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Stack #137684
| Question | Answer |
|---|---|
| Urinalysis | most common urinary Diagnostic. Completed on a clean-catch or catherized specimen |
| Urine Culture and Sensitivy | confirmed suspected infections, identify causative organism. |
| Correct procedure to collect | first voiding is discarded time noted for responsible for collecting a 24 hour urine sample |
| Specific Gravity | measures the pts hydration status, info on ability of the kidney to concentrate |
| Specific gravity is Decrased | by high fluid intake, reduced renal concentrating abilit, diabetes insipidus,diuretic use, it is increased in dehydration due to fever, diphoresis, vomitting diarrhea,and medical conditions such as diabeter mellitus and hyperglycemic hyperosmolar nonketot |
| (blank) | inappropriate secretion o |
| (blank) | antidiuretic hormone |
| Value | (blank) |
| Value ranges (speicific ) | betwween 1.0003 and 1.030 with the lower values suggesting more dilute urine |
| BLOOD (SERUM) UREA NITROGEN | BUN used to determine kidney's ability to rid the blood of the nonprotein nitrogen (NPN) waste and urea, which result from protein breakdown (catabolism) |
| Acceptable serum range for BUN | 10 to 20 mg/dL |
| Accurate testing result | pt should be NPO for 8 hours |
| BUN elevated | preventive nursing measures, protect pt from possible disorientation or seizures |
| BLOOD (SERUM) CREATININE | measures the amount of creatinine in the blood |
| Renal disorders (glomerulonephritis, pyelonephritis, acute tubular necrosis and urinary obstruction | will be cause of an abnormal elevation of creatinine |
| Serun Creatinine | used to diagnose impaired renal function |
| BUN levels | 0.5 to 1.1 mg/dL (female) 0.6 to 1.2 mg/dL (male) |
| PROSTATE-SPECIFIC ANTIGEN | organ specific glycoprotein produced b normal prostatic tissue |
| test results elevated with tissue manipulation | blood sample should be obtained before physical exam |
| Normal Range | Less than 4ng/ml |
| Elevated PSA levels | result prostate cancer, benign prostatichypertrophy and prostatities |
| Osmolallity | Asses of urine,measures solution |
| Results provide | info of the concentration ability of the kidney |
| Kidney-ureter bladder Radioograph(KUB) | kub assess general status of the abdomen and evaluaes the size, structure,and position of the urinary structure |
| KUB | abdnormal findings r/t UT may indiate tumors,calculi,glomerulonephritis,cysts and other conditions |
| Intravenous Pyelogram Intravenous Urography | IVP/IVU evaluates structures of the urinary tract,filling of the renal pelvis with urine and transport of urine via the ureters to the bladde |
| Nurse must | assess for allergy to iodine,; prepare: pt. w/light dinner, non gas forming laxativesNPO 8 hrs beofre |
| After dye is injected | fell warm,flushing sensation and a metallic taste |
| Adnormal findings | structural deviations, hydoronephrosis, calculi withinthe UT, polycyctic kidney disease,tumors and other conditions |
| RETROGRADE PYELOGRAPHY | exams the lower urinary tract with a cystoscope. Visualize the upper urinary tract |
| Addtl retrograde: | Retrograde cystography and Retrograde urethrography |
| Retrograde Cystography | inject dye thru an indewlling cath into the urinary bladder |
| Evaluate the structure | or to determine the cause of recurrent infections |
Created by:
nurse143
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