CBUNA CURN case studies
CBUNA CURN · Put your knowledge to work in context.
The Certified Urology Nurse Assistant (CURN) credential, offered through the Certification Board for Urology Nurses and Associates (CBUNA), recognizes non-licensed assistive personnel who work in urology practices, clinics, and hospital units. It signals that a urology tech, medical assistant, or LPN-style support role has demonstrated a defined body of knowledge beyond general clinical orientation: genitourinary anatomy and terminology, patient assessment and documentation, aseptic technique and catheter care, urologic procedures and diagnostic testing, benign and malignant conditions, urinary diversion and continence care, medications and irrigation or instillation therapy, patient education and psychosocial support, and professional practice within scope of role. The CBUNA CURN case studies are 5 cases and about 2,418 words.
1Post-TURP Confusion and a Falling Sodium
H., 74, had a monopolar transurethral resection of the prostate (TURP) yesterday for benign prostatic enlargement; his preoperative sodium was 138 mmol/L. He has a three-way catheter with continuous bladder irrigation at 80 mL/hr and is receiving cefazolin.
566 words, about 3 min2Cloudy Urine in a Long-Term Catheter: Culture or Remove?
P., 68, lives in a skilled nursing facility and has had an indwelling Foley catheter for 8 weeks after a hip fracture. She has mild dementia but is ambulatory with a walker.
520 words, about 3 min3Painless Hematuria on Apixaban: Whose Call Is It?
D., 62, is seen in clinic for two episodes of painless gross hematuria over 10 days. He takes apixaban 5 mg twice daily for atrial fibrillation and lisinopril.
381 words, about 2 min4Ileal Conduit: Low Output, Denuded Skin, Rising Creatinine
L., 58, had a radical cystectomy with ileal conduit 12 days ago. She presents to the clinic with a 2-day history of dizziness, decreased urine in the pouch, and poor appetite.
471 words, about 2 min5BCG on the Day of Treatment: Proceed, Postpone, or Cancel?
K., 70, is scheduled for his sixth intravesical BCG induction for carcinoma in situ of the bladder. He calls the clinic the morning of treatment reporting burning with urination for 2 days, visible blood in his urine, and feeling "chilled." He has no thermometer at home.
480 words, about 2 min