Term
| Oversecretion of renin causes what? |
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Definition
| ↑ BP resulting in hypertension |
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Term
| Who is at the greatest risk for developing bacterial cystitis? |
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Definition
| Women becuase of a shorter urethra and women who have had a hysterectomy. |
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Term
| Pulmonary edema can occur with kidney injury. What are the early manifestations of pulmonary edema & what would be the nurse's priority interventions? |
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Definition
| Hypertension, SOB, ↑ CVP, N/V, edema, tachycardia, resp crackles, oliguria, anuria, distended neck veins, ↑ weight, anorexia, lethargy, changes in LOC, electrolyte imbalance |
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Term
| What teaching would you provide a patient to prevent development of kidney stones? |
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Definition
Diet restriction depending on type of stone
Drink at least 3 liters of H2O a day |
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Term
| What is a nurse's priority intervention if a pt develops an ecchymotic area at the site after a lithotripsy procedure? |
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Definition
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Term
| What teaching should the nurse provide to a client after a urography procedure? |
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Definition
| Drink plenty of water to flush dye from body |
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Term
| What is a primary cause of inflow & outflow problems for pt's receiving peritoneal dialysis? |
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Definition
| Usually related to constipation |
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Term
| Regarding peritoneal dialysis, what are the earliest signs of peritonitis? |
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Definition
| Cloudy or opaque effluent |
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Term
| What nursing intervention is required for peritonitis? |
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Definition
| Send dialyste outflow specimen to lab |
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Term
| Wht are common cause of acute glomerulonephritis? |
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Definition
Infection
Systemic diseases |
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Term
| What are the symptoms of post-renal kidney failure? |
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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 |
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Term
| How should a bladder scanner be used? |
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Definition
Post-void residual volumes
Select male or female icon
Female can use male icon if hysterectomy |
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Term
| What is the greatest risk factor for bladder cancer? |
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Definition
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Term
| What drug must be discontinued prior to a pt having an IV urogram? |
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Definition
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Term
| What allergies must be assessed prior to a patient having a urogram? |
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Definition
| Seafood, eggs, milk, or chocolate |
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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) |
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Definition
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Term
| A "shift to the left" in a client's WBC count indicates what? What action would the nurse take? |
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Definition
More immature banded Neutrophil WBC's are released because of urosepsis
Get an order for antibiotics |
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Term
| What elements should not be present in urine? |
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Definition
Glucos > 0.5 g/day
Ketone bodies
Protein 0.8 mg/dL
Sediment |
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Term
| An elevated temp after a nephrolithotomy procedure indicates what? What would the nurse do with this information? |
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Definition
Infection
Inform doctor / Assess the site |
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Term
| What does a nurse monitor to determine fluid & sodium retention? |
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Definition
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Term
| What are the advantages of peritoneal dialysis over hemodialysis? |
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Definition
Easy to learn & can be done at home
Ambulatory - no machine
Less dietary & fluid restrictions
Greater freedom in scheduling & traveling |
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Term
| With a patient diagnosed with ESKD, what would tall, peaked T waves on an EKG indicate? |
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Definition
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Term
| What nutritional teaching should be provided to a patient receiving peritoneal dialysis? (Hint: has something to do with protein) |
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Definition
| Eat between 1.2g to 1.5g of protein per kg of weight per day |
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Term
| What is the nurse's priority intervention for a pt receiving potassium who claims "it is burning" at the IV site? |
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Definition
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Term
| Who is at risk for developing post-renal kidney failure |
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Definition
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Term
| Why should a pt taking gentamicin be monitored? |
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Definition
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Term
| What pt teaching should be provided to a pt taking Pyridium? |
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Definition
| Medication will turn urine orange |
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Term
| Peritonitis is the major complication of a pt receiving peritoneal dialysis. What should the nurse do to assist in preventing this complication? |
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Definition
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Term
| What is the nursing priority if a patient complains of ↑ pain after a closed percutaneous kidney biopsy? |
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Definition
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Term
| What pt teaching should be provided when a pt is ordered antibiotics? |
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Definition
| Take all of the medication |
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Term
| What drug is used as an antidote for Heparin & should be on hand if a pt has bleeding after hemodialysis? |
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Definition
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Term
| What should the nurse do if pat's lab shows excess protein in the urinalysis results? |
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Definition
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Term
| Why should a pt be taught to read the content of salt substitutes? |
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Definition
| Because they contain potassium |
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