Chapter 53 Quiz

A  Urethral infection.

B  cystitis.

C  ureteral stones.

D  pyelonephritis.

A  Tenderness over the kidneys

B  Bruits noted over the abdominal area

C  A dull sound when percussing over the bladder

D  The ingestion of 8 oz of water

A  urethra

B  ureter

C  bladder

D  kidney

A  Connective tissue

B  Adventitia

C  Detrusor

D  Mucosal

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

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

C  I can resume my usual activities without restriction.”

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

A  Vasopressin

B  Cortisol

C  Renin

D  Albumin

A  Check the patient’s urine for hematuria.

B  Keep the patient on bed rest for 72 hours.

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

D  Place a bed board under the mattress to add support

A  Susceptibility to develop hypernatremia

B  Increased glomerular filtration rate

C  Increased blood flow to the kidney

D  Acid-base balance

A  phenazopyridine hydrochloride

B  Metronidazole

C  Phenytoin

D  Infection

A  Resonance

B  Flatness

C  Dullness

D  Tympany

A  Glomerulus

B  Parenchyma

C  Renal pelvis

D  Nephron

A  Who has come with you today?”

B  Have you any artificial joints?”

C  “Do you have any allergies?”

D  Do you have a pacemaker?”

A  Growth hormone

B  Aldosterone

C  Antidiuretic hormone

D  Prostaglandins

A  6:01

B  4:01

C  3:01

D  10:01

A  confirm all of the medications and supplements normally taken.

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

C  assess the client’s usual intake of sodium.

D  confirm which beverages the client normally consumes.

A  Blood urea nitrogen (BUN)

B  Uric acid level

C  BUN to creatinine ratio

D  Creatinine clearance level

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  Kidney stone formation

C  Chronic kidney disease

D  Neurogenic bladder

A  Have you noticed any vaginal bleeding?”

B  Do you take phenytoin daily?”

C  Have you had a recent urinary tract infection?”

D  “Do you take multiple vitamin preparations?”

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

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

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

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

A  Increased blood flow to the kidneys

B  More prone to develop hypernatremia

C  Acid-base balance

D  Increased glomerular filtration rate

A  Therapeutic index

B  Creatinine clearance

C  GI absorption rate

D  Liver function studies

A  After discarding the 8:00 am specimen

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

C  6 hours after the urine is discarded

D  With the first specimen voided after 8:00 am

A  Uric acid level

B  Serum potassium level

C  Blood urea nitrogen level

D  Creatinine clearance level

A  Glomerulonephritis

B  Decreased fluid intake

C  Increased fluid intake

D  Diabetes insipidus

A  Creatinine

B  Osmolality

C  Hemoglobin

D  Blood urea nitrogen

A  The upper abdominal quadrants on the left and right side

B  Above the symphysis pubis

C  The costovertebral angle

D  Around the umbilicus

A  Fistula

B  Kidney stones

C  Chronic renal failure

D  Neurogenic bladder

A  glucose

B  creatinine

C  chloride

D  potassium

A  Fluid deficits

B  Severe renal damage

C  Glomerulonephritis

D  Diabetes insipidus

E  Diabetes

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

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

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

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

A  Costovertebal angle tenderness

B  Perineal pain

C  Pain after voiding

D  Suprapubic pain

A  When the urine output is about 100 mL/h

B  When the urine output is between 500 and 1,000 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  Creatinine clearance

B  Volume of urine output

C  Circulating ADH concentration

D  Urine-specific gravity

A  carefully handle urine because it is radioactive.

B  maintain bed rest for 2 hours.

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

D  drink liberal amounts of fluids.

A  Polyuria

B  Dysuria

C  Nocturia

A  Decreased blood urea nitrogen (BUN)

B  Increased serum creatinine

C  Decreased potassium

D  Increased serum albumin

A  anuria.

B  oliguria.

C  nocturia.

D  dysuria.

A  Assess for anaphylaxis.

B  Place cool compresses on the calf.

C  Exercise the leg and foot.

D  Assess peripheral pulses in the left leg.

A  Hypoventilation

B  Increased alertness

C  Pruritus

D  Unusually smooth skin

A  Keep the patient on bed rest for 72 hours.

B  Check the patient’s urine for hematuria.

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

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

A  decreased in nephrotic syndrome.

B  decreased in renal disease and urinary obstruction.

C  unchanged in renal disease.

D  increased in renal disease and urinary obstruction.

A  Congestive heart failure

B  Urinary incontinence

C  Myocardial infarction

D  Stroke

A  Antidiuretic hormone (ADH)

B  Renin

C  Aldosterone

D  Calcitonin

A  Vitamin B production

B  Secretion of prostaglandins

C  Secretion of insulin

D  Vitamin D synthesis

E  Regulation of blood pressure

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

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

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

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

A  Synthesis of vitamin K

B  Regulation of white blood cell production

C  Control of water balance

D  Secretion of enzymes

A  Assess the client’s mental changes.

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

C  Evaluate the client for periorbital edema.

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

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  Calcium

B  Phosphorous

C  Sodium

D  Potassium

A  Have you noticed any vaginal bleeding?”

B  “Do you take phenytoin daily?”

C  Have you had a recent urinary tract infection?”

D  “Do you take multiple vitamin preparations?”

A  Dysuria

B  Enuresis

C  Anuria

D  Hematuria

A  Computed tomography with contrast

B  Bladder ultrasonography

C  Radiography

D  Cystoscopy

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

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

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

D  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.

A  Enable the client to sit up and ambulate.

B  Distract the client’s attention from the pain.

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

D  Provide analgesics to the client.

A  Infection

B  Obstruction of the lower urinary tract

C  Acute renal failure

D  Nephrotic syndrome

A  Cystoscopy

B  Angiography

C  Computed tomography (CT scan)

D  Radiography

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

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

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

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

A  prostate irritation.

B  incorrect urine output values.

C  client discomfort.

D  microorganism transfer.

A  The kidneys are situated just above the adrenal glands.

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

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

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

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

B  With the first specimen voided after 8:00 am

C  After discarding the 8:00 am specimen

D  6 hours after the urine is discarded

A  Serum potassium level

B  Creatinine clearance level

C  Blood urea nitrogen level

D  Uric acid level

A  Urinary stasis

B  Urinary urgency

C  Urinary incontinence

D  Urinary frequency

A  The ingestion of 8 oz of water

B  Bruits noted over the abdominal area

C  A dull sound when percussing over the bladder

D  Tenderness over the kidneys

A  Bleeding

B  Dehydration

C  Infection

D  Allergic reaction