MDC III Final Exam Study Guide: Multidimensional care
111 Final Exam: Questions & Answers: Updated A+
Score Solution
prerenal AKI causes - ANSWERdehydration, significant blood loss from trauma or
surgery, hypovolemia
intrarenal AKI causes - ANSWERhypertension
post renal AKI causes - ANSWERBPH, cancer (prostate, cervical, bladder), kidney
stones
AKI lab abnormalities - ANSWERcreatinine 1.5 times normal baseline or higher, urine
output <25-30 ml/Hr
elements of renal assessment - ANSWER-history assessment: previous kidney or
urinary problems, history of chronic health problems, chemical exposures, drug use,
recent travel, history of altered patterns of urinary elimination, diet, fluid
consumption, medication history, family history of kidney problems
-physical assessment: changes in appearance of urine, pattern of elimination, pain,
palpation of abdomen, auscultation, discharge
-psychosocial assessment
-diagnostic assessment: blood tests, urine tests, xrays, CT, MRI, ultrasound, renal
scal, angiography, -scopy,
BPH S/S - ANSWERdifficulty starting urine stream, decreased velocity of urine
stream, intermittent voiding, dribbling at the end, incomplete bladder
emptying/retention, increased risk/recurrence of infection, urinary
frequency/urgency/dysuria, nocturia/incontinence, bladder or urethra pain
BPH nursing care - ANSWERfocus on health promotion, focus on early detection and
risk reduction, focus on preoperative/postoperative care
bph education - ANSWERdecrease caffeine & alcohol, lose weight, avoid
decongestant & anticholinergic meds,
BPH 3 types of meds - ANSWERalpha blockers, phosphodiesterase-5 inhibitors, 5-
alpha reductase inhibitors
breast cancer risk factors - ANSWERbeing female, aging, estrogen, hx of cancer,
family hx of cancer, alcohol, giving birth after the age of 30 or never being pregant,
obesity, smoking, high socioeconomic status
breast cancer diagnostics/testing - ANSWERhistory, physical assessment and
examination, mammogram, ultrasound, MRI, biopsy, labs, pathology
, cervical cancer screening - ANSWERpap smear, coposcopy, biopsy
cervical cancer prevention - ANSWERHPV vaccination
chlamydia treatment - ANSWERdoxycycline or azithromycin
CKD treatment - ANSWERBP control, fluid restriction, medications, dialysis
ckd risk factors - ANSWERover 60, family hx., ethnicity, DM & HTN
CKD causes - ANSWERpyelonephritis, renal insufficiency, AKI, diabetes, HTN,
glomerulonephritis, PKD, obstruction, reflux,
cystitis education - ANSWERconsume 2 liters of fluid daily, adequate sleep, use an
alternative contraception to spermicides, wipe front to back,wear loose fitting
underwear, empty bladder before and after sex, cranberry substances can help
reduce risk of developing, topical estrogen
cystitis nursing care - ANSWERcomfort (warm sitz bath) and education,
administration of antibiotics, provide fluids,
ED risk factors - ANSWER•Age >50
•HTN
•CAD
•DM
•High cholesterol
•Smoking
•Obesity
•Drug or alcohol overuse / abuse
•Lack of exercise
Trauma / ortho injuries
ED causes - ANSWER•Impeded blood flow or nerve damage (inflammation / injury)
•Certain surgical procedures (prostatectomy)
•Certain cancer treatments
•Certain medications
•Stress or emotional state
•Smoking, drugs, alcohol
•Other chronic conditions: HTN, Parkinson's, MS, diabetes, or thyroid disorders
•Early sign for serious health issues: atherosclerosis, heart disease
ED treatment - ANSWERoral meds (phosphodiesterase type 5 inhibitors),
testosterone therapy, penile injections, intraurethral meds, vacuum erection
devices, penile implants, surgery
111 Final Exam: Questions & Answers: Updated A+
Score Solution
prerenal AKI causes - ANSWERdehydration, significant blood loss from trauma or
surgery, hypovolemia
intrarenal AKI causes - ANSWERhypertension
post renal AKI causes - ANSWERBPH, cancer (prostate, cervical, bladder), kidney
stones
AKI lab abnormalities - ANSWERcreatinine 1.5 times normal baseline or higher, urine
output <25-30 ml/Hr
elements of renal assessment - ANSWER-history assessment: previous kidney or
urinary problems, history of chronic health problems, chemical exposures, drug use,
recent travel, history of altered patterns of urinary elimination, diet, fluid
consumption, medication history, family history of kidney problems
-physical assessment: changes in appearance of urine, pattern of elimination, pain,
palpation of abdomen, auscultation, discharge
-psychosocial assessment
-diagnostic assessment: blood tests, urine tests, xrays, CT, MRI, ultrasound, renal
scal, angiography, -scopy,
BPH S/S - ANSWERdifficulty starting urine stream, decreased velocity of urine
stream, intermittent voiding, dribbling at the end, incomplete bladder
emptying/retention, increased risk/recurrence of infection, urinary
frequency/urgency/dysuria, nocturia/incontinence, bladder or urethra pain
BPH nursing care - ANSWERfocus on health promotion, focus on early detection and
risk reduction, focus on preoperative/postoperative care
bph education - ANSWERdecrease caffeine & alcohol, lose weight, avoid
decongestant & anticholinergic meds,
BPH 3 types of meds - ANSWERalpha blockers, phosphodiesterase-5 inhibitors, 5-
alpha reductase inhibitors
breast cancer risk factors - ANSWERbeing female, aging, estrogen, hx of cancer,
family hx of cancer, alcohol, giving birth after the age of 30 or never being pregant,
obesity, smoking, high socioeconomic status
breast cancer diagnostics/testing - ANSWERhistory, physical assessment and
examination, mammogram, ultrasound, MRI, biopsy, labs, pathology
, cervical cancer screening - ANSWERpap smear, coposcopy, biopsy
cervical cancer prevention - ANSWERHPV vaccination
chlamydia treatment - ANSWERdoxycycline or azithromycin
CKD treatment - ANSWERBP control, fluid restriction, medications, dialysis
ckd risk factors - ANSWERover 60, family hx., ethnicity, DM & HTN
CKD causes - ANSWERpyelonephritis, renal insufficiency, AKI, diabetes, HTN,
glomerulonephritis, PKD, obstruction, reflux,
cystitis education - ANSWERconsume 2 liters of fluid daily, adequate sleep, use an
alternative contraception to spermicides, wipe front to back,wear loose fitting
underwear, empty bladder before and after sex, cranberry substances can help
reduce risk of developing, topical estrogen
cystitis nursing care - ANSWERcomfort (warm sitz bath) and education,
administration of antibiotics, provide fluids,
ED risk factors - ANSWER•Age >50
•HTN
•CAD
•DM
•High cholesterol
•Smoking
•Obesity
•Drug or alcohol overuse / abuse
•Lack of exercise
Trauma / ortho injuries
ED causes - ANSWER•Impeded blood flow or nerve damage (inflammation / injury)
•Certain surgical procedures (prostatectomy)
•Certain cancer treatments
•Certain medications
•Stress or emotional state
•Smoking, drugs, alcohol
•Other chronic conditions: HTN, Parkinson's, MS, diabetes, or thyroid disorders
•Early sign for serious health issues: atherosclerosis, heart disease
ED treatment - ANSWERoral meds (phosphodiesterase type 5 inhibitors),
testosterone therapy, penile injections, intraurethral meds, vacuum erection
devices, penile implants, surgery
