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266 Cards in this Set

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When patint adaptations include either oliguria or polyuria, which nursing diagnosis would be most likely.
deficient fluid volume
A.diarrhea
B.impaired skin integrity
C.deficient fluid volume
D.imbalanced nutrition - < body requirements
The best source of potassium is:
baked potato
1. baked potato
2. bran flakes
3. lean meat
4. table salt
What is B.U.N.
Blood Urea Nitrogen
What amount of urine is excreted per day?
approx 1 liter
what are the three functions of kidneys
secretion
reabsorption
filtration
What is common symptoms during postcatheterization care?
Urinary frequency
Dribbling
Leakage
Small Clots and Tissue Debris
How much urine should be voided by 2 days after surgery?
150 - 200 ml of clear yellow urine every 3 - 4 hours
What complication after TURP may happen?
bleeding or hemorrhage
When fluid intake is less that what is needed to met the body's fluid needs.
dehydration
hypovolemia
(fluid volume deficit)
What type of dehydration is when water and electrolytes are lost in equal proportions.
isotonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
what type of dehydration is when water loss is greater than electrolyte loss.
hypertonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
what type of dehydration is caused by excessive sweating, diarrhea and prolonged fever
hypertonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
what type of dehydration is cased by excessive fluid replacement, chronic illness, renal failure and sever malnutrition?
hypotonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
what is 2/3 of total body water fluid inside the cells?
Intracellular fluid
what is ICF?
Intracellular fluid
how much of total body water is intracellular fluid
2/3 of total body water
what hormone determines how much water is secreted or absorbed?
ADH Hormone
Antidiuretic Hormone
Renin
ADH
aldosterone
which hormone controls salt secretion
aldosterone
Renin
ADH
aldosterone
how much of total body water is in extracellular fluid
1/3 of total body water
what is ECF?
extracellular fluid
Urine output below 500ml per day is a renal manifestation of what?
dehydration
how much fluid can be lost with diarrhea?
2 - 3 liters per da
a renal manifestation of dehydration is urine output below how much fluid per day?
500 milliliters per day
life threatening dysrythmias can be caused by increased levels of what two nutrients?
potassium
calcium
sodium
potassium
calcium
chloride
What is scant urine output?
oliguria
enlargement of the kidney caused by blockage of urine lower in the tract and filling of the kidney with urine
hydronephrosis
what is hydronephrosis
enlargement of the kidney caused by blockage of urine lower in the tract and filling of the kidney with urine
what is a channel for the passage of fluids?
conduit
caruncle
calculi
conduit
anephric
what is the inflammation of the urinary bladder
cystitis
azotemia
cystitis
azotitis
anephritis
what is cystoscopy
a medical procedure with a cystoscope to examine the bladder
what is it meant when someone is anephric?
they do not have kidneys
what is the term for someone who does not have kidneys
anephric
what is the absence of urine formation?
anuria
what is anuria
the absence of urine formation
what is an accumulation of urinary waste products in the blood?
azotemia
anuria
anephric
azotemia
calculus
what is azotemia
the accumulation of urinary waste products in the blood
what is calculi?
an abnormal concretion in the urinary tract (stones)
what is a caruncle
a deep red growth on the mucous membrane of the urinary meatus in women
what is a deep red growth on the mucous membrane of the urinary meatus in women
caruncle
calculi
caruncle
carbuncle
what is a carbuncle?
an infection of hair follicles with formation of connecting sinuses after prostration
what is an infection of hair follicles with formation of connecting sinuses after prostration
carbuncle
carbuncle
caruncle
calculus
during dehydration, what happens to the respiratory rate
it increases due to hypoxia
increases due to hypoxia
decreases due to hypoxia
integumentary manifistations of dehydration are:
poor skin turgor
no edema signs
skin dry
scaley
oral mm are dry
tongue may have deep furrows
if a person has poor skin turgor, no signs of edema, their skin is dry & scaley, the oral mm are dry and their tongue may have deep furrows, what does this indicate?
dehydration
what are two neruologic manifestations of deydration?
low grade fever and mental status changes
high grade fever and mental status changes or
low grade fever and mental status changes
what is a low concentration of sodium in the blood
hyponatremia
what is hyponatremia
low concentration of sodium in the blood
what is elevated blood potassium
hyperkalemia
what is low blood potassium
hypokalemia
what is hyperkalemia
elevated blood potassium
what is hypokalemia
low blood potassium
what is the safe levels of potassium
3.5 to 5.0
what is the safe levels of sodium
136 to 145
what is hypernatremia
elevated blood sodium
what is elevated blood sodium
hypernatremia
what is lower than normal blood calcium
hypocalcemia
what is higher than normal blood calcium
hypercalcemia
what are the safe levels for blood calcium?
9 to 10.5
changes in daily weights are best indicators of what?
fluid losses or gains
what is an indicator of fluid losses or gains
changes in daily weights
what is hypervolemia
an abnormal increase in blood volume
what is hypoproteinemia
an decrease in serum proteins
what is an abnormal increase in blood volume
hypervolemia
what is a decrease in serum proteins
hypoproteinemia
when electrolyte loss is greated than water loss
hypotonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
decreased circulating blood volume
hypovolemia
what type of dehydration decreases blood volume by poor intake of fluids etc.
isotonic dehydration
isotonic dehydration
hypertonic dehydration
hypotonic dehydration
what does arterial bleeding look like?
bright red or ketchup like with numerous clots
what does venous bleeding look like?
burgundy with or without any change in vital signs
what type of bleeding is bright red or ketchup like with numerous clots
arterial bleeding
arterial bleeding
venous bleeding
what type of bleeding is burgundy with or without any change in vital signs
venous bleeding
arterial bleeding
venous bleeding
when patient assessment is a major indicator that the patient has the nursing diagnosis deficient fluid volume?
negative I&O balance
1. increased body temperature
2. decreased blood pressure
3. negative I&O balance
4. shortness of breath
the nurse understands that a pt receiving a hypertonic IV solution may experience excess fluid in the intravenous compartment as a result of
oncotic pressure
1. atmospheric pressure
2. hydrostatic pressure
3. intraocular pressure
4. oncotic pressure
when pt assessment is a major indicator that the patient has the nursing diagnosis deficient fluid volume?
negative balance of I & O
1. increased body temp
2. decreased blood pressure
3. negative balance of I & O
4. shortness of breath
where is the catheter taped after prostate surgery
the upper thigh
Who determines when the traction from prostate surgery can be removed?
the physician
How long after surgery is traction from prostate surgery removed?
first day after surgery and/or after the continuous bladder irrigation is removed
When patients are taking supplemental calcium, it is important that they be taught to maintain their fluid intake at a minimum of 2500 cc a day to prevent the:
formaton of kidney stones
1. formation of kidney stones
2. occurence of muscle cramps
3. irritation of the blader mucosa
4. mobilization of calcium from bone
The nurse evaluates that a patient understands the teaching about foods high in potassium when reviewing the menu for dinner the patient selects:
lettuce and tomato salad
1. baked salmon filet
2. cooked chicken liver
3. cream of chicken soup
4. lettuce and tomato salad
when caring for a patient who is anorexic, the nurse should understand that liquid supplements:
can be less filling than foods of equal calories
1. should be encouraged with meals.
2. can be ordered without a physician's orders.
3. can be less filling than foods of equal calories.
4. should be delivered via tube feeding to be most effective.
when recording a patient's I&O, what should be recorded at approximately 1/2 it's volume?
ice chips PO
1. ice chips PO
2. CBI
3. tube feeding of 1/2 formula and 1/2 water
4. solution used to maintain patency of a tube
Which is the best choice for an appetizer when following a 2-gram sodium diet?
fresh vegetable sticks
1. pigs in a blanket
2. stuffed mushrooms
3. chees & crackers
4. fresh vegetable sticks
An intravenous infusion has infiltrated when inspection of the insertion site appears
edematous
1. hard
2. inflamed
3. reddened
4. edematous
Which adaptation is common to both excess fluid volume and deficient fluid volume?
weakness
1. hypotension
2. weakness
3. agitation
4. dyspnea
Before administering an IV solution containing potassium to a patient, it is essential that the nurse:
determine the presence of urinary output
1. assess the skin turgor
2. rate the depth of edema
3. obtain the blood pressure
4. determine the presence of urinary output.
which problem would place the patient at the greatest risk for hyperkalemia?
burns
1. diaphoresis
2. vomiting
3. diarrhea
4. burns
when assessing the skin of an older adult, which adaptation would be cause for greatest concern?
tenting of the skin
1. flat, brown-colored spots on the skin.
2. thin translucent skin
3. tenting of the skin
4. dry, flaky skin
what is the primary cause of diarrhea in a patient receiving a tube feeding?
a high osmolarity of the feeding
1. a high osmolarity of the feeding.
2. an inadequate volume of the feeding
3. failure to test for a residual before the feeding
4. lying in the high-fowler's position during the feeding
which would be most important when assessing adult patients for the effects of vomiting?
electrolyte values
1. electrolyte values
2. mouth condition
3. bowel function
4. body weight
when a patient exhibits an increasing blood pressure and a two pound weight gain over 2 days, the nurse should further assess the patient for:
an increase in pulse volume
1. a decreased heart rate
2. an increase in skin turgor
3. an increase in pulse volume
4. a decrease in pulse pressure
which would be the best way to evaluate the effectiveness of diuretic therapy for a patient with 4+ dependent edema?
weigh daily
1. weigh daily
2. assess skin turgor
3. measure calf girth
4. monitor urine specific gravity
a patient becomes hypertensive and short of breath after receiving an IV solution that functions as a volume expander. Before notifying the physician, in which position should the nurse place the patient?
reverse trendelenburg
1. Sims
2. Supine
3. Dorsal recument
4. reverse trendelenburg
the nurse recognizes that the patient understands the importance of eating broccoli when the patient says
"broccoli is a great source of"
potassium
1. iron
2. starch
3. calcium
4. potassium
which could the nurse include on a full-liquid diet that is not included on a clear-liquid diet?
milk
1. cranberry juice
2. ginger ale
3. jello
4. milk
a patient is admitted to the hospital for a fever of unknown origin. The nursing assessment reveals profuse diaphoresis, dry sticky mm, weakness, disorientation, and a decreasing level of consciousness. The nurse infers that the patient has:
hypernatremia
1. hyperkalemia
2 hypercalcemia
3. hypernatremia
4. hypermagnesemia
When a patient is suspected of being hypovolemic, the nurse should further assess the patient for which adaptation?
thready pulse
1. decreased heart rate
2. thready pulse
3. hypertension
4. dyspnea
Which food selection by a patient would indicate an understanding regarding an abundant source of calcium?
yogurt
1. bread
2. yogurt
3. green beans
4. peanut butter
most obvious clinical manifestation in dehydration that is life threatening
decrease in the plasma volume
cardiovascular symptoms in dehydration
heart rate increases
plasma decreases
peripheral pulses are weaker
blood pressure decreases
pulse pressure decreases
neck & hand veins remain flat
what indicates possible bladder obstruction?
bladder spasms
what do you do when the urinary catheter is obstructed during continuous bladder irrigation
turn off the CBI, and irrigate the catheter with 30 - 40 ml of normal saline with a large piston syringe
what is viscocity
thickness (example blood)
what is permeable
porous
what is the word that means when 2 spaces have higher hydrostatic pressure than each other?
gradient
what is one very important area for homeostasis?
maintaing the body's normal fluid volume & composition
the movement of fluid thru a cell or blood vessel membrane
filtration
what is filtration
the movement of fluid thru a cell or blood vessel membrane
what is hydrostatic pressure
the force of the weight of water molecules pressing against the confining water
the force f the weight of water molecules pressing against the confining water
hydrostatic pressure
what is interstitial fluid?
the fluid between cells
what is the fluid between cells?
interstitial fluid
how often and how long does dialysis take?
4-6 hours 2 to 3 times a week until kidney transplant
what is the main cause of death in transplant patients?
infection
Is potassium extracellular or intracellular?
intracellular
what is pH level of urine normally?
6
what is acidosis?
seen in chronic renal failure. it increases respirations. it is an excessive hydrogen level in blood.
what is an excessive hydrogen level in blood?
acidosis
ADH
anti diuretic hormone
what is ADH functions?
helps control fluid balance
causes vasoconstriction
decreases rate of respiration
regulates blood pressure
what helps control fluid balance, cause vasoconstriction, decrease respiration rates and regulates blood pressure?
ADH
Is sodium extracellular or intracellular?
extracellular
The best source of potassium is?
baked potato
1. baked potato
2. bran flakes
3. lean meat
4. table salt
when discontinuing a patients intravenous infusion, it is essential that the nurse
withdraw the catheter along the same angle of its insertion
1. withdraw the catheter along the same angle of its insertion
2. wipe the area with an alcohol swab
3. flush the line with normal saline
4. wear sterile gloves
what is alkalosis
it is increased bicarbonate ions caused by excess antacids or prolonged vomiting or sweating
an increase bicarbonate ions caused by excess antacids or prolonged vomiting or sweating
what is alkalosis
what is renal osteodystrophy?
brittle bones
what is the term for brittle bones
renal osteodystrophy
what are some drugs that are contraindicated with renal impairment
antibiotics
digitalis
salicylates
long lasting barbiturates
when regulating blood pressure, the renal system produces what enzyme when blood pressur is decreased?
Kenin
what hormone is produced by the renal system that stimulates production of red blood cells in bone marrow
erythropoeitin
the renal system activates what vitamin
vitamin D
what conditions are caused by decreased vitamin D
ricket in children and osteomalacia in adults
what vitamin does vitamin D help absorb
calcium
what does the sun do and how is its product or action get processed through the body?
the liver processes it
the parathyroid secretes the hormones and they kidney converts vitamin D into the blood stream
Which food should be avoided by a patient who must follow a 2-graham sodium diet?
cheese
the primary reason tube feedings cause diarrhea are because they are:
hypertonic
isotonic
hypotonic
hypertonic
what should be done with the irrigant on an I&O sheet when calculating the fluid balance for a patient with a CBI?
deduct it from the total urine output
1. add it to oral intake
2. deduct it from the total urine output
3. subtract it from the IV flow sheet as output
4. document the intake hourly in the urine output column
which assessent is best when monitoring an older adult's fluid and electrolyte status?
serum laborator
1. intake and output
2. serum laboratory
3. condition of the skin
4. presence of tenting
salt sensitive people should avoid
pickles
1. mayonnaise
2. pickles,
3. eggs
4. fish
which fluid can be found on a clear liquid diet
ginger ale
1. ginger ale
2. lemon sherbert
3. vanilla ice cream
4. cream of chicken soup
which adaptation would indicate a potassium deficiency
muscle weakness
1. increased BP
2. muscles weakness
3. chest pain
4. dry hair
the nurse suspects a patient may have the nursing diagnosis. Excess fluid volume when the patient's skin appears:
taut and shiny
1. edemous
2. dry and flaky
3. taut and shiny
When a patient has an increased production of ADH and aldosterone, the nurse should expect what decrease in the patient's body?
urinary output
1. blood pressure
2. urinary output
3. body temperature
4. insensible fluid loss
the nurse would determine that inflammation of a vein may have occured at an IV site if when touching the area it:
causes discomfort
1. feels soft
2. seems cool
3. produces pallor
4. causes discomfort
clinical manifestations that are common to both hypokalemia and hyperkalemia
muscle weakness and dysrhythmias
1. nause and vomiting
2. irritability and confusion
3. muscle weakness & dysrhythmias
4. hyperkalemia
a reduction in fluid intake will contribute to:
decreased urine output
1. decreased urine ouput
2. incontinence
3. retention of urine
4. frequent urine
when weighing a patient daily for the purpose of evaluating fluid loss or gain, the nurse should weigh the patient
at same time each day
1. twice a day
2. 1 hour before meals
3. at same time each day
4. before urinating in the morning
the best source of calcium is:
cheese
1. cheese
2. lettuce
3. peppers
4. oranges
which adaptation would most specifically indicate that IV fluid replacement is adequate
urine output 50 ml/hour
1. moist lips
2. bounding pulse
3. blood pressure 96/60
4. urine ouput 50 ml/hour
the nurse suspects that a patient receiving IV fluids is experiencing a fluid overload when assessment reveas
dyspnea, headache and increased blood pressure
1. chills, fever, and generalized discomfort.
2. dyspnea, headache and increased blood pressure
3. pallor, swelling, and discomfort at the insertion site.
4. a blood return in the tubing close to the insertion site
which sould most likely be limited first when a patient has hypertension?
sodium
1. sodium
2. potassium
3. protein
4. fluids
the nurse understands that excess fluid in the interstitial compartment results from increased:
hydrostatic pressure
1. oncotic pressure
2. diffusion pressure
3. hydrostatic pressure
4. intraventricular pressure
the physician of a critically ill patient should be notified when the patient's hourly urine output first falls below:
30 cc
1. 20 cc
2. 30 cc
3. 60 cc
4. 120 cc
patients who are taking diuretics must be encouraged to ingest nutrients are rich in:
potassium
1. magnesium
2. potassium
3. calcium
4. sodium
when evaluating I&O, the fluid intake should be:
1. about the same as the fluid output
1. about the same as the fluid output
2. less than the urine output
3. more than the fluid output
4. equal to the urine output
the most effective nursing intervention to encourage a confused patient to drink more fluid would be to:
offer patient drinks every hour
1. serve fluid at a tepid temp
2. explain rationale of fluids
3. offer patient drinks every hour
4. leave a pitcher of water at bedside
the best source of calcium is
sardines
1. rice
2. celery
3. sardines
4. tomatoes
when it is determined that an IV infusion has infiltrated, the nurses first action should be to:
remove infusion and start it in another site
1. slow the infusion to a KVO rate
2. clamp tubing and initiate an incident report
3. remove infusion and start it in another site
4. notify physician of the infiltration
the patient on a 2-gram sodium restricted diet should avoid
diet root beer
1. kool-aide
2. club soda
3. lemonade
4. diet root beer
damage to renal parenchyma is what type of acute renal failure?
intrarenal
intrarenal
prerenal
postrenal
what are three phases of acute renal failure?
oliguric phase
diuretic phase
recovery phase
interference with the renal perfusion is what type of acute renal failure?
prerenal
intrarenal
prerenal
postrenal
obstruction in the urinary tract anywhere from the tubules to the urethral eatus is what type of acute renal failure?
postrenal
intrarenal
prerenal
postrenal
what is caused when metabolites accumulate in the body and urinary ouput changes?
acute renal failure
three major types of acute renal failure are:
prerenal
intrarenal
postrenal
mortality from disease of the urinary system is generally associated with damage of what tissues of the kidnesy?
interstitial
interstitial tissues
extracellular tissue
intracellular tissue
primary objectives for treatment of diseases of the urinary systems are:
early detection
adequate therapy
dilation of the ureters is:
hydroureters
hyperureters
hypoureters
hydroureters
uretitis
extrophy of the urinary bladder is when the bladder is where
outer abdominal wall
when the bladders is on the outer abdominal wall, what is this caled?
extrophy of they urinary bladder
what is hydroureters
dilation of the ureters
what is episadias
the opening of the uretrha on dorsum of penis
what is the opening of the urethra on the dorsum of the penis
epispadias
hypospadius
epispadias
what is the hypospadias
the opening of the urethra under the penis
the opeing of the urethra under the penis
or
the opening of the urethra on the dorsum of the penis
what is the opening of the urethra under the penis
hypospadias
hypospadius
epispadias
some of the surgical care for hypospadias are:
double diaper
bed cradle
no running,jumping or climbing
what is polycystic disease
inherited disease involving the kidneys bilateraly
what is an inherited disease involving the kidneys bilaterally
polycystic disease
what is infantile polycystic disease
recessive trait - usually die few months after birth
what is adult polycystic disease
dominant - ESRD 10-15 years post signs and symptoms
what type of kidney disease can genetic counseling help control the spread of?
polycystic disease
are there any preventative measures for polycystic disease in infants?
no
ESRD
end stage renal disease
abdominal or flank pain
hematuria
hypertension
enlarged kidney
recurrent uti's
polycstic disease
what are some symptoms of polycystic disease
abdminal or flank pain
hypertension
hematuria
recurrent uti's
enlarged kidney
what is a medical intervention for polycystic disease
there isn't any
in polycystic disease, how are infections treated
with antibiotics
why do females have more risk of obtaining a UTI?
because they have shorter urethra's
tumors, prostatic hypertrophy and calculi are risk factors for:
lower uti
upper uti
lower uti
polycystic disease
congenital spinal cord malformations, spinal cord injury, and multiple sclerosis are risk factors for:
lower uti
upper uti
lower uti
polycystic disease
what are some chronic diseases with lower uti risk
gout, diabetes, hypertension, sickle cell disease, polycystic disease, glomerulonephritis
what procedures are risks for lower uti
instrumentation
catheterization
diagnostic procedures
a large urine flow, a free urine flow and complete emptying of the bladder can prevent?
lower uti
upper uti
lower uti
polycystic disease
what are signs and symptoms of lower uti's?
frequency
urgency
burning
hematuria
fever
what are some patient teaching for lower uti's
no bubble baths
white toilet paper
no parfumes
no sit-down baths
perineal cleansing
wiping from front to back
coton underwear
voiding before intercourse
pyelonephritis
bacterial infection of kidney
what is a bacterial infection of the kidney
pyelonephritis
polycystic disease
pyelonephritis
what isthe most common serious bacterial illness in young children that can cause renal scarring, ESRD, and complications with pregnancy
pyelonephritis
polycystic disease
pyelonephritis
what infection of the kidneys usually begins in the urinary tract and ascends into the kidneys
pyelonephritis
polycystic disease
pyelonephritis
what are some symptoms of pyelonephritis
flank pain
dysuria (pain with urination)
costal vertigo
rib pain
and s&s of uti
what kidney infection is most commony associated with cystitis
pyelonephritis
polycystic disease
pyelonephritis
septicemia, chronic health problems, analgesic abuse, polycystic kidney disease and hypertensive kidney disease are risk factors for:
pyelonephritis
which type of pyelonephritis temporarily affects renal function and rarely progresses to renal failure
acute
acute
chronic
what type of pyelonephritis destroys renal tissue permanently thru repeated inflammation & scarring?
chronic
acute
chronic
what type of pyelonephritis is highest in children who have a UTI prior to age one
chronic
acute chronic
what kidney infection include symptoms of lower uti in addition to chills, fever, malaise, flank pain, costoverterbral tendernes and leukocytosis
pyelonephritis
polycystic disease
peylonephritis
hypertensive kidney disease
what type of pyelonephritis has chills, fever, flank pain, leukocytosis, bacteria and wbc in urine, and s/s of uti
acute
acute
chronic
what type of pyelonephritis
has interstitial nephritis, no s/s of infection, wbc wnl, fatique, poor appetite, polyuria, excessive thirst
chronic
acute
chronic
what type of pyelonephritis may include prophylactic therapy
chronic
acute
chronic
what type of kidney infection is treated with antibacterial therapy based on urine cultures
pyelonephritis
polycystic disease
pyelonephritis
hypertensive kidney disease
how long should a patient take antibiotic therapy for treatment of kidney diseases
until all medicine is taken, even if s/s disappear before then
how many liquids should one drink to help prevent kidney diseases
3L or 8 8oz glasses a day
how would you notice sudden gains in weight
a daily weight that shows a 2.2. lb gain
when should a child follow up with the physician ater treatment for pyelonephritis
6 months to determine amount of renal damage and necessity for prophylaxis
what is prophylaxis
treatment to prevent
tuberculosis of the kidney is secondary to
pulmonary tuberculosis
s/s of loss of appetite, unexplained weight loss, intermittent fever, and possible hematuria
pulmonar tuberculosis
what are the interventions for tuberculosis of the kidneys
same as pyelonephritis
what is the idiosyncratic reaction that results in damage to the tubules and interstitium of the kidneys
chemical induced nephritis
how long after exposure to a chemical does chemical induced nephritis usually begin
15 days
10 days
7 days
1 month
15 days
what are three categories that may induce chemical induced nephritis?
solvents
antibiotics
heavy metals
what disease affects the glomeruli of both kidneys
glomerulonephritis
is glomerulonephritis acute, chronic or latent
all three
is pyelonephritis acute, chronic or latent
acute and chronic
what type of renal disease is causedby strep infections?
glomerulonephritis
pyelonephritis
polycystic disease
glomerulonephritis
tuberculosis of the kidney
what type of kidney disease my be caused by vascular injury, metabolic disease, disseminated iv coagulation (DIC)
glomerulonephritis
pyelonephritis
tuberculosis of the kidney
chemical induced nephritis
glomerulonephritis
what type of kidney disease commonl occurs after scarlet fever, mumps, impetigo, hep B, HIV
glomerulonephritis
pyelonephritis
tuberculosis of the kidney
chemical induced nephritis
glomerulonephritis
what kidney disease affects predominantly children of preschool and gradeschool
glomerulonephritis
pyelonephritis
tuberculosis of the kidney
chemical induced nephritis
glomerulonephritis
what type of kidney disease produces swelling and death of capillary cells
glomerulonephritis
pyelonephritis
tuberculosis of the kidney
chemical induced nephritis
glomerulonephritis
what are three interventions one can do for acute glomerulonephritis?
24 hour urine
daily weight
I&O



sob,headache, flank pain, proteinuria, generalized edema, hypertension, decreased output
acute glomerulonephritis
acute pyelonephritis
latent chemical induced nephritis
or
acute glomerulonephritis
what are the lab values for potassium
3.5 - 5.3
135 - 146
3.5 - 5.3
what are the lab values for sodium
135 - 146
135 - 146
3.5 - 5.3
what type of kidney disease produces coughing, foamy, frothy secretions
acute glomerulonephritis
acute glomerulonephritis
acute nephritis
chronic glomerulonepritis
acute pyleonephritis
what is the recovery period for acute glomerulonephritis
up to 2 years
up to 3 years
up to 2 years
up to 1 year
6 months
what are the preventative measures for chronic glomerulonephritis
there are no preventative measures
what percent of children recover fro acute glomerulonephritis
90%
50%
75%
90%
40%
what type of kidney disease decreases the size of the kidney
chronic glomerulonephritis
chronic polycystic disease
chronic glomerulonephritis
acute nephritis
acute glomerulonephritis
what type of kidney disease may be indicated by retinal hemorrhages
chronic glomerulonephritis
chronic polycystic disease
chronic glomerulonephritis
acute nephritis
acute glomerulonephritis
what type of kidney disease may be indicated by dypnea on exertion, blurring of viion, nocturia, normal renal function, weight loss, CVA, convulsion
chronic glomerulonephritis
chronic polycystic disease
chronic glomerulonephritis
acute nephritis
acute glomerulonephritis
what type of disease has been associated with insect bites, pollen, herpes zoster, sever chf, pregnancy
nephrotic syndrome
chronic polycystic disease
chronic glomerulonephritis
nephrotic syndrome
acute glomerulonephritis
what type of disease causes the GFR gloerular filtration rate to decrease
nephrotic syndrome
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
what type of disease is common in children between ages 2 - 7
nephrotic syndrome
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
how long after developing nephrosis does adults have the possibility of progressing to renal failure
5 years
1 year
15 years
7 years
5 years
protein is excreted and serum albumin is decreased in this type of kidney disease
nephrotic syndrome
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
pronounced edema
pronounced proteinuria
loss of appetite
dark, frothy urine
nephrotic syndrome
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
reducing sodium intake and increasing proteins and calories is treatment for what type of kidney disease
nephrotic syndrome
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
early stages of nephrosis uses the same nursing as:
acute glomeruloephritis
chronic polycystic disease
glomerulonephritis
nephrotic syndrome
chronic glomerulonephritis
late stages of nephrosis
uses he same nursing as:
chronic renal failure
chronic polycystic disase
acute glomerulonephritis
chronic glomerulonephritis
nephrotic syndrome
what organ is one of the most vascular organs of the body
the kidneys
5% of all cases of hypertension cause what type of result to the kidneys
renal artery stenosis
renal artery stenosis
nephrosclerosis
nephroblastoma
hypertension can cause what 2 types of results to the kidneys (damage)
renal artery stenosis
nephrosclerosis
renal artery stenosis
nephrosclerosis
nephroblastoma
diabetics had an increased or decreased rate of vascular changes
increased
most common primary malignant tumor of the kidney in children is called
Wilms tumor
abdominal swelling in a child's abdomine is 1st indications of what problem
Wilm's tumor
what age is typical for Wilm's tuor
age 3
5
3
2
1
when can a parent notice Wilm's tumor on their child
during bathing
what type of treatment is available for Wilm's tumor
chemotherapy and surgery
when a wilm's tumor is found, what type of assessment should not be taken
palpation
what type of activities should a child with a wilm's tumor avoid?
contact sports
When is catheter irrigation necessary?
when the catheter becomes occluded with sediment or blood clots.
what can cold water in a catheter irrigation do to the bladder?
it can cause bladder spasms
what can cause infection during a catheter irrigation
contaminated fluids or supplies.
what can trying to void around a catheter cause?
bladder spasms
what is most common complication after TURP
venous bleeding
two types of bleeding post-op TURP
venous or arterial bleeding