ADULT HEALTH NURSING PRACTICE
QUESTIONS AND CORRECT ANSWERS
WITH DETAILED RATIONALES GI, RENAL,
UROLOGIC AND ONCOLOGY REVIEW A+
EXAM PREPARATION
diet for IBD - CORRECT ANSWER--high protein and calorie
-low fiber
-small frequent meals
-keep food journal
s/s of UTI - CORRECT ANSWER-dysuria, urgency, frequency, and cloudy
foul smelling urine
diagnostics for UTI - CORRECT ANSWER--urinalysis
what may indicate UTI in the urine - CORRECT ANSWER-cloudy and
smelly
presence of WBCs
presence of nitrites
s/s of pyelonephritis - CORRECT ANSWER--same at UTI
,-costovertebral tenderness
-dull flank pain
-fever
causes of UTI and pyelonephritis - CORRECT ANSWER--e.coli
-urinary retention
-foleys
how do older adults present with UTI - CORRECT ANSWER-confusion
UTI analgesic - CORRECT ANSWER-Phenazopyridine (for pain relief)
Phenazopyridine SE - CORRECT ANSWER-turns body fluid red/orange
antibiotics for UTI - CORRECT ANSWER-trimethoprim sulfamethoxazole
levofloxacin
ciprofloxacin
education for UTI and pyelonephritis - CORRECT ANSWER--increase
fluid intake
-void after sex
-take cranberry supplements
-avoid caffeine and alcohol
, -wipe front to back
glomerulonephritis - CORRECT ANSWER-inflammation of the glomeruli
of the kidney, (instead of filtering protein, it leaks out)
common cause of glomerulonephritis - CORRECT ANSWER-strep
infection
s/s of glomerulonephritis - CORRECT ANSWER-- increased proteinuria
-decreased albumin
-increase blood clot
-fever
-increase WBCs
-increase BUN and creatinine
-low UO
-fluid retention (increase BP, edema, JVD, crackles)
treatment for glomerulonephritis - CORRECT ANSWER--Get rid of strep
-limit protein
-rest kidney by decrease BP
what is the number one cause of bladder cancer - CORRECT ANSWER-
smoking/tobacco use