Card Set Information

2012-04-22 16:46:00
med surg

Urinary Med/Surg Chapter 50
Show Answers:

  1. ___ causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.
  2. as proteins break down _________, ______, and _______ are produced
    nitrogenous wastes urea, ammonia, creatine
  3. the kidneys lie behind the
    parietal peritoneum, retroperitoneal
  4. listen to the pt, restricted protein intake will benefit __ ___ ____ but may not help ___
    • acute renal failure
    • CRF
  5. encourage verbalization of financial concerns and long term care options with representative from
    • social services
    • not support groups
  6. pt teaching includes informing the pt of
    community resources
  7. the irrigant is an _____ solution
  8. 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
  9. 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
  10. pt teaching centers on tasks of lifestyle adaption
    • care of stoma
    • nutrition
    • fluid intake
    • maintaining self esteem in light of altered body image
    • modifying sexual activities
    • early detection of complications
  11. fluid intake should be incouraged to at least
    2000mL in 24hrs unless contraindicated
  12. all urine should be _____ bc stones may be any size, even the smallest speck must be saved for _________.
    • strained
    • assessment
  13. the loop diuretic prototype, ____, affects electrolytes to cause ____________, the deficiency of the electrolyte can cause ______ and ______ ______.
    • lasix
    • hypokalemia
    • arrhythmias
    • muscle weakness
  14. ________ is a visual exam to inspect, treat, or diagnose disorders of the urinary bladder and proximal structures
  15. _______ is completed on a clean catch or catheterized specimen
  16. the pt and family need to know that _____ is expected after prostatic surgery.
  17. the pt is informed that initially he may experience _____ and voiding _____ amounts with some ______.
    • frequency
    • small
    • dribbling
  18. risk factors include _______, ______,and ______ ________ ________ such as adult polycystic kidney disease and renal cystic disease secondary to renal failure
    • smoking
    • familial incidence
    • preexisting renal disorders
  19. ______ _______ 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
    • diabetes mellitus
    • emotional support
  20. to determine urine output, the nurse will subtract the amount of _____ fluid used with the foley cath output to calculate urine output.
  21. medical management for nephritic syndrome depends on the extent of ____ involvement and may include the use of ___ and a low ____ high ___ diet.
    • tissue
    • corticosteroids
    • sodium
    • protein
  22. the presence of _______ bodies in the urine, _________, occurs when excessive quantities for fatty acids are oxidized.
    • ketone
    • ketoaciduria
  23. if the ____ is elevated, preventative nursing measures should be instituted to protect the pt from possible disorientation or seizures
  24. Nursing dx include, but not limited to, pt pain r/t mobility of _____ _______
    renal calculus
  25. the ____ diuretic, _______, affects electrolytes to cause hypokalemia.
    • thiazide
    • diuril
  26. ____ will turn the urine reddish orange
  27. there will be _____ present in the urine from the intestinal secretions
  28. 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.
    • protective undergarments
    • falls
    • incontinence
  29. ______ 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.
    • cranberry
    • caffeine
    • tea
  30. frequent ______ and metriculous ______ care can reduce the risk of ______ impairment secondary to urinary incontinence.
    • toileting
    • skin
    • skin
  31. peds, especially girls, are susceptible to UTI because of the
    short urethra
  32. 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.
    • potassium
    • potassium
  33. 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.
    • heart failure
    • pulmonary edema
    • morning weights
    • sodium
  34. _____ 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.
    • protein
    • glucose
    • bilirubin
    • bacteria
  35. _______ and ______ may exist microscopically even when other symptoms subside.
    • proteinuria
    • hematuria
  36. 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.
    • aging
    • musculature
    • decreased
    • women
    • 1-2,000ml
  37. s/s of fluid overload:
    _______ in daily morning weights
    • changes in pulse rate, respirations, cardiac sounds, lung fields
    • increase
  38. the ___ and ___ of urinary catheter are determined by the location and cause of the urinary tract problem.
    • type
    • size