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Medsurg II test 6
Medsurg
38
Medical
Undergraduate 4
05/10/2009

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Cards

Term
How do you assess the patency of a fistula?
Definition
Feel a thrill and auscultate a bruit
Term
Rigid board like abdomen is?
Definition
Pertonitis, and is a complication of peritoneal dialysis.
Term
Acute renal failure, the wife understands if she says,
Definition
"He can regain normal kidney function after treatment"
Term
Signs and symptoms of rejection?
Definition
HBP, increased heart rate, fever, weight gain, decreased urinary output.

Test was-High blood pressure, weight gain, fever
Term
How do you prevent a UTI?
Definition
Wear cotton panties was answer on test. Also, increase fluids.
Term
What's the first line of treatment for renal failure?
Definition
Beta blockers and diuretics. After that, ACE and CC blockers.
Term
Output is 200 then 90 ml in 2 hours, what should nurse do?
Definition
Notify doctor due to sudden decrease of urine.
Term
If the patient has pain, what do you do?
Definition
Give opiods as ordered.
Term
Patient has renal colic. What's the priority?
Definition
Pain.
Term
Patient has suspected upper UTI infection. The nurse knows this infection is?
Definition
Ascending.
Term
What is the nursing diagnoses for a patient who presents to the ER with kidney stones?
Definition
Acute pain.
Term
What is the nursing diagnosis for postop nephrectomy?
Definition
Ineffective breathing pattern from incision.
Term
Patient with an MI presented to the ER with acute renal failure. What caused this?
Definition
Decreased blood flow to the kidneys/
Term
Patient with Illeal conduit says he has mucus in his urine.
Definition
Tell him this is normal.
Term
LPN asks the RN why is the patient with acute renal failure putting out so much urine?
Definition
They are in diuretic phase.
Term
A patient with urinary incontinence should do?
Definition
Kegal exercises.
Term
Patient with unstable hyperkalemia should be given?
Definition
D50, chase with 10 units insulin, Calcium
Term
Patient with chills, fever and bothersome lower urinary tract symptoms. What is this?
Definition
Pyelonephritis
Term
A patient with calcium oxylate stones should avoid foods with
Definition
Spinach, strawberries, chocolates, peanuts, tea.
Term
What diagnosis can be expected with gross painless hematuria?
Definition
Bladder cancer.
Term
Patient with a history of a sore throat is at risk for?
Definition
Glomerulonephritis.
Term
Patient taking intravesicular chemo has flu like symptoms. What do you do?
Definition
This is normal for chemo.
Term
A patient with a very high potassium level. What intervention is needed?
Definition
Put them on a cardiac monitor.
Term
Patient has a calcium level of 5.9. What's the proiority intervention?
Definition
Cardiac monitor.
Term
After surger the patients wife says the continuous bladder irrigation is causing her husband pain. What do you say?
Definition
Neccessary for preventing clots.
Term
What do you do if a patient with a kidney transplant has a urine drop from 240 to 30?
Definition
Notify the patient of change in urine output.
Term
A patient comes into the ER who is depressed, has a headache, with an altered level of consciousness...
Definition
Renal failure.
Term
Appropriate outcome for a patient with chronic kidney disease and cardiovascular complications?
Definition
They restrict their sodium and fluid intake.
Term
Epogen and procrit are given to?
Definition
Keep hematocrit at 32-33.
Term
UTI has pain where?
Definition
Costavertebral (CVA)
Term
What food is low in potassium?
Definition
Lima beans.
Term
What should a patient with renal failure drink?
Definition
Less than 1L a day.
Term
Patient with BPH comes in with a cold, what do you question?
Definition
Decongestants.
Term
Most common complication of peritoneal dialysis?
Definition
Peritonitis
Term
Patient presents with a weak urinary stream and postvoid dribbling?
Definition
BPH
Term
Best way to diagnose chronic kidney failure?
Definition
Uremia.
Term
Due to decreased platelet numbers, what should nurse be aware of with renal patient?
Definition
GI bleeding.
Term
What is the ideal solution used for fluid replacement due to hypovolemia?
Definition
Albumin.
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