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NUR 170 EXAM 4 CONCEPTS OF MEDICAL -
SURGICAL NURSING COMPLETE GUIDE WITH
QUESTIONS AND VERIFIED ANSWERS GRADED
A+ | 2024 GALEN
CONCEPTS OF MEDICAL SURGICAL NURSING
NUR 170 EXAM 4
UTI s/s - ANSWER>>Urgency, frequency, fever, cloudy urine, possibly pelvic pain, hematuria, itching/burning, possible cramps or bladder spasms.
UTI interventions - ANSWER>>Hygiene - wipe from front to back Deodorant, soaps Loose fit clothes, cotton underwear Empty bladder before & after sex Don't delay urination Cranberry pills Hydration
COMPLETE ANTIBIOTICS
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2 Urinary incontinence medication management - ANSWER>>Tolterodine - decreases urinary frequency, urgency, or urge incontinence
urge incontinence - ANSWER>>involuntary leakage of urine with a sudden, strong desire to urinate - OVERACTIVE BLADDER
overflow incontinence - ANSWER>>involuntary loss of urine associated with overdistention and overflow of the bladder
Stress incontinence - ANSWER>>the inability to control the voiding of urine under physical stress such as running, sneezing, laughing, or coughing
BPH dutasteride teaching - ANSWER>>Take at same time everyday even if symptoms, improve or are unchanged Volume of ejaculate may be decreased doing therapy, but will not interfere with normal sexual function Sharing of this med may be dangerous Avoid donating blood for at least six months after last dose There is a potential increased risk for high-grade prostate cancer May pose a potential risk to a male fetus 2 / 4
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Kidney stone management - ANSWER>>< 6mm pain management and fluids (NSAIDs and opiates)
- Tamsulosin and nifedipine help with stone passage
- Strain urine everyday
Kidney Trauma s/s - ANSWER>>Hematuria. Abdominal or flank pain. Oliguria or anuria. Flank swelling, bruising, or tenderness. Turners sign. Monitor for signs of shock, hypertension, tachycardia, cool, pale skin, altered LOC.
Ureteral stent teaching - ANSWER>>Rest Avoid activities like biking, jogging, weight lifting, exercise Take antibiotics as prescribed
PKD (polycystic kidney disease) complications - ANSWER>>HTN, cysts bleeding, infection, failed kidneys
PKD (polycystic kidney disease) - ANSWER>>inherited disease in which sacs of fluid called cysts develop in the kidneys
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4 acute pyleonephritis s/s - ANSWER>>Patient looks sick Fever, n/v Flank pain CVA tenderness Nocturia Recent cystitis Cloudy/sediment/foul smelling urine
acute glomerulonephritis - ANSWER>>Excessive immunity response within the kidney tissues
s/s of acute glomerulonephritis - ANSWER>>Edema, fluid overload, pulmonary overload, shortness of breath, crackles in lung fields, neck vein distention, smoky/reddish brown urine
Risks for acute glomerulonephritis - ANSWER>>Recent strep infections Syphilis Chlamydia Varicella Mono
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