NR 570 Final Exam Study Guide with 100- correct answers
0 view 0 purchase
Course
Nurs 570
Institution
Nurs 570
What is nephrolithiasis?
renal calculi (kidney stones)
How does Renal calculi form?
formed d/t elevated levels of minerals in the body
Previous
Play
Next
Rewind 10 seconds
Move forward 10 seconds
Unmute
0:01
/
0:15
Full screen
Brainpower
Read More
What minerals in exce...
,-complications of stones: obstructions,
pyelonephritis (kidney infection), CKD
Classic Kidney stone presentation - answer acute
onset of severe, colicky flank pain that wax and
wane in intensity.
Severe pain is associated with the movement of
the stone and can cause n/v.
pt may seem anxious and unable to sit still
history and physical for nephrolithiasis (kidney
stones) - answer Irritative Bladder symptoms -
dysuria (painful or difficulty urinating), urgency, &
frequency
Vague flank pain or acute colicky pain with
increasing intensity
Radiation of pain into the groin
Costovertebral angle (CVA) tenderness
Hematuria
Diaphoretic, tachycardic, appear extremely
uncomfortable
CVA tenderness tell your the stone is located
where? - answer caused by passing of the stone
through the ureter with obstruction & spasm
,Where is the stone located if the patient has pain
in the groin region? - answer pain that radiates
downward into the groin indicates the stone has
passed into the lower third of the ureter
Vague flank pain or acute colicky pain with
increasing intensity means the stone is located
where? - answer stones in renal pelvis
Differential Diagnosis for abdominal pain and/or
flank pain: - answer Nephrolithiasis (kidney stones)
Pyelonephritis (kidney infection)
Ectopic pregnancy
Ovarian or testicular torsion
Appendicitis
Bowel obstruction
Diverticulitis
Rupture of aortic aneurysm
Right lower abdominal tenderness with a
+Blumberg sign. What should be suspected? -
answer Blumberg sign: Rebound tenderness in the
RLQ, caused by acute peritonitis.
*Appendicitis
, What labs do we run to diagnose a kidney stone? -
answer UA dipstick, urine microscopy and urine
C&S
Serum blood urea nitrogen (BUN) and creatinine
(Cr) to assess renal function.
What radiology methods are preferred for
outpatient treatment and why - answer
inexpensive, easily accessible. in combo its more
practical
-KUB xray
-Renal Ultrasound
What stones can be seen on a KUB?
What stone can you not see on a KUB - answer CAN
see: Calcium oxalate - most common type of stone
CANNOT see: uric acid stones (radio translucent)
What is a Renal Ultrasound used for when testing
for kidney stones? - answer good for assessing for
hydronephrosis (excess fluid in the kidney d/t back
up of urine that can be caused by an obstruction).
Bad for identifying a stone.
What is the GOLD STANDARD for diagnosing a
kidney stone? - answer Non-contrast CT scan.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BRAINBOOSTERS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
