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NR507 final exam with correct question and answers

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NR507 final exam with correct question and answers Supersaturation: urine becomes over saturated with certain substances like calcium. Nucleation: crystals act as Nucleation sites where further crystal deposition can occur Crystal retention: urinary stasis or inadequate flow allows crystals to...

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  • August 2, 2024
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NR507 final exam with correct question and answers
2023 -2024

,Supersaturation: urine becomes over saturated with certain substances like calcium.
Nucleation: crystals act as Nucleation sites where further crystal deposition can occur
Crystal retention: urinary stasis or inadequate flow allows crystals to remain in urinary
tract
Stone growth & composition: overtime, crystals accumulate and grow into stones. - ans-
Renal Calculi Pathophysiology



Which of the following can help to prevent a UTI? - ans-Increase water consumption

Which of the following is a risk factor for the development of a UTI? - ans-Pregnancy

Women are higher risk for the development of a UTI because of having a shorter
urethra. - ans-True

A symptom of a lower urinary tract infection includes: - ans-Urgency

Which of the following is true regarding a complicated UTI? - ans-Can be caused by a
structural urinary tract disorder

Urinary burning and frequency X 3 days. No STDs. No vaginal discharge. Recently had
sex with partner. Urinalysis shows leukocytes, RBCs, nitrites, and WBCs. No casts.
Based on this patient is diagnosed with: - ans-cystitis

Involves upper tract
Flank pain, abdominal tenderness, fever - ans-pyelonephritis

urinalysis positive urine culture with significant bacturia, presence of pyuria, and WBC
cast - ans-pyelonephritis diagnosis

Crystals act as nucleation sites, where further crystal deposition can occur. - ans-
Nucleation

A common organism that causes a UTI include: - ans-Staphylococcus saprophyticus

The NP would know that the patient most likely has an uncomplicated UTI because: -
ans-The UTI responds well to a short course of antibiotic therapy.

The urinalysis of a patient with a complicated UTI will show WBCs and casts - ans-True

Upon examination of a urinalysis, the NP can highly suspect that the causative bacteria
are gram negative because of the presence of: - ans-Nitrites

most common type of kidney stone - ans-Calcium stone

, Gold standard for diagnosing kidney stone - ans-CT scan

type of stone that forms due to urinary tract infections: - ans-Struvite stone

Renal stones are formed when calcium and oxalate in the urine combine. - ans-True

Are found in the ureter or the bladder - ans-renal calculi (kidney stones)


Recommendations for kidney stone - ans-Adequate hydration
A balanced diet

Hematuria can be seen with kidney stones because: - ans-The stone injures the urinary
structures as it passes through them

The most common stone found in the patient with gout: - ans-Uric acid stone

Renal colic is caused by the passing of stone through the ureter - ans-True

At least half of individuals with renal stones will have a reoccurrence within 10 years of
the prior stone. - ans-True

Flank or abdominal pain, costovertebral (CVA) angle tenderness, hematuria - ans-Renal
Calculi Signs/Symptoms

Conservative <5 mm stone
Medical management: thiazide diuretics (Calcium stone) or allopurinol (uric acid stone)
Overall goals:
Pain management
Promote passage of stone
Reduce size of stone
Prevent new stone formation - ans-Treatment for renal stone

noninvasive procedure to crush a stone > 5mm - ans-Lithotripsy

One of the major markers for glomerular filtration rate is creatinine. - ans-True

There is decreased blood flow to the glomerulus
Results in decreased GFR
Decreased GFR leads to decreased renal blood flow
First response to decreased GFR is activation of the renin- angiotensin aldosterone
system - ans-Patho for pre-renal failure

The most common cause of acute renal failure is due to: - ans-Pre-renal failure

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