Exam (elaborations)

NR 570 FINAL EXAM COMMON DIAGNOSIS AND MANAGEMENT IN ACUTE CARE PRACTICUM EXAM AND STUDY GUIDE LATEST ALL 250 QUESTIONS AND CORRECT ANSWERS JUST RELEASED| click on ALSO AVAILABLE IN PACKAGE DEAL. You'll get more for less!"

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Number of pages 108
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Type Exam (elaborations)
Contains Questions & answers

nr 570 final exam
nr 570 final
nr 570
nr 570 final exam common
nr 570 final exam common diagnosis and management
nr 570 final exam common diagnosis

Institution NR 570
Course NR 570

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Page 1 of 108

NR 570 FINAL EXAM COMMON DIAGNOSIS AND
MANAGEMENT IN ACUTE CARE PRACTICUM EXAM
AND STUDY GUIDE LATEST 2024-2025 ALL 250
QUESTIONS AND CORRECT ANSWERS JUST
RELEASED
What is nephrolithiasis? - ANSWER-renal calculi (kidney stones)

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: 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)

1

,Page 2 of 108

Ectopic pregnancy
Ovarian or testicular torsion
Appendicitis
Bowel obstruction
Diverticulitis
Rupture of aortic aneurysm

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: 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

QUESTION: history and physical for nephrolithiasis (kidney stones) - ANSWER-Irritative Bladder
symptoms -dysuria (painful or difficulty urinating), urgency, & frequency

2

,Page 3 of 108

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

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

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)

QUESTION: 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.

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, Page 4 of 108

QUESTION: What is the GOLD STANDARD for diagnosing a kidney stone? - ANSWER-Non-
contrast CT scan.

QUESTION: Goal of renal calculi treatment - ANSWER-focused on symptomatic relief
pain medications -NSAID or narcs
antiemetics -n/v
facilitate stone passage-Thiazide diuretics, alpha-blockers or calcium channel blockers to help
facilitate the passage of a stone. Terazosin -alpha blockers used for BPH.

QUESTION: <5 mm renal calculi can - ANSWER-be passed through the urine. may only require
NSAIDs for management.

QUESTION: >5 mm renal calculi requires what? - ANSWER-urology consult.
this may cause an obstruction or kidney failure.
this type of stone may need surgical intervention to be removed.

QUESTION: when is a Urology Referral indicated? - ANSWER-stone > 5mm
recurrent stones

QUESTION: When is a hospital admission appropriates for a patient with nephrolithiasis? -
ANSWER-Hospital admission is indicated when:
-Inability to control pain
-Impaired renal function with an obstructing stone
-Infection (pyelonephritis or sepsis)
-Intractable n/v

QUESTION: What does a 24 hour urine collection analyze? - ANSWER--total volume

4

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Exam (elaborations) ·

Exam (elaborations)

NR 570 FINAL EXAM COMMON DIAGNOSIS AND MANAGEMENT IN ACUTE CARE PRACTICUM EXAM AND STUDY GUIDE LATEST ALL 250 QUESTIONS AND CORRECT ANSWERS JUST RELEASED| click on ALSO AVAILABLE IN PACKAGE DEAL. You'll get more for less!"

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