Med Surg 2 WKU Nursing Exam 1
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QUESTIONS WITH ANSWERS |\ |\
How do the kidneys contribute to homeostasis? - CORRECT
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ANSWERS ✔✔Contribute to fluid and electrolyte balance and
|\ |\ |\ |\ |\ |\ |\ |\
acid-base balance |\
What is a bacterial infection in the kidney and renal pelvis? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Pyelonephritis |\ |\
What are the two types of pyelonephritis? - CORRECT ANSWERS
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✔✔Acute and chronic |\ |\
What does pyelonephritis interfere with? - CORRECT ANSWERS
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✔✔Urinary elimination |\
What is an active bacterial infection? - CORRECT ANSWERS
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✔✔Acute pyelonephritis |\
What results from repeated or continued upper urinary tract
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection that occur exclusively in patients who have anatomic
|\ |\ |\ |\ |\ |\ |\ |\ |\
abnormalities of the urinary tract? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Chronic pyelonephritis |\
In what direction do infections move in pyelonephritis move? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔They tend to move up from the urinary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,tract into the kidney tissue. More likely to occur when urine from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the bladder refluxes into the ureters and then to the kidneys.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is the reverse or upward flow of urine toward the renal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pelvis and kidney? - CORRECT ANSWERS ✔✔Reflux
|\ |\ |\ |\ |\ |\
Pyelonephritis caused by infection in the blood is rare unless that |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is what? - CORRECT ANSWERS ✔✔Immunocompromised
|\ |\ |\ |\ |\ |\ |\
Acute pyelonephritis caused by impaired immunity leads to what
|\ |\ |\ |\ |\ |\ |\ |\ |\
responses? - CORRECT ANSWERS ✔✔Tissue inflammation |\ |\ |\ |\ |\
Local edema|\ |\
Tubular cell necrosis |\ |\ |\
Possible abscess formation |\ |\
What are abscesses? - CORRECT ANSWERS ✔✔Pockets of
|\ |\ |\ |\ |\ |\ |\ |\
infection
What results from chronic inflammation of the kidney? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Fibrosis and scar tissue form, causing filtration,
|\ |\ |\ |\ |\ |\ |\ |\ |\
reabsorption, and secretion to become impaired and reduce |\ |\ |\ |\ |\ |\ |\ |\
kidney function |\
Acute pyelonephritis usually results from? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Bacterial infection, with or without obstruction or reflux |\ |\ |\ |\ |\ |\ |\
, Chronic pyelonephritis usually occurs with? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Structural deformities, urinary stasis, obstruction, or reflux
|\ |\ |\ |\ |\ |\ |\
What can urinary stasis be caused by? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Prolonged bed rest and paralysis |\ |\ |\ |\
What can obstruction be caused by? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Stones, kidney cancer, scarring from pelvic radiation or
|\ |\ |\ |\ |\ |\ |\ |\
surgery, recurrent infection, or injury
|\ |\ |\ |\
What can cause reflux? - CORRECT ANSWERS ✔✔Scarring or
|\ |\ |\ |\ |\ |\ |\ |\ |\
result of anatomic anomalies
|\ |\ |\ |\
Bladder tumors, prostate enlargement, or urinary stones
|\ |\ |\ |\ |\ |\
Also reduced bladder tone
|\ |\ |\
Acute pyelonephritis is most common in what population? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Women 20-30 years of age
|\ |\ |\ |\ |\ |\
When taking the history of a patient with pyelonephritis what do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you want to ask about? - CORRECT ANSWERS ✔✔History of UTI,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
DM, stone disease, and known disease of the genitourinary tract,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
any disease that results in impaired immunity, and kidney
|\ |\ |\ |\ |\ |\ |\ |\ |\
function
What s/s are you looking for in a patient with acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pyelonephritis? - CORRECT ANSWERS ✔✔Fever |\ |\ |\ |\
Chills |\
|\ |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
How do the kidneys contribute to homeostasis? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Contribute to fluid and electrolyte balance and
|\ |\ |\ |\ |\ |\ |\ |\
acid-base balance |\
What is a bacterial infection in the kidney and renal pelvis? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Pyelonephritis |\ |\
What are the two types of pyelonephritis? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Acute and chronic |\ |\
What does pyelonephritis interfere with? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Urinary elimination |\
What is an active bacterial infection? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Acute pyelonephritis |\
What results from repeated or continued upper urinary tract
|\ |\ |\ |\ |\ |\ |\ |\ |\
infection that occur exclusively in patients who have anatomic
|\ |\ |\ |\ |\ |\ |\ |\ |\
abnormalities of the urinary tract? - CORRECT ANSWERS |\ |\ |\ |\ |\ |\ |\ |\
✔✔Chronic pyelonephritis |\
In what direction do infections move in pyelonephritis move? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔They tend to move up from the urinary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
,tract into the kidney tissue. More likely to occur when urine from
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
the bladder refluxes into the ureters and then to the kidneys.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
What is the reverse or upward flow of urine toward the renal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pelvis and kidney? - CORRECT ANSWERS ✔✔Reflux
|\ |\ |\ |\ |\ |\
Pyelonephritis caused by infection in the blood is rare unless that |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
patient is what? - CORRECT ANSWERS ✔✔Immunocompromised
|\ |\ |\ |\ |\ |\ |\
Acute pyelonephritis caused by impaired immunity leads to what
|\ |\ |\ |\ |\ |\ |\ |\ |\
responses? - CORRECT ANSWERS ✔✔Tissue inflammation |\ |\ |\ |\ |\
Local edema|\ |\
Tubular cell necrosis |\ |\ |\
Possible abscess formation |\ |\
What are abscesses? - CORRECT ANSWERS ✔✔Pockets of
|\ |\ |\ |\ |\ |\ |\ |\
infection
What results from chronic inflammation of the kidney? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔Fibrosis and scar tissue form, causing filtration,
|\ |\ |\ |\ |\ |\ |\ |\ |\
reabsorption, and secretion to become impaired and reduce |\ |\ |\ |\ |\ |\ |\ |\
kidney function |\
Acute pyelonephritis usually results from? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Bacterial infection, with or without obstruction or reflux |\ |\ |\ |\ |\ |\ |\
, Chronic pyelonephritis usually occurs with? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Structural deformities, urinary stasis, obstruction, or reflux
|\ |\ |\ |\ |\ |\ |\
What can urinary stasis be caused by? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Prolonged bed rest and paralysis |\ |\ |\ |\
What can obstruction be caused by? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Stones, kidney cancer, scarring from pelvic radiation or
|\ |\ |\ |\ |\ |\ |\ |\
surgery, recurrent infection, or injury
|\ |\ |\ |\
What can cause reflux? - CORRECT ANSWERS ✔✔Scarring or
|\ |\ |\ |\ |\ |\ |\ |\ |\
result of anatomic anomalies
|\ |\ |\ |\
Bladder tumors, prostate enlargement, or urinary stones
|\ |\ |\ |\ |\ |\
Also reduced bladder tone
|\ |\ |\
Acute pyelonephritis is most common in what population? -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Women 20-30 years of age
|\ |\ |\ |\ |\ |\
When taking the history of a patient with pyelonephritis what do
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
you want to ask about? - CORRECT ANSWERS ✔✔History of UTI,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
DM, stone disease, and known disease of the genitourinary tract,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
any disease that results in impaired immunity, and kidney
|\ |\ |\ |\ |\ |\ |\ |\ |\
function
What s/s are you looking for in a patient with acute
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
pyelonephritis? - CORRECT ANSWERS ✔✔Fever |\ |\ |\ |\
Chills |\
