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Nur 220 - Urology/urinary
questions fully solved &
updated(latest update).
what is the purpose of a creatinine clearance test - answer closely
approximates the GFR of kidneys
how should we collect a creatinine clearance - answer discard first
specimen in morning or when you start and collect urine for 24
hours
besides urine, what else needs to be collected during a creatinine
clearance test - answer serum creatinine levels (blood)
if a patient has a foley how would we obtain a creatinine clearance -
answer empty whats in the foley and then start collecting for 24
hours
what does urodynamic testing do - answer measures the urinary
tract function
what is cystometrography - answer evaluates bladder tone - water
or NS is instilled in to bladder with a catheter
what do we need to remember when getting a urinalysis - answer
use the first morning void and it needs to be examined within 1 hour
, what do we want to see in a urinalysis that is normal - answer
amber colored urine, zero traces of protein, glucose, ketones or
bilirubin
what is normal specific gravity for a urinalysis - answer 1.005 -
1.030
what is normal pH of urine - answer 4 - 8
if present, what is 90% accurate in determining UTIs - answer
leukocyte Esterase - it detects intact and lysed WBCs in urine
what will usually be seen in a urinalysis in the presence of a UTI -
answer nitrites and WBC are most common
what is a clean catch urine sample used for - answer to confirm
suspected UTI - comes from the bladder which is normally sterile
(if <10 organisms/mL = normal, >10 organisms/mL infection)
what is residual urine - answer amount of urine left in bladder after
patient voids - < 50 mL is normal (will straight cath or bladder scan
after)
what is a KUB - answer X ray of the kidney, ureters and bladder to
see size, shape, and position
what is a retrograde pyelogram - answer also an X ray of kidneys,
ureters and bladder but dye is injected to visualize it better
what is a percutaneous renal biopsy - answer takes kidney tissue
out through a needle using ultrasound for placement