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49 Cards in this Set
- Front
- Back
Uncompicated UTI
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Occurs in otherwise normal urinary tract
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Unresolved bacteriuria
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Initally resistant to antibiotics
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Asymptomatic of resistance baceriuria
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Bacterial colonization of bladder without symptoms
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Complicated UTI
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Exists in presence of obstruction or stones
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Upper UTI
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Infection of kidney and/or kidney pelvis
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Lower UTI
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Infection of bladder and/or urethra
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Bacterial persistence
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Continuing infection because of development resistance
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Recurrent UTI
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Reinfection following successful treatment of prior UTI
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The nurse identifies the patient with the greatest risk for a urinary tract infection as a ______?
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72 year old woman hospitalized with a stroke who has a foley catheter because of urinary incontinence
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While caring for a 77 year old woman who has a foley catheter, the nurse monitors the patient for the development of a UTI. The clinical manifestations the patient is most likely to experience include _____?
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vague abdominal pain and disorientation
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A woman with no history of UTIs who is experiencenig urgency frequency, and dysuria comes to the clinic where a dipstick with microscopic urinalysis indicates a bacteriuria. The nurse anticipates that the patient will _______?
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Be treated empirically with trimethoprim-sulfamethasoxazole (TMP-SMX) for 3 days.
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A female patient with a UTI has a nursing diagnosis of risk for infection related to lack of knowledge regarding prevention of recurrence. The nurse includes in the teaching plan instructions to _______?
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Urinate before and after sexual intercourse.
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Acute pyelonephritis resulting from an ascending infection from the lower urinary tract occur most often when _____?`
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there is a preexisting abnormalility of urinary tract
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The patient with acute pyelonephritis is more likely than the patient with a lower UTI to have a nursing diagnosis of _____?
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Hyperthermia related to infection
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Chronic pyelonephritis
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causes progressive destruction of nephrons resulting in chronic renal insufficency
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In a patient with acute pyelonphritis _______?
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an IVP may be performed after the infection is resolved evaluate the urinary system abnormalities
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Diagnosis of acute pyelonephritis always requites ______?
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a urine culture and sensitivity test
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Following initial treatment of acute pyelonephritis,________?
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the patient must have a follow up urine culture
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The most common cause of urethritis in men is _____?
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sexually transmitted disease
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A patient with suprapubic pain and symptoms of urinary frequency and urgency has 2 negative urine cultures. One assessment finding that would indicate interstitial cystitis is _____?
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Pain with bladder filling that is trasiently relieved by urination
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When caring for the patient with interstitial cystitis, the nurse teaches the patient to _____?
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use the dietary supplement calcium glycerophososphate (Preleief) to decrease bladder irritation.
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Glomerulonephritis is characterized by glomerular damage caused by _____?
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accumulation of immune complexes and complement in the glomeruli
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Restriction of dietary protein may be indicated in management of acute poststreptococcal glomerulonephritis when the patient has ______?
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elevated BUN
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The nurse plans care for the patient with acute poststreptococcal glomerulonephritis (APSGN) based on the knowledge that _____?
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most patients with APSGN recover completely or rapidly improve with conservative management.
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The edema associated with nephrotic syndrome occurs as a result of _____?
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decreased plasma oncotic pressure
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An appropriate nursing diagnosis for the patient with nephrotic syndrome is _____?
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risk for infection related to altered immune responses.
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Patients at risk for renal lithiasis can prevent the stones in many cases by ______?
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drinkin enough fluids to produce a urine output of 2L/day
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On assessment of the patient with a renal calculi passing down the ureter, the nurse would expect the patient to report _____?
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severe, colicky back pain radiating to the groin
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Preventing of calcium oxalate stones would include dietary restriction of ______?
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spinach, cabbage, and tomatoes
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Following lithotripsy for treatment of renal calculi, the patient has a nursing diagnosis of risk for infection related to introduction of bacteria following manipulation of the urinary tract. An appropriate nursing intervention for the patient is to _________?
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`encourage high fluid intake
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In providing care for the patient with adult onset polycystic kidney disease, the nurse _____?
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suggest genetic counseling resources for the children of the patient.
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Diabetes mellitus
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Diffuse and nodular glomerulosclerosis
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gout
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depostition of sodium urate crystals in interstitium and tubules
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Amyloidosis
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depostion of hyaline substanjce in kidney
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Systemic lupus erythematosus
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connective tissue changes affecting the glomerulus
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Scleroderma
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vascular lesions with fibrosis
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When obtaining a nursing history from a patient with cancer of the urinary system, the nurse recognizes that a risk factor associated with cancer of both the kidney and the bladder is ____?
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smoking
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The 5-year survival rate for cancer of the kidney is usually low primarily because _______?
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the classic symptoms of hematuria and palpable mass do not occur until the disease is advanced
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A 60 year old man with cancer of the bladder has laser photocoagulation for treatment of the tumor. Following the procedure, the nurse plans to ____?
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encourage the patient to use warm sitz bath.
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To assist the patient with stress incontinence, the nurse teaches the patient to ______?
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perform pelvic floor muscle exercises 4-5 times a day.
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Nursing care that applies to management of all urinary catheters in hospitalized patients includes ______?
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using strict sterile technique during irrigation or opening of the collecting system.
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A patient has a right ureteral cathereter placed following a lithotripsy for a stone in the ureter. In caring for the patient after the procedure, the nurse ______?
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measure ureteral urinary drainage every 1-2 hours
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During assessment of the patient who has nephrectomy, the nurse would expect to find _____?
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clear breath sounds in all lung fields.
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Illeal conduit
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Abdominal stoma formed from resected ileum into which ureters are implanted
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Cutaneous ureterostomy
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Stoma created from ureters brought to abdominal wall.
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Kock pouch
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continent diversion created by formation of ileal puch with stoma requiring catherization
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Ureteroileosigmoidostomy
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continent diversion in which ureters are attached to resected segment of ileum implanted into sigmoid colon.
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A patient with bladder cancer undergoes cystectomy with formation of an ileal conduit. During the patients first postoperative day, the nurse plans to ______?
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empty the drainage bag every 2-3 hrs and measure the urinary output.
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A teaching plan developed by the nurse the patient with a new ileal conduit or ureterostomy stoma includes instructions to _____?
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use a wick to keep the skin dry during appliance changes.
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