Exam 4 Review: Renal System

am Kidney issues and pain - , Where might that pain be! Flank area - 2) If you have a pt that had some type of trauma . , year wreck , fell down stairs etc. ) , . Always check their flank areas ! # Bruising of Kidney damage liver Aortafore * , , 3) We don't want bacteria in the unine ; what if unine is positive for nitrates ? - Means infection - also if bacteria 4) If you see RBC's in the urine that 5) know the Specific Gravity of ) injury it's not only the flank 6 . If 7) What area is the positive can mean several , and WBC's things Kidney stone injury urine-1 005-1 03 . . area can , : Pg be their back . , 683-685 (know , renal disease, or bad infection chart) period ! produced in ? urine Glomerular filtration - 8) Elevated Creatine levels - , what labs would you think 9) Knaw BUN )Have pt a we would want to look at ! UA- X Dialysis- unine output On 10 . is . low normal values ! 8-21 in the hospital , Creatine : N-0 . 61-121 F-OSI-1 /l wi pneumonia ,the flu The Buw . . , is 32 It's . high and the creative is o . 8 . What may be ~ - Dehydration 11) Old people what happens to their bladder? , - shrinks ; Muscle tone becomes weak - (2) Someone in - renal -cause them to be incontinent ! failure, What would be our best indicator that we could do every Daily weights (Also WA Chi) going on ↳ if abnormal can indicate disease ey day to see ? if their BUN is elevated and theCr is normal ! 13) In doctor's office clinic a , , or ER Someone UA · Patient happens to be diabetic , is this in comes . related to they have chills, fever and vomiting wit flank pain What do youthink The doctor might tell you to do? and . , they have DM ? No , utt a 14) Anytimeadiabetic hasniness what happens to their glucose Goes , )Patient who had bladder is. cancer - - a To )Your conduit who should be on the team ? ↳ Also know as "unostomy"-Surgical procedure that creates a wayfor wine to exit body through ostomy. , WOCN 16) If someone has aystectomy ) We did an ideal dergieworker social - 17 . Dietican - and we have to make a charge Which one of these pt.'s do you feel continuously nurse Urine incontinence ) You're - - of that neobladder would be? through the urethra still. . Paradohadhasostomprobaly 18. neobladder. What would we think the benefit urinate DON , a - , working in the ER , needs to be checked and monitored for signs of urosepsis ? already hadat a patient comes in from dialysis and you have to triage Headache oozing of blood from fistula . Had to pick whichore would die 19, 2nd on 3rd Which . one of these is the most concerning ? -sleepiness - Chest pain 19) Teaching a patient about side effects of peritoneal dialysis . Is it a skile technique ? Yes Norried about peritonitis. 20) Glomerulonephritis, if you had to pick which one of these things you think the HCP will end up saying this pt has because of this ! - - - - pre-renal post renal Infrarenal-(damage to nephrons inside the kidneys tubular breakdan Ayangcomsinfakpain,resedurnation - - - Have you had Have any Gl Have you ) know how to convert liquids 25. , cups , or - Acute poststreptococcal glomerulonephritis etc. a , . . Mammograms-HCP may order digital mammography. )Teaching BSE 24. and periorbital edema Unne is very dark in color w protein in it The nurse unprotected sex ? problems had a sore throat? 22) 23) , does it matter if we )Postmenopausal women are go clockwise or counter? No at risk for what ? Osteoporosis/heart disease Y(Dexa scan) - common in children and young adults is gannaaskan of these which , one do y thia ) What is the most common cycle 26. 27. ) Have pt that a , in and comes every how many they say their cycle is every cancer) 28) PSA (indicator for prostate calcium will and *Alkaline phosphatase days ? 28 days semm , Eye contact empathy , 30)Pelvic exams tell , me , calm , days , is something wrong ? No they be elevated ?Yes 29) Have someone that comes in and they're going to have - 31 a surgery for a lumpectomy due to lung mass . How might you approach that patient ? reassuring and confident what we are supposed to tell the patient when the HCP is getting ready to insert the speculum ? Take a deep breath and blow it out - 31) Masectomy patient radical , * What are . we wiBlod pressurefingersnearly worried about? care ! Measure ams for sl of lymphedemi 32) Endometriosis , pain wit menstruation. The female pt reports severe pelvic and back pain and it's worse during menses What should you try and do for these people ? . - Apply heat to abdomen 33) Menopause, how long without 12 months - )Polycystic ovarian syndrome Excess hair period before you can actually tell the pt? , "precautions", they can still get pregnant what do we see with these people ? growth (masculinization) infertility obesity and menstrual disturbances ) What drugs do they 35. - no read a book , meditating. Also that they need to still take 34. - , . , , . , recommend for pos ? Metformin 36) What's a pessary ? Device that supports the pelvic Teach pt. organ prolapse ; Legal exercises > Done at HCP office. ) MD- birth control - 31. methods intheofficeaskingyouabout birthcanol 38)The pt . What would we tell thea 34) What can we - do along wit the of use a condom or a diaphragm that will help it be more effective ? Spermicide 10) Smoking and birth control pills lead to but * whingement sten · E & A attentively )Prostatitis e inflammation of prostate gland > Symptoms unine retention 43. : - & causes : 44) Alpha-blocking meds Urinary retention and - - , , eye contact leads to utl ;teach going to the bathroom frequently. low BP )Patient comes in and say they haven't urinated since yesterday. What might have to be done ? 45. - Indwelling catheter (In/cut maybe ) Priapism-long erection (won't go down) Emergent ! Have difficulty urinating 46 . - 47) Chlamydia , worry about people only thinking they can catch it during intercourse Coral , . Y Silent vaginal/penile anal)-body fluids/secretions ↳They can have a sharp pain where ! Base of the ribs due to the liver (Fitz-Hugh-curtis , 48)Patient has joint pain hair loss mouth , , - Syphilis-rash on sores , what is . , syndromesurface inflammation of live going on ? hands and feet )HSV-active lesions during labor-section mandatory 49. so) Where do you put a Gubag ? belowthe level of the bladder - Ask about allergies 51) How do you know how much fluid to insert in the foley ? ) When 52. - we remove a foley , what are we Look on package and donut on the foley lookingfor ? infact, , ruptured tan , what's on the tip of it? (tissue ? , 53)Someones going to clinic STD day , - Wipe watwette , . Pt . came in fever, chills, 101 temp , and the pinfrsthefinishin HCP wants the specime,, a clean catch. How are we going to instruct the pt ? sucrometer - on foley-accurate 180's ↳ Making rounds and the urometer has not been emptied Are we empty and claim it on your shift ? - ) Ketones S. · 56. - . What do I need to ask the nurse? ganna Don't want in urine ! What condition might pt. havethat causes ketones in urine? a IM Type ) HR is elevated Tachycardic and the specific gravity is elevated. Concentrating ability of the Kidneys , ,