Urinary System (Final)

Front 1

The urinary system excretes __________.

Back 1

metabolic wastes

Front 2

The urinary system excretes __________.

Back 2

metabolic wastes

Front 3

The _____ helps regulate acid-base balance and b/p.

Back 3

kidneys

Front 4

In females the urethra is approximately ______ long and in the makes ______ long.

Back 4

female = 1.5 inches
males = 8 inches

Front 5

What is the specific gravity of urine?

Back 5

1.005 - 1.030

Front 6

When ADH is secreted, water is _____ in the distal convoluted tubule.

Back 6

reabsorbed

Front 7

When beginning a 24-hour urine specimen what should you have the client do what?

Back 7

empty bladder completely and discard urine

Front 8

When client is having intravenous pylography you should assess what before beginning test?

Back 8

allergies to seafood, iodine or e-ray comtrast media

Front 9

Following an IVP test the nurse should assess the client's injection site for ___________.

Back 9

redness, pain & warmth

Front 10

Nursing considerations for a client having a renal scan are to provide __________ before procedure and ___________ after.

Back 10

2 to 3 glasses of water before & encourage fluids after

Front 11

DEFINE: direct visualization of the urethra and bladder using an endoscope.

Back 11

cystoscopy

Front 12

If a client is having buring on urination for more than day or two after a cystoscopy they should do what?

Back 12

notify MD

Front 13

What are 3 options to relieve discomfort caused by a cystoscopy?

Back 13

warm sitz baths
analgesics
antispasmodic meds

Front 14

_________ is a noninvasive test that is used to evaluate urinary retention and incontinence.

Back 14

uroflowmetry

Front 15

Urinary Incontinence MATCHING
A. Functional
B. Overflow
C. Reflex
D. Stress
E. Urge

1. Inability to stop urine flow long enough to reach toilet after need to void is felt
2. Inability to get to toilet facilities to urinate; self-care deficit interferese with ability to respond to urge to void.
3. Involuntary loss of moderate amount of urine occuring without warning.
4. Frequent loss of small amounts of urine
5. Brought on by sneezing, laughing, lifting

Back 15

A2. Functional = Inability to get to toilet facilities to urinate; self-care deficit interferese with ability to respond to urge to void.
B4. Overflow = Frequent loss of small amounts of urine
C3. Reflex= Involuntary loss of moderate amount of urine occuring without warning.
D5. Stress = Brought on by sneezing, laughing, lifting
E1. Urge = Inability to stop urine flow long enough to reach toilet after need to void is felt

Front 16

DEFINE: DX test used to evaluate voiding patterns

Back 16

uroflometry

Front 17

Nursing interventions such as bladder retraining may consists of pelvic floor exercises called _________.

Back 17

Kegel exercises

Front 18

Another bladder retraining effort would be to offer client oppurtunity to go to toilet every _________ (amount of time)

Back 18

2 to 4 hours

Front 19

Difficulty _______ & _______ urine flow is often the presenting complaint in me with BPH (Benign prostatic hypertrophy).

Back 19

initiating and maintaining

Front 20

Notify the charge nurse or MD if it has been _______ hours since the client has voided.

Back 20

8 or more

Front 21

DEFINE: a condition in which urine moves from the bladder back toward the kidney, is a common rish factor in children

Back 21

vesicoureteral reflux

Front 22

A urinalysis is ordered to identify ______ & ______ in the urine

Back 22

blood cells and bacteria

Front 23

A urine culture & senstitivity also may be done to identify the ______ _____ in a UTI.

Back 23

causative organism

Front 24

MATCHING
A. Blueberries
B. Phenazopyridine (Pyridium)
C. Sulfonamides (Bactrim, Septra)

1. urinary analgesic that may be used to relieve pain; stains the urine reddish orange
2. have been shown to contina a compound that prevents bacteria from attaching to the bladder wall to cause cystitis.
3. are effective and inexpensive for treating UTIs; are the drug of choice for most UTIs

Back 24

A2. Blueberries = have been shown to contian a compound that prevents bacteria from attaching to the bladder wall to cause cystitis.
B1. Phenazopyridine (Pyridium)= urinary analgesic that may be used to relieve pain; stains the urine reddish orange
C3. Sulfonamides (Bactrim, Septra)= are effective and inexpensive for treating UTIs; are the drug of choice for most UTIs

Front 25

What can you instruct a woman to do to help prevent/avoid UTI's in the future regarding sexual intercourse?

Back 25

void before and after

Front 26

What is the normal range & size used most for an adult cath? NG tube?

Back 26

14-18g but normally a 16g

Front 27

A pt presents with the following are manifestations of glomerulonephritis: hypertension > 140/94, fatigue, anorexia. During the acute phase what is goal of TX?

Back 27

energy conservation and best rest

Front 28

An ASO titer identifies antibodies to _______.

Back 28

group A beta-hemolytic streptococci

Front 29

Minimal changes disease is the most common cause of _____ _____ in children.

Back 29

Nephrotic syndrome

Front 30

DEFINE: development of stones within the urinary tract

Back 30

urolithiasis

Front 31

Urolithiasis is the most common cause of __________.

Back 31

obstructed urine flow

Front 32

This manifestation of a UTI is presents as acute, severe intermittent flank pain on the affected side. What is it?

Back 32

renal colic

Front 33

What is the most important nursing responsibility for acute renal colic?

Back 33

Pain relief

Front 34

A nephrolithotomy which invades the calyces and renal parenchyma and may be required to be surgically removed is called _______.

Back 34

staghorn calculus

Front 35

The major risk factors for ___________ are carcinogens in the urine and chronic inflammation or infection of bladder mucosa.

Back 35

bladder cancer

Front 36

There is a direct link between bladder cancer and __________.

Back 36

cigarette smoking

Front 37

The most common initial maifestation of bladder cancer.

Back 37

Painless hematuria

Front 38

Bacillus Calmette-Guerin (BCG Live, TheraCys) causes a local inflammarotry reaction that eliminates or reduces ____________ ______.

Back 38

superficial tumors

Front 39

The most common urinary diversion is the ___________.

Back 39

ileal conduit

Front 40

The nurse recognizes that a urine output of less than _______ per hour may indicate hypotension.

Back 40

30mL

Front 41

After a ileal conduit surgery, in regards to the catheters and stents, the nurse should do what 3 things.

Back 41

1. secure with tape
2. prevent kinking or occlusion
3. maintain gravity flow by keeping drainage bags lower than the kidneys

Hint 41

1. secure
2. prevent
3. maintain

Front 42

If a client is having decresed urine output the nurse should expect __________.

Back 42

hypotension

Front 43

When a client has a kidney surgery pneumothorax or atelectais on the __________ are common.

Back 43

operative side.

Front 44

anuria is defined as < _____ mL/day.

Back 44

100

Front 45

In chronic renal failure ______ commonly results.

Back 45

anemia

Front 46

In renal failure what 3 things are commonly restricted/regulated?

Back 46

fluid, sodium, and potassium

Front 47

When clients K+ is being regulated you should instruct them to avoid __________.

Back 47

salt substitutes containing potassium.

Front 48

What 2 substances are used to combat anemia in clients with chronic renal failure.

Back 48

folic acid & iron supplements

Front 49

Hemodialysis is filtered by ________.

Back 49

client's own arterial system

Front 50

Complete this statement: "Feel the ______, hear the _______"

Back 50

Feel the THRILL, hear the BRUIT.

Front 51

Which arm should you take b/p, draw blood, or start IV's on, the dominant or nondominant arm?

Back 51

start on dominant DO NOT ALLOW on nondominant

Front 52

A functional AV fistual have a _________.

Back 52

palpable pulsation

Front 53

GIVE THE ABBR for EACH:
1. Continuous renal replacement therapy
2. Continuous ambulatory peritoneal dialysis
3. Continuous cyclic peritoneal dialysis

Back 53

1. Continuous renal replacement therapy = CRRT
2. Continuous ambulatory peritoneal dialysis = CAPD
3. Continuous cyclic peritoneal dialysis = CCPD

Front 54

Assess vascular access site for a palpable pulsatin or vibration, also called a ______.

Back 54

thrill

Front 55

How long is kidney rejection possible after the transplant?

Back 55

it is always possible even years later

Front 56

Observe the dialysate solution for clarity andany evidence of blood, feces, odor or cloudiness. If it comes back cloudy then you probably have ________ present and you sould ________.

Back 56

infection; notify Charge NS or MD promptly

Front 57

If a client has had a kidney transplant and begins to show the following manifestations (drop in urine output, increasing BUN and serum creatine and a fall in creatine clearance) what does this indicate?

Back 57

the body is rejecting the new kidneys