NUR 2502 / NUR2502 Exam 1 Study Guide: Multidimensional Care III / MDC 3 Exam 1 Study Guide / Rasmussen College ( 74 Q&A )

MDC3 EXAM 1 1. Acute Kidney Injury: Categories: - PreRenal: before the kidney IntraRenal: Kidneys PostRenal: After the kidneys 2. Acute Kidney Injury: Causes - Sudden loss of kidney function due to decreased blood flow or damage to the kidneys due to disease processes or blockage of the urinary tract 3. Acute Kidney Injury: abnormalities - Elevated BUN/creatinine, oliguria 4. Elements of renal assessments - HISTORY -(Change in urine frequency, trauma, surgery, transfusion, allergic reaction, use of NSAIDs) S/S - (fluid overload, oliguria, hypoperfusion, hypoxemia) LABS -(creatinine, sodium ,potassium, phosphorus, calcium, magnesium, blood ph, blood bicarbonate, blood co2, H/H, blood osmolarity/osmolality) IMAGING (ultrasonography, CT scan, Xray, MAG3) BIOPSY 5. Elements of reproductive assessments - HISTORY (reproductive/sexual) CURRENT HEALTH PROBLEMS FEMALE: pelvic and breast exam, menstrual irregularities, unexplained abdominal or vaginal pain, vaginal discharge, itching, sores or infection, rape trauma or pelvic injury, physical changes in the vagina, cervix, and uterus MALE: may not get examined unless they have a specific problem LABS: FSH, LH, Prolactin, Estradiol, Estriol, Progesterone, Testosterone Prostate specific antigen (PSA), Total estrogens, Pregnanediol, Ketosteroids 6. Benign Prostatic Hypertension: S&S: - Difficulty starting urine stream, decreased velocity of urine stream, intermittent voiding, dribbling at the end, incomplete bladder emptying/retention, increased risk/recurrence of infection, urinary frequency/urgency/dysuria, nocturia/incontinence, and bladder urethra pain. 7. BPH nursing care and education - -Monitor output -Preform bladder irrigation to maintain patency of the catheter -monitor pain -Pharmacological and non pharm interventions -Monitor for bleeding -Watch for bladder spasms -Monitor for skin break down -Educate on S/S of infection -keep area clean and dry -Watch catheter for obstruction 8. BPH surgical post care - -Monitor urinary output to assure maintenance of fluid balance. -Perform continuous bladder irrigation to maintain patency of the catheter. -Educate the patient regarding the feeling of urgency related to urinary catheter placement is a normal feeling. -Monitor pain and provide both non-pharmacological and pharmacologic interventions as prescribed. -Monitor for bleeding. -Monitor patient for bladder spasms. -Monitor the urinary catheter for possible obstruction, follow appropriate orders if an obstruction is suspected. -Educate the patient regarding the signs and symptoms of infection. -Monitor for skin breakdown. -Keep the area clean and dry. 9. BPH meds - Alpha blockers (tamsulosin), phosphodiesterase-5 inhibitors (Sildenafil), 5-alpha reductase inhibitors (finasteride) 10. Breast cancer: Screening/diagnostic - -Breast biopsy -Liver enzymes -Calcium level -Alkaline phosphatase levels -Self breast examination, -Mammography -Digital breast tomosynthesis -Breast U/S

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Category Exam (elaborations)
Release date 2021-09-13
Pages 18
Language English
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