Urinary Incontinence

Answer 28

combination of stress and urge

Question 29

what is Urolithiasis

Answer 29

Presence of calculi (stones) in the urinary tract

Question 30

symptoms of Urolithiasis

Answer 30

sudden onset of extreme pain hematuria oliguria Ureteral spasm

Question 31

True or false: | A stone that is not moving does not cause pain

Answer 31

TRUE

Question 32

Treatment of Urolithiasis

Answer 32

shock the stone Surgery

Question 33

What is Polycystic Kidney Disease

Answer 33

Cyst fill with fluid in the nephron and continue to fill with the risk of rupture

Question 34

symptoms of PKD

Answer 34

Pain, distended ab, constipation, hematuria/cloudy urine, kidney stones etc

Question 35

PKD: Autosomal recessive

Answer 35

die early in childhood

Question 36

PKD: Autosomal dominant

Answer 36

cyst in adulthood

Question 37

Hydronephrosis

Answer 37

Outflow obstruction Permanent damage quickly as 48 hrs and long as 2 weeks

Question 38

Acute Pyelonephritis

Answer 38

Bacterial infection in the kidney

Question 39

Chronic Pyelonephritis

Answer 39

numerous episodes of acute pyelo in the past Associated w? structural kidney issues, diabetes, neurologic impairment

Question 40

Treatment for Chronic Pyelonephritis

Answer 40

Ureteral diversion or reimplantation

Question 41

Diabetic Nephropathy

Answer 41

Microvascular complication

Question 42

What is the leading cause to renal failure ?

Answer 42

Diabetic Nephropathy

Question 43

What will you see a lot of in a urine sample of someone with Diabetic Nephropathy?

Answer 43

PROTEIN

Question 44

Insulin and Diabetic Nephropathy...

Answer 44

re assess insulin requirements!!

Question 45

BPH

Answer 45

outflow obstruction on the their urinary tract

Question 46

Meds for BPH

Answer 46

5 alpha reductase inhibitors Alpha blocking agents

Question 47

What should you not take when on medication for BPH?

Answer 47

VIAGRA

Question 48

what diet goes with BPH?

Answer 48

saw palmetto

Question 49

If PSA is less than 4 or greater than 10... what could this be related to?

Answer 49

Prostate cancer

Question 50

The arm that has a fistula you do not....

Answer 50

Take BP or | Puncture

Question 51

In renal failure, nurses should always take..

Answer 51

daily weights of pt

Question 52

Pt w/ renal failure should be on what kind of restriction?

Answer 52

Fluid restrictions

Question 53

Should a patient fast before. a PSA test?

Answer 53

yes, 8 hour before

Question 54

After a cystoscopy what is something you should tell the Pt not to be alarmed about?

Answer 54

Pink-tinged pee

Question 55

After a TURP, the patient will feel the urge to...

Answer 55

PEE