Urinary

Question 1

What is expected in -scopies?

What is not expected?

Answer 1

Urinary frequency and burning, light pink clots

Not: bright red blood clots, fever, abd pain etc

Question 2

What do you do when there’s burning and discomfort at IV site?

Answer 2

Slow rate

Question 3

Examples of anticholinergics and their use and SE

Answer 3

oxybutynin, tolterodine, solifenacin

overactive bladder, urinary incontinence

SE: sedation, heat intolerance

Question 4

BPH drugs (2)

Answer 4

terazosin - relieves urinary rtn

finasteride - reduction in size, takes long time to take full effect

Question 5

CKD: what electrolytes imbalances

Answer 5

hyperkalemia and hyperphosphatemia

Question 6

Tx for hyperphosphate

Answer 6

calcium acetate/carbonate

excreted in stool

Question 7

Foods high in K+

Answer 7

dairy, banana, oranges, avocados

Question 8

___ associated with CKD

Answer 8

anemia

- CKD produces erythropoietin

Question 9

What is a side effect of erythropoietin administration

Answer 9

HTN

therefore check BP. htn is a contraindication

Question 10

CKD: expected with renal failure

Answer 10

`HTN

Question 11

What medication should be avoided for dialysis?

Answer 11

Antihypertensives because hypotn can occur with dialysis

Question 12

How to determine patency of fistula
What is expected with a fistula
Exercising arm ?

Answer 12

palpate fistula for a thrill and auscultate for a buit

• edema
• don’t lift heavy objects, squeeze ball

Question 13

sodium polystyrene sulfonate

Answer 13

for hyperkalemic patients

K+ excreted in stool, trade in for NA

Question 14

Barium enema

Answer 14

contrast used to visualize colon

Question 15

Glomerulonephritis

S/S to look for

Answer 15

Monitor for fluid retention (r/t decreased filtration)

HTN (#1), facial and general edema, oliguria (NOT intake and output)

Question 16

Steps for hyperkalemia

Answer 16

IF peaked t waves present to prevent dysarrhythmia - calcium gluconate (temp)

IV insulin with 50% dextrose

Question 17

When should you report a bladder scan

Answer 17

If >100mL

Question 18

Nephrotic syndrome

risks (2)

Answer 18

increased permeability to filter out albumin, immunoglobulin, anticoagulants

Fluid rtn (edema, weight gain, loss of appetite) and infection

Question 19

Pain description for pyleonephritis

renal calculi

Answer 19

• flank radiating to umbilicus

- excruciating pain from flank to groin

Question 20

1kg gain = how much of retained fluid

Answer 20

1000mL

Question 21

Lithotripsy

Answer 21

breaking down renal stones

stents placed, kidney tube ok to irrigate with nacl

Question 22

Rules for 24 hour urine collection

Answer 22

Taken in the morning

- pt will void, discard that sample and then the test starts