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Renal and urinary 2

AB
Acute glomerulonephritis follows this infection?Group A beta-hemolytic Streptococcus
What amount of residual urine is expected in a post void residual measurement?50 mL or less, if over 100 mL, further testing done
What class of meds are used to treat urge incontinence?Anticholinergics (Ditropan and Detrol), inhibit bladder contractions (relax) and ↑ bladder capacity
What color is urine in acute glomerulonephritis?Hematuria (cola or coffee colored)
What lab is usually elevated in CKD?potassium
Laboratory tests monitored for in nephrotic syndrome?Proteinuria and low albumin levels
Nursing interventions for a client with kidney stones?Increase fluids and strain urine
Measures to prevent UTI’s?Drink 2-2.5 quarts of fluid daily, void when urge felt (3-4 hrs), cleanse front to back, avoid bubble bath and hygiene sprays, drink cranberry juice
Describe benign prostatic hyperplasia?Develops only in men, r/t hormonal changes leading to an enlarged prostate
Describe purpose, use and side effects of the urinary analgesic Pyridium?Urine reddish orange, do not use more than 24-48 hrs; relieves pain, burning, frequency and urgency
What are complications of a UTI in older adults?Bacteremia, sepsis (urosepsis), shock
What is done at the start of a 24-hour urine test?Have client empty their bladder and then discard the urine
What are the risks for bladder cancer?Cigarette smoking. Male gender, occupational chemicals
AV fistula is patent when this is assessed?Bruit (auscultate) and Thrill (palpate)
Monitor for this during hemodialysis?Cardiovascular changes (hypotension)
There are how many stages of chronic kidney disease?4 stages (Stage 1-4) Stage 4=uremia
what is the most common cause of UTIE coli from the GI system
Glomerular filtration rate lab test forCreatitine clearance
With IVP dyeincrease fluid
Proscardecreases the prostate
Low protein and high carb diet is forreduce urea and creatitine in the blood


Nursing Instructor
Milwaukee Area Technical College
WI

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