___ causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
as proteins break down _________, ______, and _______ are produced
nitrogenous wastes urea, ammonia, creatine
the kidneys lie behind the
parietal peritoneum, retroperitoneal
listen to the pt, restricted protein intake will benefit __ ___ ____ but may not help ___
acute renal failure
encourage verbalization of financial concerns and long term care options with representative from
not support groups
pt teaching includes informing the pt of
the irrigant is an _____ solution
the pt who has a TRUP may have continuous closed bladder irrigation or intermittent irrigation to prevent
occlusion of the catheter with blood clots which would cause bladder spasms
care of a pt with an ileal conduit is a nursing challenge bc of the continual
complication of this procedure is
drainage of the urine through the stoma
wound infection, dehiscense, and urinary leakage
pt teaching centers on tasks of lifestyle adaption
care of stoma
maintaining self esteem in light of altered body image
modifying sexual activities
early detection of complications
fluid intake should be incouraged to at least
2000mL in 24hrs unless contraindicated
all urine should be _____ bc stones may be any size, even the smallest speck must be saved for _________.
the loop diuretic prototype, ____, affects electrolytes to cause ____________, the deficiency of the electrolyte can cause ______ and ______ ______.
________ is a visual exam to inspect, treat, or diagnose disorders of the urinary bladder and proximal structures
_______ is completed on a clean catch or catheterized specimen
the pt and family need to know that _____ is expected after prostatic surgery.
the pt is informed that initially he may experience _____ and voiding _____ amounts with some ______.
risk factors include _______, ______,and ______ ________ ________ such as adult polycystic kidney disease and renal cystic disease secondary to renal failure
preexisting renal disorders
______ _______ is the most common cause of kidney failure, accounting for more than 40% of new cases. Emphasis is placed on _______ ________ for the pt who faces role change
to determine urine output, the nurse will subtract the amount of _____ fluid used with the foley cath output to calculate urine output.
medical management for nephritic syndrome depends on the extent of ____ involvement and may include the use of ___ and a low ____ high ___ diet.
the presence of _______ bodies in the urine, _________, occurs when excessive quantities for fatty acids are oxidized.
if the ____ is elevated, preventative nursing measures should be instituted to protect the pt from possible disorientation or seizures
Nursing dx include, but not limited to, pt pain r/t mobility of _____ _______
the ____ diuretic, _______, affects electrolytes to cause hypokalemia.
____ will turn the urine reddish orange
there will be _____ present in the urine from the intestinal secretions
the use of ____ _____ may help keep the pts and the pt's clothing dry. confused pts are at high risk for ____. restricting fluids will only decrease ______ during the night and will excerbate the dehydration and electrolyte imbalance.
______ has been used to prevent UTI in women prone to recurrent infection. Also used to tx acute UTI. monitor for lack of therapeutic effect. _____ and __ will increase dieresis, but not prevent UTI.
frequent ______ and metriculous ______ care can reduce the risk of ______ impairment secondary to urinary incontinence.
peds, especially girls, are susceptible to UTI because of the
the use of most diuretics, with the exception of _______ sparing diuretics, requires adding _______ daily to diet. Ex. baked potatoes, raw bananas, apricots, navel oranges, cantaloupe, winter squash.
bc pts receiving diuretics often have complicated dx conditions such as ____ _____, and _____ ______, record daily ____ _______ for the pt receiving diuretics. diet should be low in ___ and with no added salt in cooking.
_____ in the urine usually indicates possible renal disease, muscle exertion, or dehydration. positive ____ indicates diabetes. positive ____ indicates liver dx with obstruction or damage. positive _____ indicates urinary infection.
_______ and ______ may exist microscopically even when other symptoms subside.
urinary frequency, urgency, nocturia, retention, incontinence are common with _____. these occur bc of weakened _______ in the bladder and urethra, diminished neurologic sensation combined with ______ bladder capacity and the effects of medications such as diuretics. older _____ are at risk for stress incontinence bc hormonal changes and weakened pelvic musculature. inadequate fluid intake is less than ______/24hs can lead to urinary stasis.
s/s of fluid overload:
_______ in daily morning weights
changes in pulse rate, respirations, cardiac sounds, lung fields
the ___ and ___ of urinary catheter are determined by the location and cause of the urinary tract problem.