Home Page Science Medicine Geriatrics EXAM 1: Medical-Surgical Nursing Review - Flashcards

EXAM 1: Medical-Surgical Nursing Review – Flashcards

Kenneth McQuaid

7 July 2022

question

Which changes occurs to the urinary system with aging?

answer

Bladder capacity decreases

question

Encouraging patients to empty their bladder soon after feeling the urge rather than delaying emptying prevents

answer

Cancer of the bladder and incontinence

question

Which lab result is indicative of decreased kidney function

answer

Serum BUN 24 mg/dl and creatinine 2.1 mg/dl

question

Nursing care for the patient before receiving an ivp includes

answer

Assessing for any allergies to iodine bun & creatinine

question

A renal ultrasound examination can detect

answer

The size shape and location of structures of the urinary system

question

If a patient has dark amber to orange colored urine the nurse would expect that this pt may be suffering from

answer

Dehydration

question

Urine output from an adult should be a minimum of

answer

30 mL/hr

question

Teaching for a patient taking an antispasmodic or antimuscarinic medication for spasms of the bladder, overactive bladder, or urinary incontinence should include which statement

answer

You may need to use hard candy or ice chips for dry mouth

question

If a patient is experiencing urinary incontinence the nurse should advise the patient to avoid what?

answer

Beverages containing caffeine

question

What is considered a normal amount of residual urine?

answer

100ml or less

question

Common signs and symptoms of cystitis include painful urination frequency and urgency and

answer

Low back pain

question

Glomerulonephritis most commonly occurs after which type of infection?

answer

Group a beta hemolytic streptococcal infection

question

Nephrotic syndrome is characterized by hyperlipidemia, hypoalbuminemia, severe edema, and...

answer

Proteinuria

question

Which patient is at the highest risk for developing renal stones?

answer

Male gender immobile history of uti

question

The nurse is caring for a patient who is suspected of having chronic pyelonephritis. which symptom provides the greatest support to the diagnosis?

answer

Weakness

question

A patient has been diagnosed with acute glomerulonephritis. What will most likely be noted in the patient's health history?

answer

Recent diagnosis of impetigo

question

Acute renal failure most commonly occurs in pt who have had injury to the kidney, inflammation, damage from toxic chemicals and...

answer

Infection

question

Stage 2 chronic renal failure is characterized by...

answer

BUN and serum creatinine levels beginning to rise, oliguria, and edema

question

Nursing assessment finding that indicate a properly functioning arteriovenous graft or fistula include...

answer

Palpable thrill and Audible Bruit

question

Interventions that require a doctor's order...

answer

Labs Medications Foley Catheters Diagnostic Testing Diet Change IV

question

One way of prioritizing nursing care

answer

Maslow's Airway, Breathing, Circulation

question

5 Steps of Nursing Process

answer

Assessment Nursing Diagnosis Implementation Planning Evaluation

question

A chemistry panel gives what information

answer

Electrolytes, Protein, BUN, Creatinine Basic Metabolic Panel Complete Metabolic Panel

question

Hormones that regulate fluid and electrolytes

answer

Aldosterone ADH

question

What is used to assess fluid stasis

answer

Weight, Labs, Vital Signs, I&O

question

What are the goals in treating pts with kidney disorders

answer

Relieve Pain Reduce Fever Prevent further damage to kidney

question

What are these patients at risk for: Trauma Pt Marathon Runner Uncontrolled Diabetic Patient with Vomiting and Diarrhea

answer

Fluid Volume Deficit

question

Sodium is responsible for...

answer

Regulation of osmolarity balancing the intake and excretion of sodium in the body

question

Increases in electrolytes in the body can be caused by...

answer

Too little water ingestion Ingestion of too much of the electrolyte

question

S/S of Fluid Volume Excess

answer

Bounding Pulse DIstended Neck Veins Increased BP Crackles and Dependent Edema

question

S/S of Fluid Volume Deficit

answer

Dry Mucosa Flat neck veins

question

What symptoms would you see in a pt with potassium imbalance?

answer

Muscle Cramps Cardiac Dysrhythmias Constipation

question

ABG: pH 7.49, Paco2 33, HCO3 24

answer

Respiratory Alkalosis

question

ABG: pH 7.49 , Paco2 42 , HCO3 28

answer

Metabolic Alkalosis

question

Metabolic Alkalosis can be caused by?

answer

Loss of gastric secretions, too many antacids, and potassium wasting diuretics

1 of

Unlock all answers in this set

Unlock answers

question

Which changes occurs to the urinary system with aging?

answer

Bladder capacity decreases

question

Encouraging patients to empty their bladder soon after feeling the urge rather than delaying emptying prevents

answer

Cancer of the bladder and incontinence

question

Which lab result is indicative of decreased kidney function

answer

Serum BUN 24 mg/dl and creatinine 2.1 mg/dl

question

Nursing care for the patient before receiving an ivp includes

answer

Assessing for any allergies to iodine bun & creatinine

question

A renal ultrasound examination can detect

answer

The size shape and location of structures of the urinary system

question

If a patient has dark amber to orange colored urine the nurse would expect that this pt may be suffering from

answer

Dehydration

question

Urine output from an adult should be a minimum of

answer

30 mL/hr

question

Teaching for a patient taking an antispasmodic or antimuscarinic medication for spasms of the bladder, overactive bladder, or urinary incontinence should include which statement

answer

You may need to use hard candy or ice chips for dry mouth

question

If a patient is experiencing urinary incontinence the nurse should advise the patient to avoid what?

answer

Beverages containing caffeine

question

What is considered a normal amount of residual urine?

answer

100ml or less

question

Common signs and symptoms of cystitis include painful urination frequency and urgency and

answer

Low back pain

question

Glomerulonephritis most commonly occurs after which type of infection?

answer

Group a beta hemolytic streptococcal infection

question

Nephrotic syndrome is characterized by hyperlipidemia, hypoalbuminemia, severe edema, and...

answer

Proteinuria

question

Which patient is at the highest risk for developing renal stones?

answer

Male gender immobile history of uti

question

The nurse is caring for a patient who is suspected of having chronic pyelonephritis. which symptom provides the greatest support to the diagnosis?

answer

Weakness

question

A patient has been diagnosed with acute glomerulonephritis. What will most likely be noted in the patient's health history?

answer

Recent diagnosis of impetigo

question

Acute renal failure most commonly occurs in pt who have had injury to the kidney, inflammation, damage from toxic chemicals and...

answer

Infection

question

Stage 2 chronic renal failure is characterized by...

answer

BUN and serum creatinine levels beginning to rise, oliguria, and edema

question

Nursing assessment finding that indicate a properly functioning arteriovenous graft or fistula include...

answer

Palpable thrill and Audible Bruit

question

Interventions that require a doctor's order...

answer

Labs Medications Foley Catheters Diagnostic Testing Diet Change IV

question

One way of prioritizing nursing care

answer

Maslow's Airway, Breathing, Circulation

question

5 Steps of Nursing Process

answer

Assessment Nursing Diagnosis Implementation Planning Evaluation

question

A chemistry panel gives what information

answer

Electrolytes, Protein, BUN, Creatinine Basic Metabolic Panel Complete Metabolic Panel

question

Hormones that regulate fluid and electrolytes

answer

Aldosterone ADH

question

What is used to assess fluid stasis

answer

Weight, Labs, Vital Signs, I&O

question

What are the goals in treating pts with kidney disorders

answer

Relieve Pain Reduce Fever Prevent further damage to kidney

question

What are these patients at risk for: Trauma Pt Marathon Runner Uncontrolled Diabetic Patient with Vomiting and Diarrhea

answer

Fluid Volume Deficit

question

Sodium is responsible for...

answer

Regulation of osmolarity balancing the intake and excretion of sodium in the body

question

Increases in electrolytes in the body can be caused by...

answer

Too little water ingestion Ingestion of too much of the electrolyte

question

S/S of Fluid Volume Excess

answer

Bounding Pulse DIstended Neck Veins Increased BP Crackles and Dependent Edema

question

S/S of Fluid Volume Deficit

answer

Dry Mucosa Flat neck veins

question

What symptoms would you see in a pt with potassium imbalance?

answer

Muscle Cramps Cardiac Dysrhythmias Constipation

question

ABG: pH 7.49, Paco2 33, HCO3 24

answer

Respiratory Alkalosis

question

ABG: pH 7.49 , Paco2 42 , HCO3 28

answer

Metabolic Alkalosis

question

Metabolic Alkalosis can be caused by?

answer

Loss of gastric secretions, too many antacids, and potassium wasting diuretics

EXAM 1: Medical-Surgical Nursing Review – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards