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NRSG 357 Exam 3: Questions & Detailed Solutions
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NRSG 357 Exam 3: Questions & Detailed Solutions
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NRSG 357 Exam 3: Questions & Detailed SolutionsBUN normal value Right Ans - 10-20 mg/dL
creatinine normal value Right Ans - 0.5-1.5 mg/dL
potassium normal value Right Ans - 3.5-5.0 mEq/L
sodium normal value Right Ans - 135-145 mEq/L
normal urinalysis Right Ans - yellow or straw color, negative for RBC, WBC,
bacteria, glucose, acetone, albumin, pH 4.8-8, specific gravity 1.010-1.030
urinary tract infection Right Ans - infection of one or more organs of the
urinary tract
upper uti Right Ans - pylonephritis
lower uti Right Ans - cystitis and urethritis
uncomplicated uti Right Ans - occurs in otherwise normal urinary tract,
usually involves only the bladder
complicated uti Right Ans - occurs in individuals with other health
problems, catheter, calculi, pregnancy
uti s/sx Right Ans - upper: flank pain, chills, fever, fatigue, cva tenderness
lower: dysuria, urgency, frequency, nocturia, hematuria
elderly: confusion, abdominal pain
uti causes Right Ans - most commonly caused by e. coli or other bacteria in
bladder
uti risk factors Right Ans - female, obesity, pressure on bladder, diabetes,
constipation, menopause, alzheimers
uti treatment Right Ans - antibiotics, pyridium is not an antibiotic but used
to help with pain and urinary frequency, once pain is relieved you stop taking
it
, uti prevention Right Ans - wipe front to back, drinking fluids, avoid bubble
baths, empty bladder frequently, avoid coffee, alcohol, chocolate, spicy foods,
evacuate bowel regularly
pyelonephritis Right Ans - inflammation of the kidney and renal pelvis
acute pyelonephritis s/sx Right Ans - sudden onset, fever, chills, nausea,
vomiting, flank pain, cva tenderness
chronic pyelonephritis s/sx Right Ans - recurring acute infections, leads to
scarring and fibrosis, decreased renal size and function
pyelonephritis causes Right Ans - usually begins with lower UTI that
ascends, can also be due to renal calculi
pyelonephritis treatment Right Ans - antibiotics, many antibiotics are
becoming resistant, should do sensitivity test, must perform culture and get
results back before hanging the bag
pyelonephritis risk factors Right Ans - diabetes, hiv, aids,
immunosupression, urodynamic abnormalities
bladder capacity Right Ans - 600-1,000 mL, at 400 mL you get the urge to
urinate
acute urinary retention Right Ans - inability to empty the bladder, medical
emergency due to possible rupture
chronic urinary retention Right Ans - incomplete emptying of bladder, post
void residual volume, anything above 200 mL
urinary retention causes Right Ans - bladder outlet obstruction (enlarged
prostate or tumor), deficient detrusor contraction strength (neurologic
disease, diabetes, chronic alcoholism, anticholinergic drugs)
acute urinary retention treatment Right Ans - must catheterize
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