1. 24-hour urine specimen collection - used to test
creatinine clearance
- use a large
container
- teach patient to
dump first void
- refrigerate the
urine and collect
every urine for 24
hours
- if they miss one
they will have to
start over
Adult Health 2 Exam 3
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1. 24-hour urine specimen collection - used to test 7. BPH treatment? - Insert a
creatinine clearance straight cath
- use a large right away to
container relieve pressure
- teach patient to and urine from
dump first void bladder
- refrigerate the - Flomax
urine and collect - TURP to
every urine for 24 relieve the
hours obstruction
- if they miss one
8. Causes of postrenal AKI? - Caused by
they will have to
something that
start over
occurs below
2. A 32 year old female client with a A. Related to bone the urinary tract
history of chronic demineralization - BPH
hyperparathyroidism admits to being
9. Causes of prerenal acute kidney injury? Can be caused
noncompliant with treatment. Based Poorly controlled
by dehydration
on assessment findings, the nurse hyperparathyroidism
or severe fluid
formulates the nursing diagnosis of may cause an
loss (such as
risk for injury. To complete the nursing elevated serum
vomiting)
diagnosis statement for this client, calcium level which
which "related-to" phrase should the in turn may diminish 10. Complications of hyperparathyroidism - High risk for
nurse add? stores in the bone and prevention? fractures due to
A. Related to bone demineralization leading to risk for bone
resulting in pathologic fractures fractures. demineralization
B. Related to exhaustion secondary to - Promote
an accelerated metabolic rate safety, avoid
C. Related to edema and dry skin injuries
secondary to fluid infiltration into the 11. Complications with ESRD? High risk for
interstitial spaces fractures
D. Related to tetany secondary to a because the
decreased serum calcium level kidneys can no
3. Adverse effects of long-term Aseptic necrosis longer activate
corticosteroid use? which is death of vitamin D
bone tissue due to 12. A confused and disoriented female client C. Myxedema
poor blood supply with a history of hypothyroidism is coma
4. Annual testing needed for men 50 Prostate specific brought to the ER by EMS. Assessment
years and older? antigen testing and laboratory findings reveal Severe
hypothermia, hypoventilation, respiratory hypothyroidism
5. AV fistula - what is it? how to we - Surgical
acidosis, bradycardia, hypotension, and may result in
assess? connection between
nonpitting edema of the face and myxedema
an artery and a vein
pretibial area. Knowing that these coma.
- Palpate for a thrill
findings suggest severe hypothyroidism,
and auscultate for a
the nurse prepares to take immediate
bruit (indicates
action to prevent the potential
adequate blood
complication of:
flow through the
A. Thyroid storm.
fistula)
B. Cretinism.
6. Azotemia increased BUN and C. myxedema coma.
creatinine D. Hashimoto's thyroiditis.
13. CVA tenderness tested for? Testing for
kidney
inflammation
, 14. Cystocele bladder prolapse 22. Labs associated - Increased potassium, creatinine,
with ESRD? sodium, and BUN
15. Dietary teaching for - Low calorie diet to
- Decreased GFR
hypothyroidism? decrease weight
- High fiber foods to 23. Labs associated - Hyponatremia (less than 135)
prevent constipation with SIADH? - Increased urine specific gravity (greater
than 1.025)
16. During preop teaching for a D. "You must avoid
- Decreased serum osmolality (less than
client who is having a subtotal hyperextending your
275)
thyroidectomy, the nurse should neck after surgery."
include which statement? 24. Labs to Kidney function - creatinine
A. "The head of your bed must monitor/evaluate Improvement in kidney function -
remain flat for 24 hours after kidney function glomerular filtration rate (GFR)
surgery." and improvement
B. "You should avoid deep
25. Lab values with - Decreased cortisol, aldosterone, and
breathing and coughing after
Addion's disease? ACTH
surgery."
- Increased potassium
C. "You won't be able to swallow
- Decreased chloride, sodium, and blood
for the first day or two."
glucose
D. "You must avoid
- Anemia
hyperextending your neck after
- Increased BUN
surgery."
26. Medical Hormone replacement - desmopressin or
17. Dysuria difficulty or painful
treatment for DI? vasopressin (ADH replacement drugs) to
urination
decrease urine volume and increase
18. Examples of goitrogens? (will be - Soybean related foods urine concentration
select all that apply) - Broccoli - also called DDAVP
- Brussel sprouts
27. Nephrotoxic - Aminoglycosides (gentamycin)
- Cauliflower
medications - Can cause intrarenal kidney injury
- Kale
- Need to monitor kidney function with
- Rutabega
creatinine when patient is prescribed this
- Peaches
med
- Peanuts
- Spinach 28. Normal blood 70-110
- Strawberries glucose?
19. For the first 72 hours after A. Hypocalcemia 29. Normal BUN 7-20
thyroidectomy surgery, the nurse levels?
should assess the client for The client who has 30. Normal calcium 8.5-10.5
Chvostek's sign and Trousseau's undergone a levels?
sign which would indicate which thyroidectomy is at risk
31. Normal chloride 95-105
electrolyte imbalance? for hypocalcemia from
levels?
A. Hypocalcemia inadvertent removal or
B. Hypercalcemia damage to the 32. Normal 0.6-1.2
C. Hypokalemia parathyroid gland creatinine
D. Hyperkalemia levels?
20. In a client who is being treated A. Serum glucose level 33. Normal GFR? 125 mL/minute
for Cushing's syndrome, you 34. Normal 2.5-4.5
would expect to see an increase Hyperglycemia can phosphate
in which of the following findings: develop from cortisol levels?
A. Serum glucose level. excess of Cushing's
B. Hair loss. syndrome
C. Bone mineralization.
D. Menstrual flow.
21. Lab results for - Low calcium
hypoparathyroidism? - High phosphate
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