Renal, Bladder, Some Reproductive System - Nclex

Front 1

Glomerulonephritis s/s

Back 1

Hypertension, facial/periorbital edema, HA, lethergy, weight gain, low grade fever, proteinuria, hematuria,oliguria, dysuria

Front 2

Glomerulonephritis - a recent _ can cause this condition

Back 2

Strep infection (important to know), such as a sore throat in adult or child

Front 3

With hx of reoccurant urolithiasis what should be restricted in the diet?

Back 3

Calcium because calcium oxalate is the most common renal stone

Front 4

Most common cause of death for acute renal failure?

Back 4

Secondary infections (must monitor for), 50-90% of clients

Front 5

Proteinuria in type 1 diabetes can mean _

Back 5

Renal failure will most likely occur in the next 10 years

Front 6

An episode of shock may lead to this kidney disorder

Back 6

Acute renal failure (r/t decreased renal perfusion)

Front 7

Leading causes of chronic renal failure

Back 7

Poorly controlled long-term hypertension and diabetes

Front 8

Acute renal failure oliguric phases has these labs

Back 8

High BUN, creatinine and potassium

Front 9

Disequalibrium syndrome r/t hemodialysis s/s (rapid changes in the extracellular fluid)

Back 9

n/v, restlessness, confusion, twitching and jerking, hypotension, headache, seizures

Front 10

During peritonial dialysis, what signals retention?

Back 10

Outflow should be greater than inflow (if less than 100 than retention is suspected) Normally 100-200 ml more than inflow

Front 11

After kidney transplant the amount of IV fluid is determined by _

Back 11

Urine output (assessed and adjusted on an hourly basis)
12-24 hours after transplant normal to have large amounts of outpu (sometime 1 Liter/hour)

Front 12

What can help alleviate hyperkalemia (2)

Back 12

50% glucose and regular insulin combo (moves potassium back into the cells)

Front 13

Med used for hyperphosphatemia that occurs in acute renal failure _

Back 13

Amphojel (note the pho in the middle)

Front 14

Low abdominal pain, hematuria with no fever suspect ____ . With fever what could you suspect?

Back 14

Trauma to bladder or abdomen. With fever suspect glomerulonephritis or pylonephritis

Front 15

Study - With bladder trauma or injury lower abdominal pain and pain that radiates where?
This is interesting!

Back 15

To one of the shoulders due to phrenic nerve irritation.

Front 16

S/S of bacterial prostatitis - Local and systemic
(Study these)

Back 16

Local - Swollen, tender, WARM TO TOUCH AND FIRM, indurated.
Systemic - Fever with chills, perineal and lower back pain and signs of UTI

Front 17

Arterial steal syndrome after creation of arm fistula s/s?
Infection s/s?

Back 17

Pallor, diminished distal pulse, pain distal to fistula (these stem from vascular insuffiency
Infection s/s would include warmth and reddness....

Front 18

Lab for renal function that is elevated when 50% of renal function is lost

Back 18

Creatinine. Normal levels are 0.6-1.2 mg/dL varying slightly for men and women

Front 19

What happens to the temperature of the blood after hemodialysis?

Back 19

Temp may be elevated due to the machine's warming of the blood. First priority is to continue to monitor is slightly elevated, if higher maybe sepsis