NURS 256 EXAM 3 Questions with Correct Answers| Latest Update Guaranteed Success
What are the kidney functions? excrete toxins, filter blood, produce erthropoeitin, RAAS
system for blood pressure, activates calcium
What labs tell kidney production? creatnine and BUN
0.7-1.4, 10-20
Why is creatnine more effective in showing kidney function? Because it is not affected by
activity or diet
Why does physical activity affect other labs for kidney function? it releases proteins from
muscles, and could give false positive results
What aids the kidneys in activating calcium? vitamin D (calcitrol), parathyroid hormone
How much can the bladder hold? 400-600mL
Ureters are how long? 6-12 inches
How long are the urethras for male and female? Female: 3-4 inches
Male: 6-8 inches
How do to a clean catch urinalysis? clean urethra, pee in toilet for 15-30mL, catch mid-
stream in sterile cup, void remainder in cup
How to clean urethra for male/female in clean catch? Female: spread labia, clean front to
back
,Male: pull back foreskin, clean in circular motion
Normal urine should be? Acidic (4.5-8), straw colored, negative for: leukesterase, nitrates,
protien, blood, and glucose
When should a reflex urine culture be taken? when urine comes back positive for nitrates
and/or leukerstase, blood
Procedure for taking urine sample from catheter bag? Old catheter: clean port, take from
there w/ syringe
New catheter: collect from bag
When do you FIRST do a self breast exam? after first period starts - "menarchy"
When to do a self breast exam? 7-10 days from the day period starts, DO ONCE A MONTH
Names of self breast exam search patterns? Wedge, circles, lines
What are you looking for in a self breast exam? Asymmetry, dimpling, orange peel skin,
drainage
What else should you do in a self breast exam? Palpate the tail of spence (armpit muscle),
pinch nipple gently to check for drainage
How often to do a clinical self breast exam? Once a year
When should men FIRST do a testie self exam? How often? at start of puberty
, ONCE A MONTH
How is a self testie exam done? start at base, work down, palpate testies, retract foreskin
What are you looking for in a self testie exam?? painless lumps, absent testie, discharge
How is a 24 hour urine test done? Toss the first void, start clock then, collect all urine for
next 24 hours into one jug - marking each end
What happens if you miss a sample during a 24 hour urine test? You start over
What is done before a 24 hour creatinine clearance test? Height and weight is take, blood
sample is taken (to compare serum creatinine levels to urine levels)
Levels should be what in a 24 hour creatinine test? HIGH!! HIGH IS GOOD - means kidneys
are working and clearing waste
When is a pap smear FIRST done? when she becomes sexually active or at age 21
When is the best time do to a pap smear? 7-10 days from first day of period
Prep to do before a pap smear? No sex for 24 hours, no douching for 24-48 hours
What position is a pap smear done in? Lithotomy (feet in stirrups) -
PUT LEGS UP AT SAME TIME TO AVOID TEARING
What are the kidney functions? excrete toxins, filter blood, produce erthropoeitin, RAAS
system for blood pressure, activates calcium
What labs tell kidney production? creatnine and BUN
0.7-1.4, 10-20
Why is creatnine more effective in showing kidney function? Because it is not affected by
activity or diet
Why does physical activity affect other labs for kidney function? it releases proteins from
muscles, and could give false positive results
What aids the kidneys in activating calcium? vitamin D (calcitrol), parathyroid hormone
How much can the bladder hold? 400-600mL
Ureters are how long? 6-12 inches
How long are the urethras for male and female? Female: 3-4 inches
Male: 6-8 inches
How do to a clean catch urinalysis? clean urethra, pee in toilet for 15-30mL, catch mid-
stream in sterile cup, void remainder in cup
How to clean urethra for male/female in clean catch? Female: spread labia, clean front to
back
,Male: pull back foreskin, clean in circular motion
Normal urine should be? Acidic (4.5-8), straw colored, negative for: leukesterase, nitrates,
protien, blood, and glucose
When should a reflex urine culture be taken? when urine comes back positive for nitrates
and/or leukerstase, blood
Procedure for taking urine sample from catheter bag? Old catheter: clean port, take from
there w/ syringe
New catheter: collect from bag
When do you FIRST do a self breast exam? after first period starts - "menarchy"
When to do a self breast exam? 7-10 days from the day period starts, DO ONCE A MONTH
Names of self breast exam search patterns? Wedge, circles, lines
What are you looking for in a self breast exam? Asymmetry, dimpling, orange peel skin,
drainage
What else should you do in a self breast exam? Palpate the tail of spence (armpit muscle),
pinch nipple gently to check for drainage
How often to do a clinical self breast exam? Once a year
When should men FIRST do a testie self exam? How often? at start of puberty
, ONCE A MONTH
How is a self testie exam done? start at base, work down, palpate testies, retract foreskin
What are you looking for in a self testie exam?? painless lumps, absent testie, discharge
How is a 24 hour urine test done? Toss the first void, start clock then, collect all urine for
next 24 hours into one jug - marking each end
What happens if you miss a sample during a 24 hour urine test? You start over
What is done before a 24 hour creatinine clearance test? Height and weight is take, blood
sample is taken (to compare serum creatinine levels to urine levels)
Levels should be what in a 24 hour creatinine test? HIGH!! HIGH IS GOOD - means kidneys
are working and clearing waste
When is a pap smear FIRST done? when she becomes sexually active or at age 21
When is the best time do to a pap smear? 7-10 days from first day of period
Prep to do before a pap smear? No sex for 24 hours, no douching for 24-48 hours
What position is a pap smear done in? Lithotomy (feet in stirrups) -
PUT LEGS UP AT SAME TIME TO AVOID TEARING
