Renal and Urologic problems
Terms
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- Uncompicated UTI
- Occurs in otherwise normal urinary tract
- Unresolved bacteriuria
- Initally resistant to antibiotics
- Asymptomatic of resistance baceriuria
- Bacterial colonization of bladder without symptoms
- Complicated UTI
- Exists in presence of obstruction or stones
- Upper UTI
- Infection of kidney and/or kidney pelvis
- Lower UTI
- Infection of bladder and/or urethra
- Bacterial persistence
- Continuing infection because of development resistance
- Recurrent UTI
- Reinfection following successful treatment of prior UTI
- The nurse identifies the patient with the greatest risk for a urinary tract infection as a ______?
- 72 year old woman hospitalized with a stroke who has a foley catheter because of urinary incontinence
- While caring for a 77 year old woman who has a foley catheter, the nurse monitors the patient for the development of a UTI. The clinical manifestations the patient is most likely to experience include _____?
- vague abdominal pain and disorientation
- A woman with no history of UTIs who is experiencenig urgency frequency, and dysuria comes to the clinic where a dipstick with microscopic urinalysis indicates a bacteriuria. The nurse anticipates that the patient will _______?
- Be treated empirically with trimethoprim-sulfamethasoxazole (TMP-SMX) for 3 days.
- A female patient with a UTI has a nursing diagnosis of risk for infection related to lack of knowledge regarding prevention of recurrence. The nurse includes in the teaching plan instructions to _______?
- Urinate before and after sexual intercourse.
- Acute pyelonephritis resulting from an ascending infection from the lower urinary tract occur most often when _____?`
- there is a preexisting abnormalility of urinary tract
- The patient with acute pyelonephritis is more likely than the patient with a lower UTI to have a nursing diagnosis of _____?
- Hyperthermia related to infection
- Chronic pyelonephritis
- causes progressive destruction of nephrons resulting in chronic renal insufficency
- In a patient with acute pyelonphritis _______?
- an IVP may be performed after the infection is resolved evaluate the urinary system abnormalities
- Diagnosis of acute pyelonephritis always requites ______?
- a urine culture and sensitivity test
- Following initial treatment of acute pyelonephritis,________?
- the patient must have a follow up urine culture
- The most common cause of urethritis in men is _____?
- sexually transmitted disease
- A patient with suprapubic pain and symptoms of urinary frequency and urgency has 2 negative urine cultures. One assessment finding that would indicate interstitial cystitis is _____?
- Pain with bladder filling that is trasiently relieved by urination
- When caring for the patient with interstitial cystitis, the nurse teaches the patient to _____?
- use the dietary supplement calcium glycerophososphate (Preleief) to decrease bladder irritation.
- Glomerulonephritis is characterized by glomerular damage caused by _____?
- accumulation of immune complexes and complement in the glomeruli
- Restriction of dietary protein may be indicated in management of acute poststreptococcal glomerulonephritis when the patient has ______?
- elevated BUN
- The nurse plans care for the patient with acute poststreptococcal glomerulonephritis (APSGN) based on the knowledge that _____?
- most patients with APSGN recover completely or rapidly improve with conservative management.
- The edema associated with nephrotic syndrome occurs as a result of _____?
- decreased plasma oncotic pressure
- An appropriate nursing diagnosis for the patient with nephrotic syndrome is _____?
- risk for infection related to altered immune responses.
- Patients at risk for renal lithiasis can prevent the stones in many cases by ______?
- drinkin enough fluids to produce a urine output of 2L/day
- On assessment of the patient with a renal calculi passing down the ureter, the nurse would expect the patient to report _____?
- severe, colicky back pain radiating to the groin
- Preventing of calcium oxalate stones would include dietary restriction of ______?
- spinach, cabbage, and tomatoes
- Following lithotripsy for treatment of renal calculi, the patient has a nursing diagnosis of risk for infection related to introduction of bacteria following manipulation of the urinary tract. An appropriate nursing intervention for the patient is to ___
- `encourage high fluid intake
- In providing care for the patient with adult onset polycystic kidney disease, the nurse _____?
- suggest genetic counseling resources for the children of the patient.
- Diabetes mellitus
- Diffuse and nodular glomerulosclerosis
- gout
- depostition of sodium urate crystals in interstitium and tubules
- Amyloidosis
- depostion of hyaline substanjce in kidney
- Systemic lupus erythematosus
- connective tissue changes affecting the glomerulus
- Scleroderma
- vascular lesions with fibrosis
- When obtaining a nursing history from a patient with cancer of the urinary system, the nurse recognizes that a risk factor associated with cancer of both the kidney and the bladder is ____?
- smoking
- The 5-year survival rate for cancer of the kidney is usually low primarily because _______?
- the classic symptoms of hematuria and palpable mass do not occur until the disease is advanced
- A 60 year old man with cancer of the bladder has laser photocoagulation for treatment of the tumor. Following the procedure, the nurse plans to ____?
- encourage the patient to use warm sitz bath.
- To assist the patient with stress incontinence, the nurse teaches the patient to ______?
- perform pelvic floor muscle exercises 4-5 times a day.
- Nursing care that applies to management of all urinary catheters in hospitalized patients includes ______?
- using strict sterile technique during irrigation or opening of the collecting system.
- A patient has a right ureteral cathereter placed following a lithotripsy for a stone in the ureter. In caring for the patient after the procedure, the nurse ______?
- measure ureteral urinary drainage every 1-2 hours
- During assessment of the patient who has nephrectomy, the nurse would expect to find _____?
- clear breath sounds in all lung fields.
- Illeal conduit
- Abdominal stoma formed from resected ileum into which ureters are implanted
- Cutaneous ureterostomy
- Stoma created from ureters brought to abdominal wall.
- Kock pouch
- continent diversion created by formation of ileal puch with stoma requiring catherization
- Ureteroileosigmoidostomy
- continent diversion in which ureters are attached to resected segment of ileum implanted into sigmoid colon.
- A patient with bladder cancer undergoes cystectomy with formation of an ileal conduit. During the patients first postoperative day, the nurse plans to ______?
- empty the drainage bag every 2-3 hrs and measure the urinary output.
- A teaching plan developed by the nurse the patient with a new ileal conduit or ureterostomy stoma includes instructions to _____?
- use a wick to keep the skin dry during appliance changes.