Chapter 53 Quiz

A  pyelonephritis.

B  cystitis.

C  ureteral stones.

D  Urethral infection.

A  A dull sound when percussing over the bladder

B  Tenderness over the kidneys

C  Bruits noted over the abdominal area

D  The ingestion of 8 oz of water

A  ureter

B  kidney

C  bladder

D  urethra

A  Connective tissue

B  Mucosal

C  Adventitia

D  Detrusor

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

B  I can resume my usual activities without restriction.”

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  Vasopressin

B  Albumin

C  Renin

D  Cortisol

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

B  Keep the patient on bed rest for 72 hours.

C  Place a bed board under the mattress to add support

D  Check the patient’s urine for hematuria.

A  Increased blood flow to the kidney

B  Susceptibility to develop hypernatremia

C  Acid-base balance

D  Increased glomerular filtration rate

A  phenazopyridine hydrochloride

B  Infection

C  Metronidazole

D  Phenytoin

A  Resonance

B  Flatness

C  Dullness

D  Tympany

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  Prostaglandins

B  Antidiuretic hormone

C  Growth hormone

D  Aldosterone

A  3:01

B  4:01

C  10:01

D  6:01

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

B  confirm which beverages the client normally consumes.

C  assess the client’s usual intake of sodium.

D  confirm all of the medications and supplements normally taken.

A  Uric acid level

B  Creatinine clearance level

C  Blood urea nitrogen (BUN)

D  BUN to creatinine ratio

A  Does it burn when you urinate?”

B  Do you urinate while sleeping?”

C  Do you have a strong desire to void?”

D  Is it painful when you urinate?”

A  Neurogenic bladder

B  Proteinuria

C  Kidney stone formation

D  Chronic kidney disease

A  “Do you take multiple vitamin preparations?”

B  Do you take phenytoin daily?”

C  Have you noticed any vaginal bleeding?”

D  Have you had a recent urinary tract infection?”

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

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

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

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

A  Acid-base balance

B  Increased glomerular filtration rate

C  Increased blood flow to the kidneys

D  More prone to develop hypernatremia

A  Therapeutic index

B  Creatinine clearance

C  Liver function studies

D  GI absorption rate

A  With the first specimen voided after 8:00 am

B  After discarding the 8:00 am specimen

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

D  6 hours after the urine is discarded

A  Creatinine clearance level

B  Serum potassium level

C  Blood urea nitrogen level

D  Uric acid level

A  Glomerulonephritis

B  Decreased fluid intake

C  Diabetes insipidus

D  Increased fluid intake

A  Creatinine

B  Blood urea nitrogen

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  Chronic renal failure

B  Neurogenic bladder

C  Kidney stones

D  Fistula

A  chloride

B  creatinine

C  potassium

D  glucose

A  Diabetes

B  Fluid deficits

C  Diabetes insipidus

D  Severe renal damage

E  Glomerulonephritis

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

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 did not take my multivitamin this morning.”

A  Costovertebal angle tenderness

B  Pain after voiding

C  Suprapubic pain

D  Perineal 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  Creatinine clearance

B  Volume of urine output

C  Urine-specific gravity

D  Circulating ADH concentration

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

B  maintain bed rest for 2 hours.

C  carefully handle urine because it is radioactive.

D  drink liberal amounts of fluids.

A  Nocturia

B  Dysuria

C  Polyuria

A  Increased serum albumin

B  Increased serum creatinine

C  Decreased potassium

D  Decreased blood urea nitrogen (BUN)

A  oliguria.

B  anuria.

C  dysuria.

D  nocturia.

A  Exercise the leg and foot.

B  Assess for anaphylaxis.

C  Assess peripheral pulses in the left leg.

D  Place cool compresses on the calf.

A  Pruritus

B  Increased alertness

C  Hypoventilation

D  Unusually smooth skin

A  Check the patient’s urine for hematuria.

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  Keep the patient on bed rest for 72 hours.

A  unchanged in renal disease.

B  increased in renal disease and urinary obstruction.

C  decreased in nephrotic syndrome.

D  decreased in renal disease and urinary obstruction.

A  Urinary incontinence

B  Stroke

C  Myocardial infarction

D  Congestive heart failure

A  Aldosterone

B  Renin

C  Antidiuretic hormone (ADH)

D  Calcitonin

A  Vitamin D synthesis

B  Vitamin B production

C  Regulation of blood pressure

D  Secretion of prostaglandins

E  Secretion of insulin

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

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

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

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

A  Control of water balance

B  Synthesis of vitamin K

C  Regulation of white blood cell production

D  Secretion of enzymes

A  Evaluate the client for periorbital edema.

B  Assess the client’s mental changes.

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

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

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

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

C  The client voids 75 cc four hours post cystoscopy.

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

A  Calcium

B  Phosphorous

C  Potassium

D  Sodium

A  “Do you take multiple vitamin preparations?”

B  “Do you take phenytoin daily?”

C  Have you noticed any vaginal bleeding?”

D  Have you had a recent urinary tract infection?”

A  Enuresis

B  Dysuria

C  Anuria

D  Hematuria

A  Radiography

B  Cystoscopy

C  Computed tomography with contrast

D  Bladder ultrasonography

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

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

C  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low 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  Provide analgesics to the client.

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

D  Distract the client’s attention from the pain.

A  Nephrotic syndrome

B  Infection

C  Obstruction of the lower urinary tract

D  Acute renal failure

A  Radiography

B  Cystoscopy

C  Angiography

D  Computed tomography (CT scan)

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

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

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

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

A  microorganism transfer.

B  incorrect urine output values.

C  client discomfort.

D  prostate irritation.

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 left kidney usually is slightly higher than the right one.

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

D  The kidneys are situated just above the adrenal glands.

A  After discarding the 8:00 am specimen

B  6 hours after the urine is discarded

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  Creatinine clearance level

C  Serum potassium level

D  Blood urea nitrogen level

A  Urinary stasis

B  Urinary frequency

C  Urinary incontinence

D  Urinary urgency

A  A dull sound when percussing over the bladder

B  Bruits noted over the abdominal area

C  The ingestion of 8 oz of water

D  Tenderness over the kidneys

A  Dehydration

B  Bleeding

C  Infection

D  Allergic reaction