Summary Nurs 6531 Final Exam Study Guide

1.) IHydrocele I(member Idid Inot Iuse Itemplate, Ino Ireview Iquestions Ireceived-this Iis Iall II Igot) Definition: I Ian Iaccumulation Iof Ifluid Iwithin Ithe Itunica Ivaginalis Isurrounding Ithe Itesticle; Iit Imay Ialso Iresult Ifrom Ia Ipatent Iprocessus Ivaginalis Iat Ibirth Iand Isometimes Icloses Ispontaneously Iwithin Ithe Ifirst I1 Ito I2 Iyears Iof Ilife. IHydroceles Iare Ithe Imost Icommon Icause Iof Ipainless Iscrotal Iswelling.; Iin Iadults Ithey Iare Ioften Ithe Iresult Iof Itrauma, Ia Ihernia, Itesticular Itumor, Ior Itorsion Ior Ia Icomplication Iof Iepididymitis. I Presenting ISymptoms: IUsually Ipainless Iand Imay Ibe Ipresent Ifor Ilong Iperiods, Ipartially Iresolve, Iand Irecur Ibefore Ithe Ipatient Iseeks Imedical Iattention. IGradual Ienlargement Iof Ithe Iscrotum Ioccurs Iwith Imarked Iedema, Iwhich Imay Ibe Iuncomfortable Ibecause Iof Ithe Iadded Iweight. IA Ihydrocele Imay Ioccur Isecondary Ito Ia Itumor Iwhen Iexcess Iserous Ifluid Iaccumulates Iin Ithe Iscrotal Isac. IIt Iwill Itransluminate Ibut Imay Imake Itesticular Ipalpation Idifficult. Leik IReview: Hydrocele Imore Icommon Iin Iinfants. ISerous Ifluid Icollects Iinside Ithe Itunica Ivaginalis. IDuring Iscrotal Iexam, Ihydroceles Iare Ilocated Isuperiorly Iand Ianterior Ito Ithe Itestes IMost Ihydroceles Iare Iasymptomatic. I Will Iglow Iwith Itransillumination. IIf Inew-onset Ihydrocele Iin Ian Iadult Ior Ienlarging Ihydrocele, Iorder Iscrotal Iultrasound Iand Irefer Ito Iurologist. Differential IDiagnoses: IEpididymitis, ITesticular Itorsion, Iepididymal Icyst Review Iquestions: 1. I IA Ipatient Iwho Ihas Ihad Ia Iswollen, Inontender Iscrotum Ifor Ione Iweek Iis Ifound Ito Ihave Ia Imass Iwithin Ithe Itunica Ivaginalis Ithat Itransilluminates Ireadily. IThe Ifamily Inurse Ipractitioner Isuspects: a.) Ia Ihydrocele. b.) Ia Ivaricocele. c.) Ian Iindirect Iinguinal Ihernia. d.) Icarcinoma Iof Ithe Itestis. 2.) IChronic IKidney Ifailure: I(member Idid Inot Iuse Itemplate, Ino Ireview Iquestions Ireceived-this Iis Iall II Igot) I Definition: I IThe Iabsence Iof Ikidney Ifunction. IKidney Ifailure Iis Ialso Iknown Ias IEnd IStage IKidney IDisease. IIt Iis Icharacterized Iby Ianuria Iand Ithe Ineed Ifor Irenal Ireplacement Itherapy Ior Ikidney Itransplant. IThe Ikidneys Iand Iurinary Itract Isystem Ino Ilonger Ifilter Iblood, Icreate Ifiltrate. IOr Iexcrete Iurine Iin Iamounts Isufficient Ito Iclear Iwaste Iand Ibalance Ifluid Iintake Iwith Ioutput. IKey Ihighlights: IProteinuria Ior Ihematuria, Iand I/or Ia Ireduction Iin Ithe Iglomerular Ifiltration Irate, Ifor Imore Ithan I3 Imonths Iduration. IThe Imost Icommon Icauses Iare Idiabetes Imellitus Iand Ihypertension. IMost Ipeople Iare Iasymptomatic Iand Ithe Idiagnosis Iis Idetermined Ionly Iby Ilaboratory Istudies. I Differential Idiagnosis: