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NR507 FINAL EXAM WITH ACTUAL QUESTIONS AND VERIFIED ANSWERS 2024/2025 UPDATE
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NR507 FINAL EXAM WITHACTUAL QUESTIONS AND
VERIFIED ANSWERS 2024/2025
UPDATE
Increase water consump/on
Which of the following can help to prevent a u/?
Pregnancy
Which of the following is a risk factor for the development of a u/?
True
Women are higher risk for the development of a u/ because of having a
shorter urethra.
Urgency
A symptom of a lower urinary tract infec/on includes:
Can be caused by a structural urinary tract disorder
Which of the following is true regarding a complicated u/?
Cys//s
Urinary burning and frequency x 3 days. No stds. No vaginal discharge. Recently
had sex with partner. Urinalysis shows leukocytes, rbcs, nitrites, and wbcs. No
casts. Based on this pa/ent is diagnosed with:
Pyelonephri/s
Involves upper tract
flank pain, abdominal tenderness, fever
Pyelonephri/s diagnosis
Urinalysis posi/ve urine culture with significant bacturia, presence of pyuria,
and wbc cast
,Nuclea/on
Crystals act as nuclea/on sites, where further crystal deposi/on can occur.
Staphylococcus saprophy/cus
A common organism that causes a u/ include:
The u/ responds well to a short course of an/bio/c therapy.
The np would know that the pa/ent most likely has an uncomplicated u/
because:
True
The urinalysis of a pa/ent with a complicated u/ will show wbcs and casts
Nitrites
Upon examina/on of a urinalysis, the np can highly suspect that the causa/ve
bacteria are gram nega/ve because of the presence of:
Calcium stone
Most common type of kidney stone
Ct scan
Gold standard for diagnosing kidney stone
Struvite stone
Type of stone that forms due to urinary tract infec/ons:
True
Renal stones are formed when calcium and oxalate in the urine combine.
Renal calculi (kidney stones)
Are found in the ureter or the bladder
Renal calculi pathophysiology
Supersatura/on: urine becomes over saturated with certain substances like
calcium.
Nuclea/on: crystals act as nuclea/on sites where further crystal deposi/on can
occur
, crystal reten/on: urinary stasis or inadequate flow allows crystals to remain in
urinary tract
stone growth & composi/on: over/me, crystals accumulate and grow into
stones.
Adequate hydra/on
a balanced diet
Recommenda/ons for kidney stone
The stone injures the urinary structures as it passes through them
Hematuria can be seen with kidney stones because:
Uric acid stone
The most common stone found in the pa/ent with gout:
True
Renal colic is caused by the passing of stone through the ureter
True
At least half of individuals with renal stones will have a reoccurrence within 10
years of the prior stone.
Renal calculi signs/symptoms
Flank or abdominal pain, costovertebral (cva) angle tenderness, hematuria
Treatment for renal stone
Conserva/ve <5 mm stone
medical management: thiazide diure/cs (calcium stone) or allopurinol (uric
acid stone)
overall goals:
pain management
promote passage of stone
reduce size of stone
prevent new stone forma/on
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