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NR 570 FINAL EXAM COMMON DIAGNOSIS AND MANAGEMENT IN ACUTE CARE PRACTICUM ACTUAL EXAM AND PRACTICE EXAM COMPLETE 350 QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST | click on ALSO AVAILABLE IN PACKAGE DEAL. You'll get more for less! $22.99   Add to cart

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NR 570 FINAL EXAM COMMON DIAGNOSIS AND MANAGEMENT IN ACUTE CARE PRACTICUM ACTUAL EXAM AND PRACTICE EXAM COMPLETE 350 QUESTIONS AND CORRECT VERIFIED SOLUTIONS LATEST | click on ALSO AVAILABLE IN PACKAGE DEAL. You'll get more for less!

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  • October 5, 2024
  • 149
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • nr 570 final exam
  • nr 570 final
  • NR 570
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Page 1 of 149



NR 570 FINAL EXAM COMMON DIAGNOSIS AND
MANAGEMENT IN ACUTE CARE PRACTICUM
ACTUAL EXAM AND PRACTICE EXAM COMPLETE
350 QUESTIONS AND CORRECT VERIFIED
SOLUTIONS LATEST 2024-2025
QUESTION: Urolithiasis - ANSWER-stone in the bladder




QUESTION: Ureterolithiasis - ANSWER-condition of stones in the ureter




QUESTION: Risk Factor & complications of renal calculi - ANSWER--Male, 20-50yo, previous
stones, obesity, HTN, diabetes, low fluid intake.

-complications of stones: obstructions, pyelonephritis (kidney infection), CKD




QUESTION: 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

What is nephrolithiasis? - ANSWER-renal calculi (kidney stones)




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QUESTION: How does Renal calculi form? - ANSWER-formed d/t elevated levels of minerals in
the body




QUESTION: What minerals in excess can cause renal calculi? - ANSWER-calcium oxalate (most
common),

phosphate

uric acid

struvite

cystine




QUESTION: 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




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,Page 3 of 149


QUESTION: CVA tenderness tell your the stone is located where? - ANSWER-caused by passing
of the stone through the ureter with obstruction & spasm




QUESTION: 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




QUESTION: Vague flank pain or acute colicky pain with increasing intensity means the stone is
located where? - ANSWER-stones in renal pelvis




QUESTION: 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




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, Page 4 of 149


QUESTION: 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




QUESTION: 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.




QUESTION: What radiology methods are preferred for outpatient treatment and why -
ANSWER-inexpensive, easily accessible. in combo its more practical

-KUB xray

-Renal Ultrasound




QUESTION: 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)




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