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Basic Renal ConditionsGeneral Quiz

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What is an Intravenous Pyelogram and what pre-test teaching is required?
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An IVP involves the injection of contrast dye into the venous system. It is picked up by the kidneys and allows visualization of tumors, obstructions, cysts, lesions or other masses. The patient is NPO for 8 hours, you must check for iodine/shellfish allergies, and they patient will need to drink lots of fluids afterwards to get the dye out.
Who should not have an IVP (Intravenous Pyelogram)?
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Anyone with existing renal problems or allergies to shellfish/iodine.
Where in the lobe is a renal biopsy obtained from?
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The lower lobe
What are the post-op instructions for a patient who has had a renal biopsy?
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The patient will have a pressure dressing and they need to lay on the affected side for at least 30-60 minutes. They will need to be on bed rest for 24 hours. The nurse will get vitals every 5-10 minutes for the first hour following the procedure. The patient should not lift anything heavy for 5-7 days.
What are the contraindications for a renal biopsy?
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Bleeding disorders, uncontrolled HTN, or if the patient only has one kidney
A patient has had a cystoscopy. You are assessing their urine for color and clarity and note that it is dark pink. What should you do?
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Document it. Light-dark pink urine is a normal finding. Frank blood should be reported.
What are some post-op interventions for a patient who has had a cystoscopy?
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They may have hypotension so fall precautions and teaching are necessary. Discomfort can be treated with warm sitz baths and mild analgesics.
Renal stones in the pelvis of the kidneys disrupt what processes?
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The collection and drainage of urine from the kidney
How can hyperparathyroidism impact the kidneys?
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It increases the risk of kidney stones. The patients should be advised to decrease dietary calcium untake and increase fluids.
A diminished ability to concentrate urine (low urine specific gravity) is associated with decreased functioning of what kidney structures?
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The loop of Henle and the tubules. Note: this is a normal finding in the elderly
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Which ethnicity is most likely to suffer from uric acid stones?
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Jewish men
Which gender is most likely to develop bladder cancer?
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Men
Which race is most likely to develop bladder cancer?
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Caucasians
Which race is more likely to develop urinary tract calculi?
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Caucasians
Why is urinary incontinence often underreported?
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Culturally it is seen as a hygiene problem, not a pathophysiological abnormality
What organism is the most common culprit of a UTI?
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E. coli
What group of medications are typically used to treat complicated UTIs?
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Fluoroquinolones
What medications are usually used to treat fungal UTIs?
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Fluconazole or Amphotericin B
How is urethritis typically treated if it is caused by Trichimonas?
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Flagyl or Mycelex
A male patient with urethritis has purulent penile discharge. You know that the most likely cause of this infection is what organism?
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Gonorrhea. Normally there's a discharge with urethritis, but it usually isn't purulent.
A patient is diagnosed with urethritis from a monilial infection. What two medications should you anticipate the physician writing orders for?
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Diflucan or Mycostatin
  
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