Professional Documents
Culture Documents
• electrolyte imbalances
• Hypertension
• In later stages, yellowish pale skin that causes itching due to urea crystals on the skin
• Treatment
• Smoking cessation
1. Mr. L. was diagnosed last year with chronic kidney disease and hypertension. Now he
complains of weakness, fatigue, nausea, vomiting, and skin that is yellowish and itching.
The physician is concerned that excessive waste products are building up in his blood
and prescribes (antibiotics, antifungals, dialysis).
2. Mr. R. has chronic kidney disease. His blood tests show elevated nitrogenous products.
The physician charts this result as (anuria, azotemia, hematuria).
• Effects all systems, with dialysis or renal transplantation needed for survival
End-stage renal disease (continued)
• Progressive, with varied severity depending on the extent of renal damage and
remaining function
• Weakness
• Anorexia
• Diarrhea
• Pruritus
• Polyuria
• Treatment
• Control of hypertension
• Dialysis
• Renal transplantation
1. Mr. J. requires renal transplantation because his kidneys are no longer functioning. His
disease is charted as ESRD, or .
2. A patient scheduled for prostate CA surgery is currently continent, but is worried that,
after surgery, he may not be able to control his bladder, a condition known as urinary
.
3. Mrs. S. arrives at the clinic complaining of painful urination. The nurse notes a history of
cystitis and documents her painful urination as .
Renal calculi
• Intense pain and urinary urgency if the calculus fragment lodges in a ureter
• Other signs and symptoms, including nausea, vomiting, chills and fever, hematuria,
and abdominal distention
• Treatment
• Treatment (continued)
1. Mrs. K. develops kidney stones, although she underwent various treatments to avoid
them. She must now undergo a surgical excision to remove the stone called .
2. Mr. M. is diagnosed with renal calculi. He arrives at the physician's office complaining of
pain in the kidney area. The medical term for this symptom is .
3. Mrs. H. has a history of nephrolithiasis. Now she complains of hematuria, pain, and
nausea. The physician detects calculi using high-frequency sound waves, in a procedure
called (MRI, ultrasonography, CT scan).
Hydronephrosis
• Distention of the renal pelvis and calyces due to pressure from accumulating urine
• Nausea
• Vomiting
• Oliguria
• Anuria
• Hematuria
Hydronephrosis (continued)
• Treatment
• Nephrostomy tube inserted into renal pelvis to drain urine, with the
catheter exiting through an incision in the flank (B)
Hydronephrosis (continued)
• Treatment (continued)
• Analgesics if needed
1. The physician diagnoses Mrs. S. with ureterolithiasis and explains that it may cause a
reflux of urine into the kidney, a serious disorder known as (hydrosis, nephropathy,
hydronephrosis).
2. Mrs. B. is concerned because she only urinated once in the past 24 hours. The medical
term for this symptom is
3. Mrs. C. arrives at the clinic complaining of blood in her urine. The physician documents
this finding as .
4. Ms. T. is diagnosed with nephrosis and has swelling in her ankles and feet. The medical
term for swelling is .
5. Radiographic studies of Mr. D.'s kidneys reveal enlargement of the right kidney. The
radiologist documents this finding as .
6. Mr. J. undergoes surgical repair of the renal pelvis. Before obtaining informed consent,
the physician charts this surgical procedure as .
1. catheterization:
2. electrolytes:
3. Enuresis/incontinence
4. filtrate:
5. fistula:
6. percutaneous:
• Catheterization
• Hemodialysis
• Peritoneal dialysis
• Renal transplantation
1. Mrs. F. is unable to urinate after surgery, so the nurse inserts a catheter into her bladder
to remove urine. This therapeutic procedure is known as .
2. Mr. H. is diagnosed with nephrolithiasis. The physician explains that she must crush the
kidney stones into smaller pieces so he can expell them in urine. Crushing of stones is a
surgical procedure called .
3. Mr. R. is diagnosed with multiple renal calculi. The doctor explains that the treatment of
choice is to use powerful sound-wave vibrations to break up the kidney stones. The
abbreviation for this procedure is .
4. Mrs. A. has a history of bladder carcinoma and undergoes endoscopy of the urinary
bladder. Visual examination of the bladder is a medical procedure called
• Bladder scan
• Use of sound waves to estimate the amount of urine in the bladder (See illustration.)
• Cystoscopy
• Insertion of a cystoscope through the urethra and into the urinary bladder (see
illustration)
• Removing polyps
• Pyelography
• Radiographic procedure that evaluates the kidneys, renal pelvis, ureters, and
bladder
• Urinalysis
• Antibiotics
• Antispasmodics
• Diuretics
1. A chest x-ray reveals fluid accumulation in Mr. K.'s lungs. The physician prescribes a drug
to stimulate the production and flow of urine, called a(n) (antispasmodic, antidiuretic,
diuretic).
2. Mr. Q. was catheterized for surgery and now experiences spasms in the urethra and
bladder. To decrease spasms and enable normal emptying, the physician prescribes a(n)
(antispasmodic, antidiuretic, diuretic).
3. Mrs. T. is diagnosed with a urinary tract infection. To treat the bacterial infection, the
physician prescribes a(n) (antibiotic, antiviral, diuretic).
4. Mr. Y. suffers from nephralgia. To relieve this condition, the physician prescribes a(n)
(analgesic, antibiotic, thrombolytic).