NURS 6202 Exam 1 Questions with 100% Verified Correct Answers
- rights of delegation - Correct Answer right task
right circumstance right person right direction/communication right supervision/evaluation TAPE (delegation) - Correct Answer -Teaching, assessment, planning, evaluating -must be done by an RN CNA delegation - Correct Answer ambulating, turning, bathing, I&O, oral care, toileting, basic ostomy care, linen change, feeding, VS if stable, weights LPN delegation - Correct Answer -Gathers Data -Performs routine procedures: ostomy, catheter, insertion, wound care, blood glucose, EKG -Oral and IM meds -Stable patients only Urinary tract infection - Correct Answer -second most common bacterial disease -E.coli most common pathogen
-Dx: urinalysis
UTI risk factors - Correct Answer Pregnancy, menopause, habitual delay of urination, instrumentation, sexual intercourse UTI symptoms - Correct Answer -Dysuria, frequency, urgency, suprapubic discomfort or pressure -elderly have more vague symptoms- confusion, falls UTI treatment - Correct Answer trimethoprim-sulfonamide (TMP-SMX) or nitrofurantoin (Macrodantin) *Antibiotics 1 / 2
UTI health promotion - Correct Answer Teaching preventive measures- urinating frequently, water, wiping from front to back, urinating after intercourse Cystitis - Correct Answer inflammation of the bladder
-Sx: urgency, frequency, pain in the bladder/pelvis
- Stress management techniques, tricyclic antidepressants and OTCs help with burning pain and
urinary frequency; avoid clothing that creates suprapubic pressure Urethritis - Correct Answer -inflammation of the urethra -most commonly from an STI
-Sx: discharge, dysuria, urgency, and frequency
-tx: underlying cause and symptomatic relief
Pyelonephritis - Correct Answer -inflammation of renal parenchyma and collecting system
- most common cause is bacterial infection that begins in the lower urinary tract
-Sx: mild fatigue to sudden onset of chills, fever, vomiting, malaise, flank pain, and the lower UTI characteristics
-Tx: antibiotics and hydration
- teaching: medication, follow up urine culture
glomerulonephritis - Correct Answer -inflammation of the glomeruli -results from antibody-induced injury
-sx: hematuria, and urine excretion of RBC, WBC, proteins
- will need extensive lab work
-tx: supportive and symptomatic
Acute poststreptococcal glomerulonephritis - Correct Answer -develops 5 to 21 days after infection -manifestations: generalized body edema, hypertension, oliguria, hematuria with rusty appearance, proteinuria Urinary calculi - Correct Answer - Various types: calcium phosphate, calcium oxalate, uric acid, cysteine, struvite
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