Chapter 53 Quiz

A  pyelonephritis.

B  ureteral stones.

C  cystitis.

D  Urethral infection.

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  ureter

B  bladder

C  urethra

D  kidney

A  Connective tissue

B  Detrusor

C  Adventitia

D  Mucosal

A  I can resume my usual activities without restriction.”

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

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

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

A  Renin

B  Cortisol

C  Vasopressin

D  Albumin

A  Place a bed board under the mattress to add support

B  Keep the patient on bed rest for 72 hours.

C  Check the patient’s urine for hematuria.

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

A  Increased blood flow to the kidney

B  Increased glomerular filtration rate

C  Susceptibility to develop hypernatremia

D  Acid-base balance

A  Infection

B  Metronidazole

C  Phenytoin

D  phenazopyridine hydrochloride

A  Dullness

B  Tympany

C  Flatness

D  Resonance

A  Parenchyma

B  Nephron

C  Glomerulus

D  Renal pelvis

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  Growth hormone

B  Antidiuretic hormone

C  Prostaglandins

D  Aldosterone

A  6:01

B  3:01

C  10:01

D  4:01

A  confirm which beverages the client normally consumes.

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

C  assess the client’s usual intake of sodium.

D  confirm all of the medications and supplements normally taken.

A  Creatinine clearance level

B  BUN to creatinine ratio

C  Blood urea nitrogen (BUN)

D  Uric acid level

A  Do you have a strong desire to void?”

B  Do you urinate while sleeping?”

C  Does it burn when you urinate?”

D  Is it painful when you urinate?”

A  Chronic kidney disease

B  Proteinuria

C  Kidney stone formation

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 have not eaten since 8 pm last night.”

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

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

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

A  More prone to develop hypernatremia

B  Increased blood flow to the kidneys

C  Increased glomerular filtration rate

D  Acid-base balance

A  GI absorption rate

B  Therapeutic index

C  Liver function studies

D  Creatinine clearance

A  After discarding the 8:00 am specimen

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

C  With the first specimen voided after 8:00 am

D  6 hours after the urine is discarded

A  Creatinine clearance level

B  Blood urea nitrogen level

C  Serum potassium level

D  Uric acid level

A  Diabetes insipidus

B  Increased fluid intake

C  Decreased fluid intake

D  Glomerulonephritis

A  Osmolality

B  Hemoglobin

C  Blood urea nitrogen

D  Creatinine

A  The costovertebral angle

B  The upper abdominal quadrants on the left and right side

C  Around the umbilicus

D  Above the symphysis pubis

A  Fistula

B  Chronic renal failure

C  Neurogenic bladder

D  Kidney stones

A  potassium

B  chloride

C  glucose

D  creatinine

A  Diabetes

B  Fluid deficits

C  Glomerulonephritis

D  Diabetes insipidus

E  Severe renal damage

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 300 and 500 mL/h

B  When the urine output is about 100 mL/h

C  When the urine output is between 500 and 1,000 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  notify the health care team if bloody urine is noted.

D  carefully handle urine because it is radioactive.

A  Nocturia

B  Dysuria

C  Polyuria

A  Increased serum albumin

B  Decreased blood urea nitrogen (BUN)

C  Decreased potassium

D  Increased serum creatinine

A  dysuria.

B  oliguria.

C  anuria.

D  nocturia.

A  Exercise the leg and foot.

B  Assess peripheral pulses in the left leg.

C  Place cool compresses on the calf.

D  Assess for anaphylaxis.

A  Hypoventilation

B  Pruritus

C  Unusually smooth skin

D  Increased alertness

A  Check the patient’s urine for hematuria.

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

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

D  Keep the patient on bed rest for 72 hours.

A  decreased in nephrotic syndrome.

B  unchanged in renal disease.

C  increased in renal disease and urinary obstruction.

D  decreased in renal disease and urinary obstruction.

A  Stroke

B  Congestive heart failure

C  Urinary incontinence

D  Myocardial infarction

A  Aldosterone

B  Calcitonin

C  Renin

D  Antidiuretic hormone (ADH)

A  Vitamin D synthesis

B  Secretion of prostaglandins

C  Vitamin B production

D  Secretion of insulin

E  Regulation of blood pressure

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

B  “You don’t need to do any fasting before this noninvasive 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  Control of water balance

B  Secretion of enzymes

C  Regulation of white blood cell production

D  Synthesis of vitamin K

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

B  Assess the client’s mental changes.

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 consumes 75% of lunch following an intravenous pyelogram

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

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

A  Phosphorous

B  Potassium

C  Sodium

D  Calcium

A  “Do you take multiple vitamin preparations?”

B  Have you noticed any vaginal bleeding?”

C  Have you had a recent urinary tract infection?”

D  “Do you take phenytoin daily?”

A  Enuresis

B  Hematuria

C  Dysuria

D  Anuria

A  Computed tomography with contrast

B  Cystoscopy

C  Bladder ultrasonography

D  Radiography

A  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.

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  On a hot day, a person who is perspiring profusely and taking little fluid has low 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  Enable the client to sit up and ambulate.

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

D  Provide analgesics to the client.

A  Obstruction of the lower urinary tract

B  Nephrotic syndrome

C  Acute renal failure

D  Infection

A  Cystoscopy

B  Angiography

C  Computed tomography (CT scan)

D  Radiography

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

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

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  incorrect urine output values.

B  client discomfort.

C  prostate irritation.

D  microorganism transfer.

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

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

C  The kidneys are situated just above the adrenal glands.

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

A  6 hours after the urine is discarded

B  After discarding the 8:00 am specimen

C  With the first specimen voided after 8:00 am

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

A  Uric acid level

B  Serum potassium level

C  Blood urea nitrogen level

D  Creatinine clearance level

A  Urinary stasis

B  Urinary urgency

C  Urinary incontinence

D  Urinary frequency

A  Bruits noted over the abdominal area

B  A dull sound when percussing over the bladder

C  Tenderness over the kidneys

D  The ingestion of 8 oz of water

A  Allergic reaction

B  Dehydration

C  Bleeding

D  Infection