NSG 320 EXAM 3 2026 REAL
QUESTIONS WITH EXPERTLY
VERIFIED ANSWERS.
what lab value should we closely monitor after a client
receives a TURP?
sodium
- fluid irrigating bladder can cause fluid overload and fluid shift
nursing priorities for a TURP
1. maintain CBI & catheter patency
2. monitor urine color (light pink expected)
3. watch for clots or decreased output
4. assess pain/bladder spasms
5. monitor I&O
6. watch for TURP syndrome (confusion, HTN, bradycardia)
7. encourage fluids (2-3L/day)
nursing education for TURP
- retrograde ejaculation and ED
- 2-3 L/day
- proper catheter care
- kegel exercises
- no heavy lifting
- timed voiding (Q2-3H)
- yearly DRE and PSA
complicated UTI
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caused by something else
- BPH
- pregnancy
- foleys or catheters
- renal calculi
- disease
- abnormal GU tract
uncomplicated UTI
- just the infection
- no obstruction
clinical manifestations of UTI
- increased frequency and urgency
- dysuria
- change in urine appearance
- suprapubic and/or flank pain
- altered mental status (older adults)
- fever
how are UTIs treated
uncomplicated
- 3 days antibiotics
complicated
- 7-14 days antibiotics
- antifungals for fungal infections
nursing education for UTIs
- hydration
- heat to alleviate discomfort
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- proper hygiene
- regular voiding
chronic pylenophritis
caused by repeated infections and anatomical abnormalities
- scarring and fibrosis
- 1 or both kidneys affected
chronic kidney disease
slow, progressive loss of kidney function over time
- caused by diabetes and hypertension
- systemic disease
clinical manifestations of CKD
systemic!
- polyuria, oliguria
- waste buildup causing metabolic acidosis
- electrolyte imbalances (hypernatremia, hyperkalemia,
hyperphosphatemia)
- anemia (kidneys not excreting erythropoietin)
- altered platelet production
- lung infections
- infertility
what lab values should we closely monitor for clients with
CKD?
- sodium
- phosphate
- potassium
- GFR
how is CKD diagnosed?