Nursing 2410 Test 2 UPDATED ACTUAL
Exam Questions and CORRECT Answers
Know general anatomy and physiology - CORRECT ANSWER - Nephron is the
functional unit
What do you inspect when looking at urine - CORRECT ANSWER - color
amount
blood
smell
What does a non-visual inspection of urine tell you - CORRECT ANSWER - WBC
RBC
protein
glucose
PH
ketones
lots more
Urinalysis and urine culture - CORRECT ANSWER -
Specific Gravity - CORRECT ANSWER - the concentration of the urine
1.003-1.030
when would specific gravity increase - CORRECT ANSWER - dehydration
osmolality - CORRECT ANSWER - most accurate measure of kidneys ability to dilute and
concentrate urine
,measures # of solutes in urine
tells the bodies water balance
KUB - CORRECT ANSWER - kidney, ureter, bladder
x-ray
What is a bladder ultrasonography - CORRECT ANSWER - ultra sound of urine.
noninvasive
What is a renal angiography - CORRECT ANSWER - image of renal arteries
evaluates renal blood flow
can't give contrast if allergic to fish or in kidney failure
contrast will make pt. feel like they are wetting their pants
What is CT and MRI? - CORRECT ANSWER - Also used to look at kidney
non-invasive
Nursing care for renal issues - CORRECT ANSWER - pt will be nervous
we need to help calm them and prep them for tests
Nursing assessment for renal issues - CORRECT ANSWER - Allergies
Medications
Hx. of kidney stones
,fluid intake
hygiene
COLDSPA
That they understand procedure
Invertentions - CORRECT ANSWER - Positioning
sits baths
What meds can they take for renal issues - CORRECT ANSWER - analgesics
anticholinergics/antispasmatics - block PNS which blocks urination
detrol
dicyclomine
belladonna
What causes UTI - CORRECT ANSWER - organisms in the urinary tract
usually e. coli
most common nosocomial infection - CORRECT ANSWER - UTI - d/t catheter
When do they place catheter - CORRECT ANSWER - epidural
spinal cord injury
urinary retention
critically ill pts.
severe hip fracture
many surgeries
, When do use urinary catheter - CORRECT ANSWER - Lazy
don't do it to measure urine
2 people to place a catheter - CORRECT ANSWER - liability issue
also for assistance to grab something
Urinary tract natural defenses - CORRECT ANSWER - Immune system
Normal bacteria flora
Glycosaminoglycan - exerts a nonadherent protective effect against bacteria
IgA - urinary immunoglobin provides barrier
Antibacterial substances - in the lining of the bladder
Most common - CORRECT ANSWER -
Who is at greater risk for UTI - CORRECT ANSWER - women
Nurses - don't urinate enough
What causes the inability to empty bladder - CORRECT ANSWER -
reflux - CORRECT ANSWER - backward flow of urine
urethrovesical reflux
ureterovesical reflux
Why do older women get more UTI's? - CORRECT ANSWER - look up
Exam Questions and CORRECT Answers
Know general anatomy and physiology - CORRECT ANSWER - Nephron is the
functional unit
What do you inspect when looking at urine - CORRECT ANSWER - color
amount
blood
smell
What does a non-visual inspection of urine tell you - CORRECT ANSWER - WBC
RBC
protein
glucose
PH
ketones
lots more
Urinalysis and urine culture - CORRECT ANSWER -
Specific Gravity - CORRECT ANSWER - the concentration of the urine
1.003-1.030
when would specific gravity increase - CORRECT ANSWER - dehydration
osmolality - CORRECT ANSWER - most accurate measure of kidneys ability to dilute and
concentrate urine
,measures # of solutes in urine
tells the bodies water balance
KUB - CORRECT ANSWER - kidney, ureter, bladder
x-ray
What is a bladder ultrasonography - CORRECT ANSWER - ultra sound of urine.
noninvasive
What is a renal angiography - CORRECT ANSWER - image of renal arteries
evaluates renal blood flow
can't give contrast if allergic to fish or in kidney failure
contrast will make pt. feel like they are wetting their pants
What is CT and MRI? - CORRECT ANSWER - Also used to look at kidney
non-invasive
Nursing care for renal issues - CORRECT ANSWER - pt will be nervous
we need to help calm them and prep them for tests
Nursing assessment for renal issues - CORRECT ANSWER - Allergies
Medications
Hx. of kidney stones
,fluid intake
hygiene
COLDSPA
That they understand procedure
Invertentions - CORRECT ANSWER - Positioning
sits baths
What meds can they take for renal issues - CORRECT ANSWER - analgesics
anticholinergics/antispasmatics - block PNS which blocks urination
detrol
dicyclomine
belladonna
What causes UTI - CORRECT ANSWER - organisms in the urinary tract
usually e. coli
most common nosocomial infection - CORRECT ANSWER - UTI - d/t catheter
When do they place catheter - CORRECT ANSWER - epidural
spinal cord injury
urinary retention
critically ill pts.
severe hip fracture
many surgeries
, When do use urinary catheter - CORRECT ANSWER - Lazy
don't do it to measure urine
2 people to place a catheter - CORRECT ANSWER - liability issue
also for assistance to grab something
Urinary tract natural defenses - CORRECT ANSWER - Immune system
Normal bacteria flora
Glycosaminoglycan - exerts a nonadherent protective effect against bacteria
IgA - urinary immunoglobin provides barrier
Antibacterial substances - in the lining of the bladder
Most common - CORRECT ANSWER -
Who is at greater risk for UTI - CORRECT ANSWER - women
Nurses - don't urinate enough
What causes the inability to empty bladder - CORRECT ANSWER -
reflux - CORRECT ANSWER - backward flow of urine
urethrovesical reflux
ureterovesical reflux
Why do older women get more UTI's? - CORRECT ANSWER - look up
