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49 Cards in this Set

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  • Back
Uncompicated UTI
Occurs in otherwise normal urinary tract
Unresolved bacteriuria
Initally resistant to antibiotics
Asymptomatic of resistance baceriuria
Bacterial colonization of bladder without symptoms
Complicated UTI
Exists in presence of obstruction or stones
Upper UTI
Infection of kidney and/or kidney pelvis
Lower UTI
Infection of bladder and/or urethra
Bacterial persistence
Continuing infection because of development resistance
Recurrent UTI
Reinfection following successful treatment of prior UTI
The nurse identifies the patient with the greatest risk for a urinary tract infection as a ______?
72 year old woman hospitalized with a stroke who has a foley catheter because of urinary incontinence
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 _____?
vague abdominal pain and disorientation
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 _______?
Be treated empirically with trimethoprim-sulfamethasoxazole (TMP-SMX) for 3 days.
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 _______?
Urinate before and after sexual intercourse.
Acute pyelonephritis resulting from an ascending infection from the lower urinary tract occur most often when _____?`
there is a preexisting abnormalility of urinary tract
The patient with acute pyelonephritis is more likely than the patient with a lower UTI to have a nursing diagnosis of _____?
Hyperthermia related to infection
Chronic pyelonephritis
causes progressive destruction of nephrons resulting in chronic renal insufficency
In a patient with acute pyelonphritis _______?
an IVP may be performed after the infection is resolved evaluate the urinary system abnormalities
Diagnosis of acute pyelonephritis always requites ______?
a urine culture and sensitivity test
Following initial treatment of acute pyelonephritis,________?
the patient must have a follow up urine culture
The most common cause of urethritis in men is _____?
sexually transmitted disease
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 _____?
Pain with bladder filling that is trasiently relieved by urination
When caring for the patient with interstitial cystitis, the nurse teaches the patient to _____?
use the dietary supplement calcium glycerophososphate (Preleief) to decrease bladder irritation.
Glomerulonephritis is characterized by glomerular damage caused by _____?
accumulation of immune complexes and complement in the glomeruli
Restriction of dietary protein may be indicated in management of acute poststreptococcal glomerulonephritis when the patient has ______?
elevated BUN
The nurse plans care for the patient with acute poststreptococcal glomerulonephritis (APSGN) based on the knowledge that _____?
most patients with APSGN recover completely or rapidly improve with conservative management.
The edema associated with nephrotic syndrome occurs as a result of _____?
decreased plasma oncotic pressure
An appropriate nursing diagnosis for the patient with nephrotic syndrome is _____?
risk for infection related to altered immune responses.
Patients at risk for renal lithiasis can prevent the stones in many cases by ______?
drinkin enough fluids to produce a urine output of 2L/day
On assessment of the patient with a renal calculi passing down the ureter, the nurse would expect the patient to report _____?
severe, colicky back pain radiating to the groin
Preventing of calcium oxalate stones would include dietary restriction of ______?
spinach, cabbage, and tomatoes
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 _________?
`encourage high fluid intake
In providing care for the patient with adult onset polycystic kidney disease, the nurse _____?
suggest genetic counseling resources for the children of the patient.
Diabetes mellitus
Diffuse and nodular glomerulosclerosis
gout
depostition of sodium urate crystals in interstitium and tubules
Amyloidosis
depostion of hyaline substanjce in kidney
Systemic lupus erythematosus
connective tissue changes affecting the glomerulus
Scleroderma
vascular lesions with fibrosis
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 ____?
smoking
The 5-year survival rate for cancer of the kidney is usually low primarily because _______?
the classic symptoms of hematuria and palpable mass do not occur until the disease is advanced
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 ____?
encourage the patient to use warm sitz bath.
To assist the patient with stress incontinence, the nurse teaches the patient to ______?
perform pelvic floor muscle exercises 4-5 times a day.
Nursing care that applies to management of all urinary catheters in hospitalized patients includes ______?
using strict sterile technique during irrigation or opening of the collecting system.
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 ______?
measure ureteral urinary drainage every 1-2 hours
During assessment of the patient who has nephrectomy, the nurse would expect to find _____?
clear breath sounds in all lung fields.
Illeal conduit
Abdominal stoma formed from resected ileum into which ureters are implanted
Cutaneous ureterostomy
Stoma created from ureters brought to abdominal wall.
Kock pouch
continent diversion created by formation of ileal puch with stoma requiring catherization
Ureteroileosigmoidostomy
continent diversion in which ureters are attached to resected segment of ileum implanted into sigmoid colon.
A patient with bladder cancer undergoes cystectomy with formation of an ileal conduit. During the patients first postoperative day, the nurse plans to ______?
empty the drainage bag every 2-3 hrs and measure the urinary output.
A teaching plan developed by the nurse the patient with a new ileal conduit or ureterostomy stoma includes instructions to _____?
use a wick to keep the skin dry during appliance changes.