NURSADN2 Test #2: Study Guide Practice (GI, GU,
Anemia, Endocrine/Thyroid And Diabetes) – Qs & As
What is pyelonephritis? Right Ans - Bacterial infection of the renal pelvis,
tubules, and interstitial tissue of one or both kidneys
What *causes* pyelonephritis? Right Ans - Usually due to ascending
urinary tract infection; Most common bacteria is E coli
Managing a diagnosis of pyelonephritis usually involves __________________
admission, IV antibiotics and routine record of a patient's Input and Output.
Right Ans - hospital
Why is increased fluid intake recommended for those with UTI's? Right
Ans - To dilute the effect of harmful bacteria and increase elimination
Why are UTIs more common in women? Right Ans - Shorter urethra
What is nephrolithiasis? Right Ans - Kidney stones (renal calculi)
How can one prevent kidney stones? Right Ans - Ensure adequate fluid
intake, avoid calcium supplements, and limit salt & animal protein.
*True or False?:*
A patient diagnosed with nephrolithiasis should consume a diet with
meat/poultry, dairy, salty foods, seafood, foods high in uric acid, oxalates
(nuts, leafy greens, legumes, etc.) Right Ans - False
What is urolithiasis? Right Ans - Presence of calculi (stones) in the urinary
tract
Which of the following does *not* cause nephrolithiasis?
- Inadequate hydration
- Overhydration
- Excess sodium or vitamin C intake
- Dietary excess of oxalates, sucrose/fructose, and animal protein
- Low calcium intake
, - Purines
- Increased citric acid intake (oranges and lemons) Right Ans - -
Overhydration
- Increased citric acid intake (oranges and lemons)
Which of the following urine samples may be indicative of a UTI?
A. Clear, yellow urine
B. Cloudy, discolored urine
C. Foamy, light-yellow urine
D. Clear dark, yellow urine Right Ans - B. Cloudy, discolored urine
- Pain in the abdomen or lower back, which is intermittent and severe
radiating to groin, and testis in males
- Pain worsens during movement
- Blood and pus in urine
- Difficulty in urination, feeling of urgency, frequent, painful, burning urination
- Nausea
- Urinary retention
*This patient is symptomatic of:*
A. Kidney stones
B. UTI
C. Upper UTI
D. Dehydration Right Ans - A. Kidney stones
Along with diet alteration and increased fluid intake, kidney stones can be
managed with which of the following?
A. Ketorolac NSAID
B. Exercise
C. Avoid all calcium sources
D. Antibiotics
E. A, B, D
F. A and C
G. All of the above Right Ans - E. A, B, D
What are the different kinds of kidney stones? Right Ans - Calcium stones
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