100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
NR 570 Final Exam Study Guide Latest Update Actual Exam 170 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor $20.49
Add to cart
Quickly navigate to
Preview
  2.  
  3. NR 570
  4.  
  5. NR 570

Exam (elaborations)

NR 570 Final Exam Study Guide Latest Update Actual Exam 170 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor
 0 purchase
  • Course
  • NR 570
  • Institution
  • NR 570

NR 570 Final Exam Study Guide Latest Update Actual Exam 170 Questions and 100% Verified Correct Answers Guaranteed A+ Verified by Professor

Preview 4 out of 34  pages

Document information

  • September 2, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • nr 570 final exam study guide latest update 2024 2

Written for

  • NR 570
  • NR 570

Seller

avatar-seller
Tutordiligent

Reviews received

Content preview

NR 570 Final Exam Study Guide Latest Update
2024-2025 Actual Exam 170 Questions and 100%
Verified Correct Answers Guaranteed A+ Verified
by Professor

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


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


What minerals in excess can cause renal calculi? - CORRECT ANSWER: calcium
oxalate (most common),
phosphate
uric acid
struvite
cystine


Urolithiasis - CORRECT ANSWER: stone in the bladder


Ureterolithiasis - CORRECT ANSWER: condition of stones in the ureter


Risk Factor & complications of renal calculi - CORRECT ANSWER: -Male, 20-50yo,
previous stones, obesity, HTN, diabetes, low fluid intake.
-complications of stones: obstructions, pyelonephritis (kidney infection), CKD


Classic Kidney stone presentation - CORRECT 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

,history and physical for nephrolithiasis (kidney stones) - CORRECT 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


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


Where is the stone located if the patient has pain in the groin region? - CORRECT
ANSWER: pain that radiates downward into the groin indicates the stone has passed
into the lower third of the ureter


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


Differential Diagnosis for abdominal pain and/or flank pain: - CORRECT ANSWER:
Nephrolithiasis (kidney stones)
Pyelonephritis (kidney infection)
Ectopic pregnancy
Ovarian or testicular torsion
Appendicitis
Bowel obstruction
Diverticulitis
Rupture of aortic aneurysm

,Right lower abdominal tenderness with a +Blumberg sign. What should be suspected? -
CORRECT ANSWER: Blumberg sign: Rebound tenderness in the RLQ, caused by
acute peritonitis.
*Appendicitis


What labs do we run to diagnose a kidney stone? - CORRECT ANSWER: UA dipstick,
urine microscopy and urine C&S
Serum blood urea nitrogen (BUN) and creatinine (Cr) to assess renal function.


What radiology methods are preferred for outpatient treatment and why - CORRECT
ANSWER: inexpensive, easily accessible. in combo its more practical
-KUB xray
-Renal Ultrasound


What stones can be seen on a KUB?
What stone can you not see on a KUB - CORRECT ANSWER: CAN see: Calcium
oxalate - most common type of stone
CANNOT see: uric acid stones (radio translucent)


What is a Renal Ultrasound used for when testing for kidney stones? - CORRECT
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.


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


Goal of renal calculi treatment - CORRECT 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.

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


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


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


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


What does a 24 hour urine collection analyze? - CORRECT ANSWER: -total volume
-urine pH
-calcium oxalate
-uric acid
-citrate
-sodium
-potassium
-creatinine


Factor Regarding hospital DC for nephrolithiasis - CORRECT ANSWER: -Pain is
reasonably controlled

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Tutordiligent. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $20.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Recently viewed by you

Exam (elaborations) ·

(0)

TIMBYS MED SURG CH 1 QUESTIONS AND ANSWERS
$20.49
  • (0)
Add to cart
Added