Chapter 53 Quiz

A  Urethral infection.

B  ureteral stones.

C  pyelonephritis.

D  cystitis.

A  Bruits noted over the abdominal area

B  A dull sound when percussing over the bladder

C  The ingestion of 8 oz of water

D  Tenderness over the kidneys

A  urethra

B  bladder

C  ureter

D  kidney

A  Detrusor

B  Mucosal

C  Adventitia

D  Connective tissue

A  I should increase my fluid intake for the rest of the day.”

B  I can resume my usual activities without restriction.”

C  It is normal for my urine to be blood-tinged.”

D  If I have difficulty urinating, I should contact my physician.”

A  Vasopressin

B  Cortisol

C  Renin

D  Albumin

A  Keep the patient on bed rest for 72 hours.

B  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

C  Place a bed board under the mattress to add support

D  Check the patient’s urine for hematuria.

A  Acid-base balance

B  Increased blood flow to the kidney

C  Increased glomerular filtration rate

D  Susceptibility to develop hypernatremia

A  Metronidazole

B  phenazopyridine hydrochloride

C  Phenytoin

D  Infection

A  Resonance

B  Dullness

C  Tympany

D  Flatness

A  Renal pelvis

B  Parenchyma

C  Nephron

D  Glomerulus

A  “Do you have any allergies?”

B  Have you any artificial joints?”

C  Do you have a pacemaker?”

D  Who has come with you today?”

A  Antidiuretic hormone

B  Aldosterone

C  Prostaglandins

D  Growth hormone

A  4:01

B  10:01

C  6:01

D  3:01

A  confirm all of the medications and supplements normally taken.

B  confirm which beverages the client normally consumes.

C  palpate the client’s bladder before and after voiding.

D  assess the client’s usual intake of sodium.

A  BUN to creatinine ratio

B  Uric acid level

C  Creatinine clearance level

D  Blood urea nitrogen (BUN)

A  Is it painful when you urinate?”

B  Do you have a strong desire to void?”

C  Does it burn when you urinate?”

D  Do you urinate while sleeping?”

A  Proteinuria

B  Chronic kidney disease

C  Neurogenic bladder

D  Kidney stone formation

A  Do you take phenytoin daily?”

B  Have you noticed any vaginal bleeding?”

C  “Do you take multiple vitamin preparations?”

D  Have you had a recent urinary tract infection?”

A  “I took my usual dose of Coumadin last night.”

B  “I have not eaten since 8 pm last night.”

C  I brought a copy of my living will with me.”

D  “I signed the consent form in the physician’s office.”

A  More prone to develop hypernatremia

B  Acid-base balance

C  Increased blood flow to the kidneys

D  Increased glomerular filtration rate

A  Creatinine clearance

B  GI absorption rate

C  Liver function studies

D  Therapeutic index

A  After discarding the 8:00 am specimen

B  With the first specimen voided after 8:00 am

C  6 hours after the urine is discarded

D  At 8:00 am, with or without a specimen

A  Blood urea nitrogen level

B  Uric acid level

C  Creatinine clearance level

D  Serum potassium level

A  Diabetes insipidus

B  Decreased fluid intake

C  Glomerulonephritis

D  Increased fluid intake

A  Blood urea nitrogen

B  Creatinine

C  Osmolality

D  Hemoglobin

A  Above the symphysis pubis

B  The upper abdominal quadrants on the left and right side

C  Around the umbilicus

D  The costovertebral angle

A  Neurogenic bladder

B  Chronic renal failure

C  Kidney stones

D  Fistula

A  chloride

B  glucose

C  potassium

D  creatinine

A  Fluid deficits

B  Diabetes insipidus

C  Severe renal damage

D  Diabetes

E  Glomerulonephritis

A  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

B  “I had my last cigarette 3 hours ago with my morning coffee.”

C  I took my blood pressure medication with my morning coffee an hour ago.”

D  “I did not take my multivitamin this morning.”

A  Pain after voiding

B  Perineal pain

C  Costovertebal angle tenderness

D  Suprapubic pain

A  When the urine output is between 500 and 1,000 mL/h

B  When the urine output is about 100 mL/h

C  When the urine output is between 300 and 500 mL/h

D  When the urine output is less than 30 mL/h

A  Volume of urine output

B  Circulating ADH concentration

C  Urine-specific gravity

D  Creatinine clearance

A  maintain bed rest for 2 hours.

B  drink liberal amounts of fluids.

C  carefully handle urine because it is radioactive.

D  notify the health care team if bloody urine is noted.

A  Polyuria

B  Dysuria

C  Nocturia

A  Increased serum creatinine

B  Decreased potassium

C  Decreased blood urea nitrogen (BUN)

D  Increased serum albumin

A  dysuria.

B  nocturia.

C  oliguria.

D  anuria.

A  Place cool compresses on the calf.

B  Assess for anaphylaxis.

C  Assess peripheral pulses in the left leg.

D  Exercise the leg and foot.

A  Increased alertness

B  Pruritus

C  Hypoventilation

D  Unusually smooth skin

A  Keep the patient on bed rest for 72 hours.

B  Place a bed board under the mattress to add support.

C  Check the patient’s urine for hematuria.

D  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

A  decreased in renal disease and urinary obstruction.

B  decreased in nephrotic syndrome.

C  increased in renal disease and urinary obstruction.

D  unchanged in renal disease.

A  Urinary incontinence

B  Stroke

C  Myocardial infarction

D  Congestive heart failure

A  Calcitonin

B  Renin

C  Antidiuretic hormone (ADH)

D  Aldosterone

A  Regulation of blood pressure

B  Vitamin D synthesis

C  Secretion of prostaglandins

D  Secretion of insulin

E  Vitamin B production

A  “You don’t need to do any fasting before this noninvasive test.”

B  You’ll have a pressure dressing on your groin after the test.”

C  “A contrast medium will be used to help see the structures better.”

D  An x-ray will be done to view your kidneys, ureters, and bladder.”

A  Regulation of white blood cell production

B  Control of water balance

C  Synthesis of vitamin K

D  Secretion of enzymes

A  Assess the client’s mental changes.

B  Evaluate the client for periorbital edema.

C  Monitor the client for signs of electrolyte and water imbalance.

D  Monitor the client for an allergy to iodine contrast material.

A  The client voids 75 cc four hours post cystoscopy.

B  The client reports a pain rating of 3 two hours post-kidney biopsy.

C  The client has blood-tinged urine following brush biopsy.

D  The client consumes 75% of lunch following an intravenous pyelogram

A  Phosphorous

B  Calcium

C  Potassium

D  Sodium

A  Have you had a recent urinary tract infection?”

B  “Do you take phenytoin daily?”

C  “Do you take multiple vitamin preparations?”

D  Have you noticed any vaginal bleeding?”

A  Anuria

B  Enuresis

C  Hematuria

D  Dysuria

A  Cystoscopy

B  Bladder ultrasonography

C  Computed tomography with contrast

D  Radiography

A  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

B  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

C  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

D  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

A  Distract the client’s attention from the pain.

B  Assess the patient’s back and shoulder areas for signs of internal bleeding.

C  Enable the client to sit up and ambulate.

D  Provide analgesics to the client.

A  Acute renal failure

B  Obstruction of the lower urinary tract

C  Infection

D  Nephrotic syndrome

A  Cystoscopy

B  Angiography

C  Radiography

D  Computed tomography (CT scan)

A  “I should remove all jewelry before the test.”

B  “I will feel a warm sensation as the dye is injected.”

C  I should let the staff know if I feel claustrophobic.”

D  “I will need to drink all of the dye as quickly as possible.”

A  prostate irritation.

B  client discomfort.

C  incorrect urine output values.

D  microorganism transfer.

A  The kidneys lie between the 10th and 12th thoracic vertebrae.

B  The left kidney usually is slightly higher than the right one.

C  The kidneys are situated just above the adrenal glands.

D  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

A  At 8:00 am, with or without a specimen

B  After discarding the 8:00 am specimen

C  6 hours after the urine is discarded

D  With the first specimen voided after 8:00 am

A  Serum potassium level

B  Creatinine clearance level

C  Uric acid level

D  Blood urea nitrogen level

A  Urinary stasis

B  Urinary frequency

C  Urinary incontinence

D  Urinary urgency

A  Tenderness over the kidneys

B  The ingestion of 8 oz of water

C  Bruits noted over the abdominal area

D  A dull sound when percussing over the bladder

A  Allergic reaction

B  Bleeding

C  Infection

D  Dehydration