NURS 6202 Exam 1 Questions with Verified
Correct Answers
5 rights of delegation
right task
right circumstance
right person
right direction/communication
right supervision/evaluation
TAPE (delegation)
-Teaching, assessment, planning, evaluating
-must be done by an RN
CNA delegation
ambulating, turning, bathing, I&O, oral care, toileting, basic ostomy care, linen change,
feeding, VS if stable, weights
LPN delegation
-Gathers Data
-Performs routine procedures: ostomy, catheter, insertion, wound care, blood glucose, EKG
-Oral and IM meds
-Stable patients only
Urinary tract infection
,-second most common bacterial disease
-E.coli most common pathogen
-Dx: urinalysis
UTI risk factors
Pregnancy, menopause, habitual delay of urination, instrumentation, sexual intercourse
UTI symptoms
-Dysuria, frequency, urgency, suprapubic discomfort or pressure
-elderly have more vague symptoms- confusion, falls
UTI treatment
trimethoprim-sulfonamide (TMP-SMX) or nitrofurantoin (Macrodantin)
*Antibiotics
UTI health promotion
Teaching preventive measures- urinating frequently, water, wiping from front to back,
urinating after intercourse
Cystitis
inflammation of the bladder
-Sx: urgency, frequency, pain in the bladder/pelvis
- Stress management techniques, tricyclic antidepressants and OTCs help with burning pain
and urinary frequency; avoid clothing that creates suprapubic pressure
Urethritis
-inflammation of the urethra
-most commonly from an STI
, -Sx: discharge, dysuria, urgency, and frequency
-tx: underlying cause and symptomatic relief
Pyelonephritis
-inflammation of renal parenchyma and collecting system
- most common cause is bacterial infection that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills, fever, vomiting, malaise, flank pain, and the lower
UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine culture
glomerulonephritis
-inflammation of the glomeruli
-results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC, WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
Acute poststreptococcal glomerulonephritis
-develops 5 to 21 days after infection
-manifestations: generalized body edema, hypertension, oliguria, hematuria with rusty
appearance, proteinuria
Urinary calculi
- Various types: calcium phosphate, calcium oxalate, uric acid, cysteine, struvite
-Diet needs: fluid intake, low sodium
Correct Answers
5 rights of delegation
right task
right circumstance
right person
right direction/communication
right supervision/evaluation
TAPE (delegation)
-Teaching, assessment, planning, evaluating
-must be done by an RN
CNA delegation
ambulating, turning, bathing, I&O, oral care, toileting, basic ostomy care, linen change,
feeding, VS if stable, weights
LPN delegation
-Gathers Data
-Performs routine procedures: ostomy, catheter, insertion, wound care, blood glucose, EKG
-Oral and IM meds
-Stable patients only
Urinary tract infection
,-second most common bacterial disease
-E.coli most common pathogen
-Dx: urinalysis
UTI risk factors
Pregnancy, menopause, habitual delay of urination, instrumentation, sexual intercourse
UTI symptoms
-Dysuria, frequency, urgency, suprapubic discomfort or pressure
-elderly have more vague symptoms- confusion, falls
UTI treatment
trimethoprim-sulfonamide (TMP-SMX) or nitrofurantoin (Macrodantin)
*Antibiotics
UTI health promotion
Teaching preventive measures- urinating frequently, water, wiping from front to back,
urinating after intercourse
Cystitis
inflammation of the bladder
-Sx: urgency, frequency, pain in the bladder/pelvis
- Stress management techniques, tricyclic antidepressants and OTCs help with burning pain
and urinary frequency; avoid clothing that creates suprapubic pressure
Urethritis
-inflammation of the urethra
-most commonly from an STI
, -Sx: discharge, dysuria, urgency, and frequency
-tx: underlying cause and symptomatic relief
Pyelonephritis
-inflammation of renal parenchyma and collecting system
- most common cause is bacterial infection that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills, fever, vomiting, malaise, flank pain, and the lower
UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine culture
glomerulonephritis
-inflammation of the glomeruli
-results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC, WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
Acute poststreptococcal glomerulonephritis
-develops 5 to 21 days after infection
-manifestations: generalized body edema, hypertension, oliguria, hematuria with rusty
appearance, proteinuria
Urinary calculi
- Various types: calcium phosphate, calcium oxalate, uric acid, cysteine, struvite
-Diet needs: fluid intake, low sodium
