NUR 402 Exam 3 Complete Answers
What is the recommended screening for BPH? ️Digital Rectal Exam
Annually for men after age 50
What are some recommended lifestyle modifications for BPH? ️Dietary changes: decrease intake of
caffeine, artificial sweeteners, spicy and acidic foods
Avoid d...
What is the recommended screening for BPH? ✔️Digital Rectal Exam
Annually for men after age 50
What are some recommended lifestyle modifications for BPH? ✔️Dietary changes: decrease intake of
caffeine, artificial sweeteners, spicy and acidic foods
Avoid decongestants and anticholinergics
Restrict evening fluid intake
Timed voiding schedule
How would you evaluate the effectiveness of Finasteride (Proscar) in a patient with BPH? ✔️Using a
bladder scanner - should have low postvoid residual
Post-surgical care for prostate cancer ✔️Teaching of care for indwelling catheter
If patient experiences incontinence - Kegel exercises
If cancer is advanced - pain control is primary intervention
What is urosepsis? ✔️Potential complication of acute pyelonephritis
Life-threatening
UTI spread systemically
Management for kidney stones ✔️Treat pain, infection, obstruction, N/V
What are the leading causes of CKD? ✔️Diabetes
HTN
Why is a Potassium level of 7-8 mEq/L concerning? ✔️Can cause fatal dysrhythmias
, Will present on ECG as tall peaked T waves
Large molecules (proteins, blood) in the urine can indicate? ✔️Damage to glomeruli
What is the best indicator of renal function? ✔️GFR
What stage of CKD?
GFR 30-59
complications result from waste build up
CM: edema, high BP, urinating more or less than normal, anemia, bone disease ✔️Stage 3
What stage of CKD?
Management focuses on: controlling blood glucose, maintain healthy BP/weight/diet, smoking
cessation, exercise 30 mins/day 5 days/week, use of ACE inhibitors or ARBs ✔️Stage 1 - prevent
progression of CKD
What should a patient have prior to administration of Kayexalate? ✔️Positive bowel sounds
(if given to pt with hypoactive bowels, fluid shift could lead to bowel necrosis)
What are some interventions for mineral bone disorder? ✔️Limit dietary phosphorus
Administer phosphate binders (Ca carbonate, Ca acetate, Sevelamer)
Control hyperparathyroidism
Supplementing Vitamin D
What are some side effects of Epogen? ✔️Thromboembolism
HTN
Acute care for CKD ✔️Daily weights and BP
Identify signs of fluid overload and electrolyte imbalances
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