Remedios Trinidad Romualdez Medical Foundation, Inc.
College of Nursing
Worksheet in NCM 109
Concept: Renal Function Tests
Worksheet 1A: RENAL FUNCTION BLOOD STUDIES
SERUM CREATININE BLOOD UREA NITROGEN BUN/CREATININE RATIO
PURPOSE
NORMAL RANGE
MALE
FEMALE
SIGNIFICANCE OF ABNORMAL
FINDINGS:
Increased Level:
Decreased Level:
NURSING CONSIDERATIONS
Preparation:
During:
Post- procedure:
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Ba : URINE TESTS
TESTS NORMAL RANGE SIGNIFICANCE OF ABNORMAL FINDINGS
Dark amber:
Very pale yellow:
COLOR Dark red or brown:
URINALYSIS
Other color changes:
Purpose:
Foul Smell:
ODOR
Cloudy urine:
TURBIDITY
Children: Increased in: Decreased in:
SPECIFIC
Adult:
GRAVITY
Older adult:
Changes are caused by:
PH
NURSING CONSIDERATIONS:
TESTS NORMAL RANGE SIGNIFICANCE OF ABNORMAL FINDINGS
Nursing Considerations GLUCOSE Presence reflects:
for Urinalysis procedure
Pre: Presence reflects:
KETONES
PROTEIN Increased amount may indicate:
BILIRUBIN Presence suggests:
UROBILINOGEN
During:
RED BLOOD Increased amounts may indicate:
CELLS
WHITE BLOOD Increased amounts may indicate:
CELLS
CASTS Increased amount may indicate:
CRYSTALS Presence indicates:
BACTERIA Increased amount indicates:
Post procedure:
PUS Presence suggests:
NITRITES Presence suggests:
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Bb : URINE TESTS
URINE FOR CULTURE AND SENSITIVITY COMPOSITE URINE COLLECTION (24 – CREATININE CLEARANCE
HOUR PERIOD)
Purpose
Indication
Normal Result
Procedure
Nursing Responsibilities
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Bc: URINE TESTS
URINE ELECTROLYTES OSMOLARITY
BLOOD/PLASMA URINE
Purpose
Indication
Normal Result
Procedure
Nursing
Responsibilities
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Bd: URINE TESTS
Laboratory Profile of 24 – hour urine Collection
Purpose:
Indication:
Procedure:
Components Normal Range Significance of Abnormal Findings
Creatinine
Urea Nitrogen
Sodium
Chloride
Calcium
Total Catecholamines
Protein
Nursing Considerations Pre, during and post procedure:
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
CONCEPT: RENAL AND URINARY SYSTEM
Worksheet 1D: SURGICAL AND NONSURGICAL INTERVENTIONS
General Instruction:
Make a concept map of the following interventions. Use the following COLORS (or shades similar) in
making your concept map.
1. Warm Sitz Bath 11. Percutaneous Ureterolithotomy and Nephrolithotomy
2. Urethroplasty 12. Cystectomy
3. Vaginal Cone Therapy 13. Nephrectomy
4. Surgical Procedure for Stress Incontinence 14. Urinary Diversion
5. Urinary Bladder Training 15. Cystoclysis
6. Urinary Habit Training 16. Intake Output Monitoring
7. Bladder Compression 17. Nephrostomy
8. Urinary Catheterization 18. Hemodialysis
9. Extracorporeal Shock Wave Lithotripsy 19. Peritoneal Dialysis
10. Retrograde Ureteroscopy 20 Continuous Renal Replacement Therapy
21. Renal Transplantation
SURGICAL/NONSURGICAL PURPOSE
INDICATION INTERVENTION
SPECIAL PRECAUTION
TESTS TO BE DONE PRIOR TO ILLUSTRATE BY USING ARROWS
THE PROCEDURE HOW THE PROCEDURE IS DONE
NURSING RESPONSIBILITIES:
Client Preparation:
Procedure:
Follow Up Care
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Ca: RADIOGRAPHIC EXAMINATIONS OF THE RENAL/URINARY SYSTEM
TEST PURPOSE CLIENT PREPARATION PROCEDURE FOLLOW UP CARE
RADIOGRAPHY OF KIDNEYS,
URETERS, AND BLADDER (KUB)
EXCRETORY UROGRAPHY
NEPHROTOMOGRAPHY
COMPUTED TOMOGRAPHY
CYSTOGRAPHY AND
CYSTOSCOPY
VOIDING
CYSTOURETHROGRAPHY
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Cb: RADIOGRAPHIC EXAMINATIONS OF THE RENAL/URINARY SYSTEM
TEST PURPOSE SPECIAL PRECAUTIONS CLIENT PREPARATION PROCEDURE FOLLOW UP CARE
RENAL ARTERIOGRAPHY
ULTRASONOGRAPHY
MAG 3 99m
INTRAVENOUS PYELOGRAPHY
(FLUOROSCOPY)
MAGNETIC RESONANCE
IMAGING
RENAL SCAN
Remedios Trinidad Romualdez Medical Foundation Inc,
College of Nursing
Worksheet in NCM 109
Worksheet 1Cb: OTHER DIGNOSTIC TEST OF THE RENAL/URINARY SYSTEM
TEST PURPOSE SPECIAL PRECAUTION CLIENT PREPARATION PROCEDURE FOLLOW UP CARE
RENAL BIOPSY
RETROGRADE EXAMINATION OF
THE URETERS AND PELVES
Pyelogram
Cystogram
Urethrogram
URODYNAMIC STUDIES
Cystometrography
Urethral Pressure Profile
Electromyography
Urine Stream Test
Uroflowmetry