1) An older man sees his doctor for severe pain in his lowerabdominal or flank area, elevated temperature, and nausea.Exhaustive tests rule out abdominal obstructions and infections.Plain X-rays indicate a radiopaque (whitish) spot in the area ofhis right ureter. Diagnose his problem. Give suggested treatmentand prognosis.
2) What clinical effects would low blood pressure have on thekidneys of a burn patient?
3) Eleven-year-old Harry is complaining of a severe sore throatand gets to stay home from school. His pediatrician prescribes acourse of broad-spectrum antibiotics, and Harry feels much betterwithin a few days. However, some two weeks later, Harry has a dull,bilateral pain in his lower back and his urine is a smoky browncolor. On the basis of Harry's signs and symptoms, diagnose hiscondition and indicate the relationship (if any) between hispresent condition and his earlier sore throat.
4) Ellen, a 47-year-old woman who has suffered kidney diseasefor several years, has been diagnosed with proteinuria. Her legsand feet are so swollen that she has difficulty walking. Her handsand her left arm are also swollen. What is proteinuria, and couldthis condition be playing a role in her swollen limbs?
5) Rachael has been complaining of frequent and burningurination. She also reported seeing some blood in her urine. Herphysician suspects cystitis. What is cystitis, and how can it causethese symptoms?
6) An 18 year old patient has a complaint of painful urination,fever, chills, and back pain. This is her second urinary tractinfection (UTI) within 5 months. How can the RN instruct thepatient on prevention of another UTI?
7) A 58-year-old woman complains of loss of urine when coughingand sneezing, and during exercise. She has had three children.Describe the possible causes of urinary incontinence in thispatient.
8) Explain how an angiotensin converting enzyme inhibitor (ACEinhibitor) such as captopril would be effective as anantihypertensive.
