NRSG 2630 Exam 5 – Renal Exam Questions
And Answers Latest Updated 2025 |100%
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What is the normal lab value for creatinine in the urine? - Answer✔0.5-1.2
What is the normal lab value for BUN in the urine? - Answer✔10-20
What is the normal lab value for BUN/creatinine ratio in the urine? - Answer✔12:1-20:1
What is the normal lab value for bicarb in the urine? - Answer✔22-26
What is the normal lab value for each electrolyte (Na, K, Ca, Mag, Phos) in the urine? -
Answer✔Na: 136-145
K: 3.5-5
Ca: 9-10.5
Mag: 3-4.5
Phos: 2.4-4.4
What is the normal lab value for creatinine clearance in the urine? - Answer✔87-139 mL/min
What is the normal lab value for specific gravity? - Answer✔1.005-1.030
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What is the normal GFR? - Answer✔125 mL/min
What is urethritis? - Answer✔Inflammation of the urethra
What are common causes of urethritis? - Answer✔- trichomonas
- monilial (yeast) infection
- chlamydia
- gonorrhea
Viral or bacterial infections
What are symptoms of urethritis? - Answer✔- dysuria
- urgency
- frequency
- may or may not have discharge
How is urethritis treated (pharm and interventions/teaching)? - Answer✔Pharm
- *sulfa drugs are DOC*
- doxycycline
- ceftriaxone
- nitrofurantoin
- metronidazole
- nystatin
- fluconazole
- azithromycin
Interventions
- warm sitz bath
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- avoid bubble baths and hot tubs
- avoid vaginal deodorant
- proper vaginal cleaning after BM and voiding
- avoid sex for 2 days
- use condoms
What are urethral strictures? - Answer✔Fibrosis or inflammation of the urethral lumen
What are common causes of urethral strictures? - Answer✔- trauma
- urethritis
- surgical intervention
- repeat cateterizations
- congential defect of the urethra
What are clinical manifestations of urethral strictures? - Answer✔- meatal stenosis
- decreased stream
- split urine stream
- straining to void
- imcomplete emptying
- frequency
- nocturia
What interventions are used to manage urethral strictures? - Answer✔- dilation (restenosis is
common)
- self cath teaching (coude or rubber tip)
What is the difference between urolithiasis and nephrolithiasis? - Answer✔Urolithiasis is stones
in the urinary tract
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Nephrolithiasis is stones in the kidneys (renal stones)
What are risk factors for developing renal calculi? - Answer✔- warm climate
- *high protein diet*
- low calcium diet
- *excessive tea, fruit juice*
- *excessive sugar*
- low fluid intake
- sedentary lifestyle
- *family or personal hx*
- obesity
- hyperparathyroidism
- abnormally high pH (alkaline environment increases calclium and phosphorus)
What are the four types of renal calculi and their causes/risk factors? Which are the most
common? - Answer✔*Calcium*: hypercalcemia, hypercalciuria, low fluid intake, cancer,
hyperparathyroidism
Uric acid: *gout*, excessive protein, increased risk in men
Struvite: *pregnancy*
Cystine: rare genetic disorder
*Calcium stones are by far the most common, followed by uric acid stones.*
True or false: The worst pain from a renal calculi occurs in the kidneys and bladder. -
Answer✔False
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