Shared Flashcard Set

Details

Renal System
N/A
33
Nursing
Undergraduate 2
10/30/2012

Additional Nursing Flashcards

 


 

Cards

Term
Oversecretion of renin causes what?
Definition
↑ BP resulting in hypertension
Term
Who is at the greatest risk for developing bacterial cystitis?
Definition
Women becuase of a shorter urethra and women who have had a hysterectomy.
Term
Pulmonary edema can occur with kidney injury. What are the early manifestations of pulmonary edema & what would be the nurse's priority interventions?
Definition
Hypertension, SOB, ↑ CVP, N/V, edema, tachycardia, resp crackles, oliguria, anuria, distended neck veins, ↑ weight, anorexia, lethargy, changes in LOC, electrolyte imbalance
Term
What teaching would you provide a patient to prevent development of kidney stones?
Definition

Diet restriction depending on type of stone

Drink at least 3 liters of H2O a day

Term
What is a nurse's priority intervention if a pt develops an ecchymotic area at the site after a lithotripsy procedure?
Definition
Apply ice to site
Term
What teaching should the nurse provide to a client after a urography procedure?
Definition
Drink plenty of water to flush dye from body
Term
What is a primary cause of inflow & outflow problems for pt's receiving peritoneal dialysis?
Definition
Usually related to constipation
Term
Regarding peritoneal dialysis, what are the earliest signs of peritonitis?
Definition
Cloudy or opaque effluent
Term
What nursing intervention is required for peritonitis?
Definition
Send dialyste outflow specimen to lab
Term
Wht are common cause of acute glomerulonephritis?
Definition

Infection

Systemic diseases

Term
What are the symptoms of post-renal kidney failure?
Definition

Vary according to the cause

Fluid retention, ↓ urine output, ache or pain along the sides of the torso, severe pain in pelvis, drowsiness, fatigue, confusion, N/V, dizziness, seizures

Term
How should a bladder scanner be used?
Definition

Post-void residual volumes

Select male or female icon

Female can use male icon if hysterectomy

Term
What is the greatest risk factor for bladder cancer?
Definition
Tobacco use
Term
What drug must be discontinued prior to a pt having an IV urogram?
Definition
Glucophage
Term
What allergies must be assessed prior to a patient having a urogram?
Definition
Seafood, eggs, milk, or chocolate
Term
If a BUN value is high, what new order would a nurse anticipate? (Remember, an ↑ BUN can be caused by other factors such as dehydration)
Definition
↑ IV fluids
Term
A "shift to the left" in a client's WBC count indicates what? What action would the nurse take?
Definition

More immature banded Neutrophil WBC's are released because of urosepsis

Get an order for antibiotics

Term
What elements should not be present in urine?
Definition

Glucos > 0.5 g/day

Ketone bodies

Protein 0.8 mg/dL

Sediment

Term
An elevated temp after a nephrolithotomy procedure indicates what? What would the nurse do with this information?
Definition

Infection

 

Inform doctor / Assess the site

Term
What does a nurse monitor to determine fluid & sodium retention?
Definition
Urine output
Term
What are the advantages of peritoneal dialysis over hemodialysis?
Definition

Easy to learn & can be done at home

Ambulatory - no machine

Less dietary & fluid restrictions

Greater freedom in scheduling & traveling

Term
With a patient diagnosed with ESKD, what would tall, peaked T waves on an EKG indicate?
Definition
Hyperkalemia
Term
What nutritional teaching should be provided to a patient receiving peritoneal dialysis? (Hint: has something to do with protein)
Definition
Eat between 1.2g to 1.5g of protein per kg of weight per day
Term
What is the nurse's priority intervention for a pt receiving potassium who claims "it is burning" at the IV site?
Definition
Stop IV & assess IV site
Term
Who is at risk for developing post-renal kidney failure
Definition
Term
Why should a pt taking gentamicin be monitored?
Definition
Medication is toxic
Term
What pt teaching should be provided to a pt taking Pyridium?
Definition
Medication will turn urine orange
Term
Peritonitis is the major complication of a pt receiving peritoneal dialysis. What should the nurse do to assist in preventing this complication?
Definition
Term
What is the nursing priority if a patient complains of ↑ pain after a closed percutaneous kidney biopsy?
Definition
Term
What pt teaching should be provided when a pt is ordered antibiotics?
Definition
Take all of the medication
Term
What drug is used as an antidote for Heparin & should be on hand if a pt has bleeding after hemodialysis?
Definition
Protamine sulphate
Term
What should the nurse do if pat's lab shows excess protein in the urinalysis results?
Definition
Term
Why should a pt be taught to read the content of salt substitutes?
Definition
Because they contain potassium
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