Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
The RN is taking h/o client who has had BPH in past. To determine if patient is currently experiencing difficulty, RN asks about presence of this early symptom
-nocturia -urinary retention -urge incontinence -decreased force in stream of urine |
decreased force in stream
p.961 |
|
|
Patient returns to unit following pyelolithotomy for removal of kidney stone. Penrose drain in place. Which action is included in postop care?
-postition client on affected side -irrigating Penrose drain using sterile procedure -changing dressings frequently around the Penrose drain -weighing dressings and adding amount to the output |
frequent dressing changes
p.963 |
|
|
RN reviews patient record and notes a renal disorder. What lab findings support this diagnosis?
-decreased hgb level -elevated BUN -decreased RBC -increased WBC |
BUN
p. 962 |
|
|
The patient is scheduled for an IVP. Priority RN action is:
-restrict fluids -administer sedative -administer oral prep of radiopaque dye -determine h/o iodine, seafood allergy |
allergies
p.962 |
|
|
Pt w/BPH undergoes TURP. Post op, pt is receiving CBI. The RN assesses for TURP syndrome. What assessment data would indicate onset of syndrome?
-tachycardia and diarrhea -bradycardia and confusion -increased uop and anemia -decreased uop and bladder spasms |
2
bradycardia and confusion p. 964 |
|
|
The patient is s/p TURP following dx of BPH. 4 hours post op the RN empties urinary drainage bag and takes VS. What assessment findings would indicate need to call MD?
-red bloody urine -pain r/t bladder spasms -UOP of 200 ml>intake -BP 100/50, P 130 |
4
low bp, incr pulse s/s poss excessive blood loss p.964 |
|
|
Risk factors: nephrolithiasis
|
-genetics (fam/personal hx)
-dehydration -immobility -excess dietary ca++, oxalate, proteins oxalate:oxalic acid also combines with metals ions such as Ca2+, Fe2+, and Mg2+ to form crystals of the corresponding oxalates which are then excreted in urea. Those with kidney disorders, gout, rheumatoid arthritis, or certain forms of chronic vulvar pain (vulvodynia) are typically advised to avoid foods high in oxalic acid. -gout -hyperparathyroidism -urinary stasis or recurrent UTI |
|
|
s/s nephrolithiasis
|
pain:
dull aching to sharp stabbing radiate from flank to suprapubic, groin, &/or external genitalia -sympathetic response: n/v, pale, cool, clammy -S/S uti: chills, fever, frequency, urgency, dysuria |
|
|
complications: nephrolithiasis
|
-obstruction
-hydronephrosis -infection -renal insufficiency |
|
|
hydronephrosis
|
is distension and dilation of the renal pelvis and calyces, usually caused by obstruction of the free flow of urine from the kidney, leading to progressive atrophy of the kidney
|
|
|
renal colic
|
acute, severe flank pain on affected side
|
|
|
s/s hydronephrosis
|
colicky pain on affected side, may radiate to groin
|
|
|
urolithiasis
|
stones forming in urinary tract (eg bladder)
|
|
|
3 factors for urolithiasis
|
supersaturation
nucleation (forming crystal from liquid) lack of inhibitory substances in urine |
