NUR 220 EXAM 7 QUESTIONS AND ANSWERS
UTI S/S - CORRECT ANSWER✅✅Dysuria, Frequency, Urgency, Cloudy Urine
Elderly UTI S/S - CORRECT ANSWER✅✅Confusion, Agitation, Falls
UTI Urinalysis - CORRECT ANSWER✅✅Positive Leukocytes, Nitrates, Bacteria
UTI Treatment - CORRECT ANSWER✅✅Bactrim (first line), Cipro, Nitrofurantoin, Phenazopyridine
Urine Color w/ Phenazopyridine - CORRECT ANSWER✅✅Orange
UTI Nursing Priorities - CORRECT ANSWER✅✅Increase Fluids (3 L/day), Avoid Irritants (coffee, citrus,
alcohol), Encourage Frequent Voiding
Urinary Retention - CORRECT ANSWER✅✅Residual >100 mL = Abnormal -> Catheter
Causes of Urinary Retention - CORRECT ANSWER✅✅BPH, Neuro Issues, Obstruction
Urinary Retention Priority - CORRECT ANSWER✅✅Bladder Scan FIRST
Stress Incontinence - CORRECT ANSWER✅✅Sneeze/Laugh
Urge Incontinence - CORRECT ANSWER✅✅Can't Hold It
Overflow Incontinence - CORRECT ANSWER✅✅Retention Problem
S/S Renal Calculi (stones) - CORRECT ANSWER✅✅Severe Flank Pain, Hematuria, N/V
, Renal Calculi Treatment - CORRECT ANSWER✅✅Increase Fluids (priority), Strain Urine, NSAIDs
(Toradol)
If Renal Calculi (stones) Aren't Passing - CORRECT ANSWER✅✅ESLW (shockwave lithotripsy - expect
bruising and hematuria after)
Urinary Diversions - CORRECT ANSWER✅✅Ileal Conduit, Continent Diversion, Nephrostomy
Ileal Conduit - CORRECT ANSWER✅✅Urine Drains into Urostomy; Empty When 1/3-1/2 Full; Skin Care
Priority
Continent Diversion - CORRECT ANSWER✅✅Must Self-Catheterize
Nephrostomy - CORRECT ANSWER✅✅Tube from Kidney -> External Bag
Catheters - CORRECT ANSWER✅✅#1 Cause of Hospital UTIs (CAUTI); Use Only When Necessary
Catheter Techniques - CORRECT ANSWER✅✅Clean at Home; Sterile at Hospital
Prerenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Low Blood Flow
Intrarenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Kidney Damage
Postrenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Obstruction
S/S of Acute Kidney Injury - CORRECT ANSWER✅✅Decreased Urine Output (oliguria/anuria), Increased
Creatinine (50% increase = injury), Hyperkalemia (leads to arrhythmias)
Acute Kidney Injury Treatment - CORRECT ANSWER✅✅Fix Cause; Fluids or Diuretics, Kayexalate or
Lokelma (decreases K), Diet (low potassium, low sodium, LOW protein)
UTI S/S - CORRECT ANSWER✅✅Dysuria, Frequency, Urgency, Cloudy Urine
Elderly UTI S/S - CORRECT ANSWER✅✅Confusion, Agitation, Falls
UTI Urinalysis - CORRECT ANSWER✅✅Positive Leukocytes, Nitrates, Bacteria
UTI Treatment - CORRECT ANSWER✅✅Bactrim (first line), Cipro, Nitrofurantoin, Phenazopyridine
Urine Color w/ Phenazopyridine - CORRECT ANSWER✅✅Orange
UTI Nursing Priorities - CORRECT ANSWER✅✅Increase Fluids (3 L/day), Avoid Irritants (coffee, citrus,
alcohol), Encourage Frequent Voiding
Urinary Retention - CORRECT ANSWER✅✅Residual >100 mL = Abnormal -> Catheter
Causes of Urinary Retention - CORRECT ANSWER✅✅BPH, Neuro Issues, Obstruction
Urinary Retention Priority - CORRECT ANSWER✅✅Bladder Scan FIRST
Stress Incontinence - CORRECT ANSWER✅✅Sneeze/Laugh
Urge Incontinence - CORRECT ANSWER✅✅Can't Hold It
Overflow Incontinence - CORRECT ANSWER✅✅Retention Problem
S/S Renal Calculi (stones) - CORRECT ANSWER✅✅Severe Flank Pain, Hematuria, N/V
, Renal Calculi Treatment - CORRECT ANSWER✅✅Increase Fluids (priority), Strain Urine, NSAIDs
(Toradol)
If Renal Calculi (stones) Aren't Passing - CORRECT ANSWER✅✅ESLW (shockwave lithotripsy - expect
bruising and hematuria after)
Urinary Diversions - CORRECT ANSWER✅✅Ileal Conduit, Continent Diversion, Nephrostomy
Ileal Conduit - CORRECT ANSWER✅✅Urine Drains into Urostomy; Empty When 1/3-1/2 Full; Skin Care
Priority
Continent Diversion - CORRECT ANSWER✅✅Must Self-Catheterize
Nephrostomy - CORRECT ANSWER✅✅Tube from Kidney -> External Bag
Catheters - CORRECT ANSWER✅✅#1 Cause of Hospital UTIs (CAUTI); Use Only When Necessary
Catheter Techniques - CORRECT ANSWER✅✅Clean at Home; Sterile at Hospital
Prerenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Low Blood Flow
Intrarenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Kidney Damage
Postrenal Cause of Acute Kidney Injury - CORRECT ANSWER✅✅Obstruction
S/S of Acute Kidney Injury - CORRECT ANSWER✅✅Decreased Urine Output (oliguria/anuria), Increased
Creatinine (50% increase = injury), Hyperkalemia (leads to arrhythmias)
Acute Kidney Injury Treatment - CORRECT ANSWER✅✅Fix Cause; Fluids or Diuretics, Kayexalate or
Lokelma (decreases K), Diet (low potassium, low sodium, LOW protein)
