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Renal/Urinary System | NURS - Nursing, Quizzes of Nursing

Renal/Urinary System Class: NURS - Nursing; Subject: Nursing; University: Bryant and Stratton College-Willoughby Hills; Term: Forever 1989;

Typology: Quizzes

Pre 2010

Uploaded on 11/11/2009

kenzkat
kenzkat 🇺🇸

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TERM 1
Changes in renal/urinary system associated
with aging
DEFINITION 1
Reduced renal blood flow Thickened glomerular and tubular
basement membranes Decreased tubule length Decreased
glomerular filtration rate Nocturnal polyuria and risk for
dehydration
TERM 2
What is the determinant for polycystic
kidney?
DEFINITION 2
If blood pressure rises while patient over age of 50 suddenly,
but never before that.
TERM 3
Physical assessment for urinary system
DEFINITION 3
Inspection - edema - periorbital and pedal Auscultation - bruit
(aneurism) Palpation - enlargement Percussion - dullness
Assessment of the urethral meatus for any abnormalities or
signs of infection
TERM 4
What do you do for a patient that has just had
a renal biopsy?
DEFINITION 4
Assess for bleeding Bed rest for 4-6 hours Vitals Measure
Serum Creatinine after a few days Check urine Encourage to
drink fluids
TERM 5
Cystitis
DEFINITION 5
inflammation of the urinary bladder
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Changes in renal/urinary system associated

with aging

Reduced renal blood flow Thickened glomerular and tubular basement membranes Decreased tubule length Decreased glomerular filtration rate Nocturnal polyuria and risk for dehydration TERM 2

What is the determinant for polycystic

kidney?

DEFINITION 2 If blood pressure rises while patient over age of 50 suddenly, but never before that. TERM 3

Physical assessment for urinary system

DEFINITION 3 Inspection - edema - periorbital and pedal Auscultation - bruit (aneurism) Palpation - enlargement Percussion - dullness Assessment of the urethral meatus for any abnormalities or signs of infection TERM 4

What do you do for a patient that has just had

a renal biopsy?

DEFINITION 4 Assess for bleeding Bed rest for 4-6 hours Vitals Measure Serum Creatinine after a few days Check urine Encourage to drink fluids TERM 5

Cystitis

DEFINITION 5 inflammation of the urinary bladder

What is cystitis caused by

Most commonly caused by bacteria that moved up the urinary tract from the external urethra to the bladder. Catheters are the most common factor placing patients at risk for UTIs in the hospital setting TERM 7

What are the signs and symptoms of

cystitis?

DEFINITION 7 Frequent urge to urinate Dysuria Urgency TERM 8

What drug therapies are used with

cystitis?

DEFINITION 8 urinary antiseptics antibiotics analgesics antispasmodics antifungal agents long-term antibiotic therapy for chronic TERM 9

What are the five types of incontinence?

DEFINITION 9 Stress incontinence Urge incontinence Mixed incontinence Overflow incontinence Functional incontinence TERM 10

What are the interventions for stress

incontinence?

DEFINITION 10 Keeping a diary Behavioral interventions Diet modification Pelfic Floor (Kegel) exercises Drug therapies (estrogen) Surgery

What is important to know about

glomerulonephritis?

Assess for previous history of sore throats and strep TERM 17

What are the interventions for

glomerulonephritis?

DEFINITION 17 Slowing the progression of the disease Preventing Complications Change diet - decrease protein, salt and potassium intake Change fluid - decrease fluid drug therapy - diuretics dialysis - transplant TERM 18

Onset phase of Acute Renal

Failure

DEFINITION 18 Begins with precipitating event and continues until oliguria develops - lasts hours to days Gradual accumulation of nitrogenous wastes, such as serum creatinine and BUN, may be noted. TERM 19

Oliguric phase of acute renal failure

DEFINITION 19 Characterized by a urine output of 100-400 ml/24 hours that does not respond to fluid challenges or diuretics - Lasts 1-3 weeks Laboratory data include increasing serum creatinine and BUN, hyperkalemia, bicarbonate deficit (metabolic acidosis), hyperphosphatemia, hypocalcemia, and hypermagnesemia, sodium retention, regulation of water balance by kidneys is impaired TERM 20

Diuretic phase of acute kidney failure

DEFINITION 20 Often has a sudden onset within 2-6 weeks after oliguric stage. Urine flow increases rapidly over a period of several days Electrolyte losses typically precede clearance of nitrogenous wastes. Later in the diuretic phase, the BUN level starts to fall and continues to fall until level reaches normal limits

Recovery phase of acute renal failure

In this phase, the patient begins to return to normal levels of activity. Patient functions at a lower energy level and has less stamina. Residual renal insufficiency may be noted through regular monitoring of renal function. Renal function may never return to pre-illness level, but renal function is sufficient TERM 22

Reduced renal

reserve

DEFINITION 22 60% nephrons lost TERM 23

renal insufficiency

DEFINITION 23 75% nephrons lost, GFR decreased to 20% TERM 24

End-stage renal disease

DEFINITION 24 90% nephrons lost, GFR negligible TERM 25

What are the symptoms of end stage renal

disease?

DEFINITION 25 Azotemia Uremia Uremic syndrome high BUN Decreased urine output Sodium decreased early, but high late potassium - hyperkalemia acid-base balance changes metabolic acidosis