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Question Answer
Which OTC drug, commonly used to treat symptoms of a UTI, causes reddish-brown urine and can stain clothing?
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Pyridium
Which OTC drug, commonly used to treat symptoms of a UTI, can cause hemolytic anemia if used for prolonged periods?
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Pyridium
Which OTC drug, commonly used to treat symptoms of a UTI, causes blue or green urine ?
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Urised
This renal condition is characterized by inflammation of the renal parenchyma and renal collecting system. S/S include fatigue, fever, vomiting, malaise, flank pain, dysuria, urgency and costovertebral tenderness.
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Acute Pyelonephritis
You are reading the lab results of a patient with acute pyelonephritis. You notice the urinalysis has detected WBC casts. You know based on this that the renal ________ is involved in this infection.
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Renal parenchyma (as opposed to just the collecting system)
What findings would you expect to see on a CBC for a patient with acute pyelonephritis?
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Leukocytosis and a shift to the left (immature neutrophils)
This renal condition develops after frequent infections. It is characterized by small, atrophic kidneys that are scarred/have fibrosis.
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Chronic pyelonephritis
This renal system condition is commonly caused by Trichimonas, monilial, chlamydial or gonorrhea infections in men. It is considered an STD if men contract it.
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Urethritis
This is the term used to describe WBCs in the urine:
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Pyuria
This is the term used to describe gas in urine that is caused by a fistula or gas-forming organism...
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Pneumaturia
What color will Macrodantin turn a patient's pee?
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Brown, yellow or rusty color
What color does Rifampin (used to treat TB) cause a patient's urine, sweat, and saliva to change to?
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Reddish orange
What is the normal urine specific gravity?
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1.003-1.030
What a low urine specific gravity possibly indicate?
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Fluid volume overload. A low number means a low number of particulate, dilution.
What does a high urine specific gravity possibly indicate?
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High numbers mean high numbers of particles, it can mean the patient is dehydrated
What is a normal creatinine clearance value?
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85-135 ml/min, note: after the age of 40, the normal creatinine clearance is reduced by 1 ml/min/year.
Which blood chemistry value is most indicative of renal damage, a BUN or creatinine?
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Creatinine
What is the normal range for serum creatinine?
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0.5-1.5
Which is a more accurate measurement of renal damage, a creatinine clearance test or serum creatinine?
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Creatinine Clearance test
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
Which ethnicity is most likely to suffer from uric acid stones?
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Jewish men


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