Genitorurinary

Question 1

UTI

Answer 1

infection of the upper or lower urinary tract that can be viral, bacterial, or fungal

Question 2

Cystitis

Answer 2

lower UTI
-involving urethra to bladder

Question 3

pyelonephritis

Answer 3

upper UTI
-involving urethra to kidneys

Question 4

if a patient has a fever but no other symptoms, what are we going to think

Answer 4

UTI

Question 5

why are UTIs common in females

Answer 5

shorter urethra

Question 6

Treatment for UTI

Answer 6

antibiotic (Keflex)

Question 7

what is the most common culprit for UTI

Answer 7

e coli

Question 8

best collection method for UA or Urine culture on pediatric patient

Answer 8

straight catheter

Question 9

s/s of UTI

Answer 9

lower back pain
urinary frequency/urgency
pain with urination
fever
foul smelling urine
cloudy urine appearance

Question 10

what is the number one cause of a UTI

Answer 10

urinary stasis
-urine sitting in urethra for too long

Question 11

postinfectious glomerulonephritis:
-patho

Answer 11

antibody-antigen complex from recent strep infection

Question 12

postinfectious glomerulonephritis:
-common culprit

Answer 12

group A beta-hemolytic streptococcal infection

Question 13

postinfectious glomerulonephritis:

-strep attacks __________ and then the kidney can not function appropriately.

Answer 13

glomeruli

Question 14

postinfectious glomerulonephritis:
-urine

Answer 14

tea/coca cola colored

Question 15

postinfectious glomerulonephritis:
-edema

Answer 15

periorbital edema that does not go away

Question 16

postinfectious glomerulonephritis:
-GFR

Answer 16

decreased significantly
(<10)

Question 17

postinfectious glomerulonephritis:
-BUN and Cr

Answer 17

increases

Question 18

antistrptolysin O (ASO) titer

Answer 18

reflects antibodies from recent strep infection

Question 19

postinfectious glomerulonephritis:
-hematuria

Answer 19

microscopic

Question 20

postinfectious glomerulonephritis:
-treatment

Answer 20

-supportive care
-bed rest (helps with hematuria)

Question 21

postinfectious glomerulonephritis:
-nursing management

Answer 21

-daily weights
-accurate I&O
-daily abdominal girth

Question 22

postinfectious glomerulonephritis:
-medications

Answer 22

-lasix
-ABX

Question 23

postinfectious glomerulonephritis:
-nutrition

Answer 23

-sodium restriction
-low to mod. protein

Question 24

Nephrotic Syndrome

Answer 24

alteration in kidney function secondary to increased membrane permeability

Question 25

Nephrotic Syndrome: -does it refer to a clinical state or specific disease?

Answer 25

clinical state

Question 26

Nephrotic Syndrome: -protein in urine

Answer 26

LOTS/MASSIVE

Question 27

Nephrotic Syndrome: -protein in blood

Answer 27

decreased

Question 28

Nephrotic Syndrome: -albumin in blood

Answer 28

very low albumin in blood

Question 29

Nephrotic Syndrome: -lipids in blood

Answer 29

increased

Question 30

Nephrotic Syndrome: -urine

Answer 30

frothy/foamy

Question 31

Nephrotic Syndrome: -why is the urine like this?

Answer 31

massive proteins present

Question 32

Nephrotic Syndrome: S/S

Answer 32

altered immunity HTN Hematuria

Question 33

Nephrotic Syndrome: -edema

Answer 33

periorbital edema: resolves throughout day

Question 34

Nephrotic Syndrome: why is there alterations in protiens, albumin, and lipids in blood and urine

Answer 34

glomerular membrane is more permeable

Question 35

Nephrotic Syndrome: -which kind is the most common

Answer 35

minimal change nephrotic syndrome (MCNS) 85%

Question 36

Nephrotic Syndrome: treatment

Answer 36

-steroids: prednisone -lasix

Question 37

main patho difference between glomerulonephritis and nephrotic syndrome?

Answer 37

glomerulonephritis: infection nephrotic syndrome: immune response

Question 38

hypospadias

Answer 38

urethral meatus located on ventral surface -BOTTOM

Question 39

epispadias

Answer 39

-urethral opening located on dorsal surface -TOP

Question 40

TX for hypospadias and epispadias

Answer 40

surgical correction