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Med Surg Final BluePrint questions with correct answers
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Med Surg Final BluePrint questions with correct answers
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Med Surg Final BluePrint questions with correctanswers
What is the normal GFR range? Correct Answer.-90-120 mL/min
What is the most acurate measure of glomerular filtration? Correct
Answer.-Creatine Clearance
What is adequate urinary output? Correct Answer.-30 ml/hr
What is it called if urinary output is less than 30ml/hr? Correct Answer.-
Oliguria
What is it called if there is no urinary output? Correct Answer.-anuria
What is painful urination called? Correct Answer.-dysuria
A urinalysis and Urine Culture/Sensitivity is used to rule out Correct
Answer.-UTI
How is a urinalysis done? Correct Answer.-Clean catch, obtain midstream
how much urine should be strained to look for calculi? Correct Answer.-
greater than 15ml
,What should be measured with a urinalysis? Correct Answer.-pH and
Specific Gravity
What should the pH level be with a urinalysis? Correct Answer.-5-8
What should the specific gravity be with a urinalysis? Correct Answer.-
1.010-1.025
When should urine be obtained when a patient might be given ABX to
treat the urinalysis problem? Correct Answer.-prior to abx treatment
What is normal serum creatine level? Correct Answer.-0.6-1.2 mg/dl
How do you know if there is an infection from the urine
culture/sensitivity? Correct Answer.-greater than 100,000 WBC
What is the most sensitive indicator of renal function? Correct Answer.-
serum creatine
When is serum creatinine elevated? Correct Answer.-when there is renal
impairment
the serum creatine level will not increase until Correct Answer.-50% of
the renal function is lost
,what is serum creatine the end product of? Correct Answer.-Skeletal
Muscle Metabolism
What is the BUN level? Correct Answer.-7-18mg/dl
What does BUN assess? Correct Answer.-Real Function
After the cells use protein the remaining waste product is returned to the
blood as Correct Answer.-urea
What is urea an end product of? Correct Answer.-protein metabolism
Kidney dysfunction, dehydration, high protein diet, urinary tract
obstruction, tissue breakdown, increased protein catabolism (burns), HF,
fluid volume changes indicate? Correct Answer.-Elevated BUN
severe hepatic damage, malnutrition, and overhydration indicate? Correct
Answer.-Decreased BUN
What does a cystoscopic exam look at? Correct Answer.-urethra and
bladder
A cystoscopy is used to visualize and treat Correct Answer.-lesions of the
bladder, urethra, and prostate
, What is something else a cystoscopy can be used to remove? Correct
Answer.-Calculi/Kidney Stones
What are the risk that come with a cystoscopy? Correct Answer.-infection,
bleeding, pain
May be NPO, may receive sedative, an enema is given, teach deep
breathing exercises to relieve bladder spasms, monitor for postural
hypotension Correct Answer.-Pre-Procedure Cystoscopy
Increase fluids, monitor I/O, may have hematuria or tea colored urine
and voiding discomfort immediately after the procedure. Inform patient
to report bright red urine or clots. Assess for leg cramps, back pain, or
abdominal pain. Sitz bath may provide comfort. Correct Answer.-Post-
Procedure Cystoscopy
what is used to evaluate renal blood flow, differentiate renal cysts from
tumors and evaluate HTN Correct Answer.-Renal angiogram
phenochromocytoma Correct Answer.-rare tumor of the adrenal gland
tissue
what does a renal angiogram provide an image of? Correct Answer.-renal
arteries
NPO for 8 hours, laxative night before procedure, extra fluids, mark
pulses prior to procedure, have client void before procedure, warmth at
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