NURS 4700 Exam 1 UPDATED ACTUAL Questions and
CORRECT Answers
What are the 5 rights of delegation? 1. Right task
2. Right circumstance
3. Right person
4. Right supervision
5. Right direction/communication
what can nurses delegate to LPNs - IM/Oral/IV meds
- No cardiac meds
- Wound care
- Foley/NG tubes/enteral feedings
- Suctioning and trach care
what can't nurses delegate - Assessments
- Pt. teaching
- Evaluation of care
what is an upper UTI this is a systemic infection (an infected kidney/vasc organ)
,S/S of upper UTI - Fatigue,
- Fever/chills
- Flank pain
- Malaise
- Vomiting/nausea
- Increased HR
- Can have urine symptoms too
S/S of lower UTI - Frequency
- Urgency
- Burning
- Pain over groin area (cramping)
- Low grade fever
how do UTI sx differ in older adults? -May experience non-localized abdominal discomfort
- May not present with dysuria, pain, or fever
- Acute confusion/delirium
what is cystitis? what are the S/S? Inflammation/infection of the bladder
-lower UTI sx
what is pyelonephritis? - Inflammation of the renal parenchyma/ collecting system
- An upper UTI that has ascended
- Caused from CAUTI/bacterial infection
S/S of pyelonephritis - Upper UTI s/s and lower UTI sx
- Costovertebral angle tenderness
nursing management for pyelonephritis - ABX
- IVF for at least 24 hrs
- NSAIDs
- Same teaching/health promotion for all UTIs
what is glomerulonephritis? Inflammation of the glomeruli→ glomeruli inflamed/damaged→ impaired
filtering ability of the kidneys
-affects both kidneys
, what are the causes of glomerulonephritis - Kidney infections
- Nephrotoxic drugs
- Problems with the immune system
- Systemic diseases (ex: lupus, HTN, hepatitis)
s/s of glomerulonephritis - HTN
- Hematuria
-Proteinuria
- Uremia
- Edema
nursing management/treatment for glomerulonephritis - Manage symptoms
- Antibiotic therapy, possibly steroids to decrease inflammation
- Making dietary changes: low protein/low sodium diet, fluid restriction
(because kidneys cannot filter properly)
- Intake and output
- Daily weights
Describe teaching you would provide a Pt for urinary - ABX/tylenol- take full course of ABX
infections
- Emptying bladder/bowel regularly & completely
- Wiping the perineal area from front to back after voiding and defecation
- Drinking adequate amounts of fluids each day
- Voiding after intercourse
- No bubble bath/lotions
What causes urinary calculi? Thought that stones form when certain crystal-forming substances (calcium,
oxalate) are not diluted by the kidneys and/or there is reduced ability of the
kidneys to keep the crystals from sticking together
S/S of urinary calculi: - Obstructed urinary flow
-Abdominal or flank pain
- Hematuria
- N/V
- Fever/chills
CORRECT Answers
What are the 5 rights of delegation? 1. Right task
2. Right circumstance
3. Right person
4. Right supervision
5. Right direction/communication
what can nurses delegate to LPNs - IM/Oral/IV meds
- No cardiac meds
- Wound care
- Foley/NG tubes/enteral feedings
- Suctioning and trach care
what can't nurses delegate - Assessments
- Pt. teaching
- Evaluation of care
what is an upper UTI this is a systemic infection (an infected kidney/vasc organ)
,S/S of upper UTI - Fatigue,
- Fever/chills
- Flank pain
- Malaise
- Vomiting/nausea
- Increased HR
- Can have urine symptoms too
S/S of lower UTI - Frequency
- Urgency
- Burning
- Pain over groin area (cramping)
- Low grade fever
how do UTI sx differ in older adults? -May experience non-localized abdominal discomfort
- May not present with dysuria, pain, or fever
- Acute confusion/delirium
what is cystitis? what are the S/S? Inflammation/infection of the bladder
-lower UTI sx
what is pyelonephritis? - Inflammation of the renal parenchyma/ collecting system
- An upper UTI that has ascended
- Caused from CAUTI/bacterial infection
S/S of pyelonephritis - Upper UTI s/s and lower UTI sx
- Costovertebral angle tenderness
nursing management for pyelonephritis - ABX
- IVF for at least 24 hrs
- NSAIDs
- Same teaching/health promotion for all UTIs
what is glomerulonephritis? Inflammation of the glomeruli→ glomeruli inflamed/damaged→ impaired
filtering ability of the kidneys
-affects both kidneys
, what are the causes of glomerulonephritis - Kidney infections
- Nephrotoxic drugs
- Problems with the immune system
- Systemic diseases (ex: lupus, HTN, hepatitis)
s/s of glomerulonephritis - HTN
- Hematuria
-Proteinuria
- Uremia
- Edema
nursing management/treatment for glomerulonephritis - Manage symptoms
- Antibiotic therapy, possibly steroids to decrease inflammation
- Making dietary changes: low protein/low sodium diet, fluid restriction
(because kidneys cannot filter properly)
- Intake and output
- Daily weights
Describe teaching you would provide a Pt for urinary - ABX/tylenol- take full course of ABX
infections
- Emptying bladder/bowel regularly & completely
- Wiping the perineal area from front to back after voiding and defecation
- Drinking adequate amounts of fluids each day
- Voiding after intercourse
- No bubble bath/lotions
What causes urinary calculi? Thought that stones form when certain crystal-forming substances (calcium,
oxalate) are not diluted by the kidneys and/or there is reduced ability of the
kidneys to keep the crystals from sticking together
S/S of urinary calculi: - Obstructed urinary flow
-Abdominal or flank pain
- Hematuria
- N/V
- Fever/chills
