Nur 220 Renal/ Urinary Assessment Questions With
Complete Solutions
costovertebral tenderness
***often associated w/ RENAL DISEASE
1. warn pt what you're about to do
2. have pt sit up on exam table
3. use heel of closed fist to strike pt firmly over costovertebral
angles
4. compare left and right sides
bruits
abnormal "swishing" sounds heard over organs, glands, and
arteries
abdominal ascites
Increase in fluid within the peritoneal cavity causing abdominal
distension.
physical assessment of renal pts
- Abdomen, suprapubic region, genitalia, lower back, and lower
extremities
- Kidneys are not usually palpable; however, enlargement
important to note
, exams for renal pts
- prostate exam
- pelvic exam
- DTR
- gait and heel/toe walking
edema
What can you often find in renal pts regarding their lower
extremities, face, and sacral region?
urinalysis
- UA-provides clinical information about function of the kidney.
- Can help diagnose disease such as diabetes
- Can identify dehydration, muscle breakdown
- Can detect infectious process
clear and straw color
What is the normal color of urine?
nonodorous
What should urine smell like?
protein, glucose, ketones, wbc, rbc, or bacteria
What should not be present in normal urine?
urine culture
- Determines bacteria, strain and concentration in urine
- Can be used to test sensitivity to aide in choice of antibiotic
therapy
hematuria
Complete Solutions
costovertebral tenderness
***often associated w/ RENAL DISEASE
1. warn pt what you're about to do
2. have pt sit up on exam table
3. use heel of closed fist to strike pt firmly over costovertebral
angles
4. compare left and right sides
bruits
abnormal "swishing" sounds heard over organs, glands, and
arteries
abdominal ascites
Increase in fluid within the peritoneal cavity causing abdominal
distension.
physical assessment of renal pts
- Abdomen, suprapubic region, genitalia, lower back, and lower
extremities
- Kidneys are not usually palpable; however, enlargement
important to note
, exams for renal pts
- prostate exam
- pelvic exam
- DTR
- gait and heel/toe walking
edema
What can you often find in renal pts regarding their lower
extremities, face, and sacral region?
urinalysis
- UA-provides clinical information about function of the kidney.
- Can help diagnose disease such as diabetes
- Can identify dehydration, muscle breakdown
- Can detect infectious process
clear and straw color
What is the normal color of urine?
nonodorous
What should urine smell like?
protein, glucose, ketones, wbc, rbc, or bacteria
What should not be present in normal urine?
urine culture
- Determines bacteria, strain and concentration in urine
- Can be used to test sensitivity to aide in choice of antibiotic
therapy
hematuria
