NUR 308 Exam 3 with precise detailed solutions

NUR 308 Exam 3 with precise !| !| !| !| !| !|




detailed solutions !|




true/false

catheterize a patient with blood in the urinary meatus - Correct answer
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✔false

(catheter would make the possible injury worse)!| !| !| !| !| !|




average creatinine clearance - Correct answer ✔125
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which is known to be nephrotoxic
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Na

Mg

K

Ca - Correct answer ✔Mg
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if the bladder is distended at time of injury the kidney is [more/less] likely to
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be damaged - Correct answer ✔more
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What is used to diagnoses prostatitis - Correct answer ✔UA (in addition to
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culture and sensitivity or digital rectal exam)
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,major concern with prostatitis - Correct answer ✔obstruction (which could
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ultimately lead to hydronephrosis) !| !| !|




in terms of prostatitis and urinary problems in general, push fluids only if
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the patient is _____________ - Correct answer ✔voiding
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true/false

patients with prostatitis should avoid spicy foods, alcohol and caffiene -
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Correct answer ✔true (these are considered bladder irritants)
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patient teaching for bactrim - Correct answer ✔sun sensitivity push fluids
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(renal toxicity) !|




sexual activity: refrain for a week or so
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ejaculation every 3 to 4 days to help clear the prostate fluid and rid the
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bacteria !|




do not catheterize the patient because this may push existing bacteria
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upwards - Correct answer ✔prostatitis !| !| !| !|




class of drugs used on patients with prostatitis - Correct answer ✔alpha 1
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blocker (used to help shrink prostate, helpful esp when obstruction is
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present)

,example of an alpha blocker used to treat prostatitis - Correct answer
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✔doxazosin cardura !|




true/false

BPH is not associated with prostate cancer and does not lead to or increase
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the risk - Correct answer ✔true
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if there is CHF involvement should fluids be pushed? - Correct answer ✔no
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high levels associated with prostate cancer - Correct answer ✔prostate
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specific antigen (PSA) !| !|




block conversion of testosterone to DHT in the prostate, help to shrink the
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prostate to allow for urine flow (Takes months to actually get improvement) -
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Correct answer ✔5dht inhibitor !| !| !|




major side effect of 5dht inhibitor - Correct answer ✔orthostatic hypotension
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(decreases libido, erectile dysfunction) !| !| !|




women who are pregnant should not handle - Correct answer ✔5dht
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inhibitor



example of 5dht inhibitor - Correct answer ✔finasteride proscar
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, reduce the muscles of the prostate, allowing it to shrink - Correct answer
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✔alpha 1 blocker !| !|




double example of alpha 1 blocker - Correct answer ✔doxazosin cardura
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tamsulosin flomax !|




tamsulosin - Correct answer ✔flomax !| !| !| !|




major side effect of doxazosin cardura - Correct answer ✔orthostatic
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hypotension



true/false !|




alpha 1 blocker drugs are given at the hour of sleep - Correct answer ✔true
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(to avoid safety issues with orthostatic hypotension)
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TURP - Correct answer ✔transurethral resection of prostate
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TURP: !|




if the pt tries to initiate voiding this may incite ______ which are painful and
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increase bleeding risk - Correct answer ✔spasm
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purpose: keep the urinary system patent, drain clots bleeding from procedure
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- Correct answer ✔CBI (continuous bladder irrigation)
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how long to avoid sex after TURB - Correct answer ✔4 6 weeks
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