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NURS620 EXAM 2 Renal Disorders Questions And Answers
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In clients receiving dialysis, which is the most common cause of end-stage renal disease in the United States? ~ diabetic nephropathy (Kimmelstiel-Wilson syndrome) (about 25%) Both type 1 and type 2 diabetes are implicated, indicating the need for good diabetes control throughout clients ' ...

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  • August 8, 2024
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NURS620 EXAM 2 Renal
Disorders Questions And
Answers

The most common cause of sepsis in older adults is:


✓~ UTI




What is the usual clinical presentation of an adult patient with cystitis?


✓~ c/o dysuria, urgency, frequency, nocturia, and suprapubic heaviness




Which statement characterizes functional incontinence?


✓~ Mainly caused by factors outside the urinary tract, especially immobility, that

prohibit proper toileting habits.




What are the two most common pathogens in community acquired UTIs?


✓~ Staphylococcus saprophyticus and Escherichia coli

,When prescribing oxybutinin (Ditropan) for the patient with overactive bladder

symptoms, the nurse practitioner must consider which disorder in the medical

history before prescribing?


✓~ Narrow-angle glaucoma




The clinical presentation of a client with urolithiasis would include:


✓~ Pain starting in the flank and localizing in the costovertebral angle




What is the most common cause of chronic renal failure (CRF)?


✓~ Diabetic nephropathy




The most frequent sign of bladder cancer is:


✓~ hematuria




The inability to empty the bladder, resulting in overdistention and frequent loss

of small amounts of urine, describes which type of urine incontinence?


✓~ Overflow incontinence




A factor contributing to stress incontinence is:

, ✓~ A decreased estrogen level




The aging process begins to affect the kidneys with a progressive loss of

nephron units by age?


✓~ 40 years old




The kidneys lose about 20% of their mass between ages 40 and 80.




The most common cause of sepsis in older adults is?


✓~ a urinary tract infection.




An older adult who is ill with:


-hypothermia or high fever,


-change in mental status and a documented UTI


-has a suspected UTI and sepsis


**TREAT VIGOROUSLY POTENT ANTIBIOTICS + ADEQUATE HYDRATION

TO SUPPORT BP**

, Urinary stasis may precipitate a UTI, and kidney stones may accompany one,

along with genitourinary problems, but a UTI alone is the most common cause of

sepsis in the older adult.




Approximately 80-90% of uncomplicated UTI cases are a result of?


✓~ Gram-Negative Rod Bacteria E. coli




2nd cause Gram-Positive coccus Staphylococcus saprophyticus




Other causes: Proteus mirabilis, Klebsiella, Enterobacter, Serratia, and

Pseudomonas




UTI antibiotic treatment


✓~ Sulfonamides

trimethoprim and sulfamethoxazole (Bactrim, Septra 80mg/400mg Bactrim DS

160mg/800mg) 1 tab Q12 hours x 7-14 days




Fluoroquinolones

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