Urinary calculi

Question 1

Which stones:
-Can become very large, filling the renal pelvis?

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 1

B

Question 2

Which stones:
-Some have genetic link
-<Men, Gout

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 2

A

Question 3

Which stones are:
-Very rare, associated with a genetic defect

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 3

C

Question 4

Match where the stones would be found:

A. Urolithiasis
B. Nephrolithiasis

C. Kidney
D. Ureters

Answer 4

A-D
B-C

Question 5

Which 3 factors contribute to urolithiasis?

A. Supersaturation
B. ^ GFR
C. Nucleation
D. Lack of inhibitory substances
E. Antacid use

Answer 5

A
C
D

Question 6

Which pt’s are at risk for developing urinary calculi?
(select all)

A. Joe, ate dinner from a can
B. Harry, incontinent of bowel & bladder
C. Mike, drank 1, 8 oz water in 24hrs
D. Tom, sleeps 11 hours a day

Answer 6

A
C
D

Question 7

What are most kidney calculi composed of?

A. Uric acid
B. Calcium oxalate
C. Proteus
D. Protein

Answer 7

B

Question 8

Which stones are often called staghorn calculi?

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 8

B

Question 9

Which pt should the nurse treat with:
-Potassium citrate
-Allopurinol
- ^ Hydration

A. Pt with Cystine stones
B. Pt with Struvite stones
C. Pt with Uric acid stones
D. Pt with calcium stones

Answer 9

C

Question 10

Which pt should the nurse treat with:
-Mercaptopropionyl glycine
-Potassium citrate
-Penicillamine

A. Pt with Cystine stones
B. Pt with Struvite stones
C. Pt with Uric acid stones
D. Pt with calcium stones

Answer 10

A

Question 11

Which pt should the nurse treat with:
-Antibiotics
-Thiazide diuretics
-Potassium citrate

A. Pt with Cystine stones
B. Pt with Struvite stones
C. Pt with Uric acid stones
D. Pt with calcium stones

Answer 11

B

Question 12

What is the best prophylactic to all types of kidney stones?

A. Maintain healthy weight
B. Low protein diet
C. Adequate hydration
D. Low sodium diet

Answer 12

C

Question 13

Which stone specifically can be prevented by:
- limiting animal protein intake

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 13

A

Question 14

Which stone specifically can be prevented by:
- limiting sodium & animal protein intake
- ^ Calcium
-Avoiding foods ^ in oxalate

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 14

D

Question 15

Which stone specifically can be prevented by:
- Using Thiazide diuretics

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 15

D

Question 16

Which stone specifically can be prevented by:
-Allopurinol

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 16

A

Question 17

Which stone specifically can be prevented by:
- Antibiotics

A. Uric Acid Stones
B. Struvite Stones
C. Cystine Stones
D. Calcium stones

Answer 17

B

Question 18

What may prevent calculi formation?

A. Low purine diet
B. Citrus juice
C. Low fat diet
D. Drinking energy drinks

Answer 18

B

Question 19

Which type of stone does this pt have?
-Dull, aching flank pain
-Partially obstructed urinary flow

A. Renal calculi
B. Bladder calculi

Answer 19

A

Question 20

Which type of stone does this pt have?
-Dull, suprapubic pain while exercising and after voiding

A. Renal calculi
B. Bladder calculi

Answer 20

B

Question 21

Where would a pt have pain in Renal Colic? (select all)

A. Bilat. flank pain w/ percussion
B. Sudden, R Flank pain
C. Radiating around to the abdomen
D. Radiating to the suprapubic region and groin

Answer 21

B
D

Question 22

What manifestations would the nurse expect to see in her pt with renal colic? (select all)

A. Constipation
B. Vomiting & Nausea
C. Clammy, cool, pale
D. Flushed, diaphoretic

Answer 22

B
C

Question 23

What may be the only sign of bladder stones in some pt’s?

A. Fluid retention
B. Fever
C. Gross hematuria
D. Urgency

Answer 23

C

Question 24

Due to urinary tract obstruction, what results from an:
-Accumulation of urine in the renal pelvis from obstructed outflow

A. Hydronephrosis
B. AKI
C. Hydroureter

Answer 24

A

Question 25

What type of pain would a pt complain of if they have hydronephrosis? A. Dull, flank pain radiating to the groin B. Suprapubic pain C. Colicky pain on affected side into groin D. Pain upon percussion

Answer 25

C

Question 26

What assessment finding alerts the nurse the pt has an acute, significant hydronephrosis? A. Anuria B. Tea-colored urine C. Pain unable to be controlled D. Palpable mass on flank

Answer 26

D

Question 27

What is the first line treatment for pt's with urinary calculi? A. Lithotripsy B. NSAIDs C. Toradol D. Ketorolac

Answer 27

B

Question 28

What may be used for pt's with significant N&V? A. Lithotripsy B. NSAIDs C. Toradol D. Ketorolac

Answer 28

D

Question 29

Which treatment option is: - An incision made in the affected ureter to remove a calculus A. Lithotripsy B. Extracorporeal shock wave lithotripsy C. Pyelolithotomy D. Ureter lithotomy E. Nephrolithotomy

Answer 29

D

Question 30

Which treatment option is: - Using sound or shock waves to crush a stone, is the preferred treatment for urinary calculi A. Lithotripsy B. Extracorporeal shock wave lithotripsy C. Pyelolithotomy D. Ureter lithotomy E. Nephrolithotomy

Answer 30

A

Question 31

Which treatment option is: - An incision into the kidney pelvis and removal of a stone A. Lithotripsy B. Extracorporeal shock wave lithotripsy C. Pyelolithotomy D. Ureter lithotomy E. Nephrolithotomy

Answer 31

C

Question 32

Which treatment option is: - A noninvasive technique for fragmenting kidney stones by using shock waves generated outside the body. A. Lithotripsy B. Extracorporeal shock wave lithotripsy C. Pyelolithotomy D. Ureter lithotomy E. Nephrolithotomy

Answer 32

B

Question 33

Which treatment option is used for: Staghorn calculus that invades the calyces and renal parenchyma A. Lithotripsy B. Extracorporeal shock wave lithotripsy C. Pyelolithotomy D. Ureter lithotomy E. Nephrolithotomy

Answer 33

E

Question 34

What nursing intervention is appropriate for pt's with renal colic? (select all) A. Lay on the unaffected side B. Strain all urine C. Ambulate as much as possible D. Constant fluids

Answer 34

B C

Question 35

What may be an early sign of renal failure if one kidney begins to fail due to obstruction, but the other one still produces adequate urine? A. Decreased GFR B. Severe flank pain C. ^ BUN & Creatinine D. Fever

Answer 35

C