Chapter 53 Quiz

A  cystitis.

B  ureteral stones.

C  pyelonephritis.

D  Urethral infection.

A  Tenderness over the kidneys

B  A dull sound when percussing over the bladder

C  Bruits noted over the abdominal area

D  The ingestion of 8 oz of water

A  bladder

B  urethra

C  kidney

D  ureter

A  Mucosal

B  Adventitia

C  Connective tissue

D  Detrusor

A  I can resume my usual activities without restriction.”

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

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

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

A  Vasopressin

B  Cortisol

C  Renin

D  Albumin

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  Susceptibility to develop hypernatremia

B  Increased blood flow to the kidney

C  Increased glomerular filtration rate

D  Acid-base balance

A  Metronidazole

B  Phenytoin

C  phenazopyridine hydrochloride

D  Infection

A  Tympany

B  Flatness

C  Dullness

D  Resonance

A  Glomerulus

B  Parenchyma

C  Nephron

D  Renal pelvis

A  Have you any artificial joints?”

B  Who has come with you today?”

C  “Do you have any allergies?”

D  Do you have a pacemaker?”

A  Prostaglandins

B  Antidiuretic hormone

C  Aldosterone

D  Growth hormone

A  4:01

B  10:01

C  3:01

D  6:01

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  Creatinine clearance level

B  Uric acid level

C  BUN to creatinine ratio

D  Blood urea nitrogen (BUN)

A  Does it burn when you urinate?”

B  Do you have a strong desire to void?”

C  Do you urinate while sleeping?”

D  Is it painful when you urinate?”

A  Kidney stone formation

B  Proteinuria

C  Chronic kidney disease

D  Neurogenic bladder

A  “Do you take multiple vitamin preparations?”

B  Have you had a recent urinary tract infection?”

C  Do you take phenytoin daily?”

D  Have you noticed any vaginal bleeding?”

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

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

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

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

A  Increased glomerular filtration rate

B  More prone to develop hypernatremia

C  Increased blood flow to the kidneys

D  Acid-base balance

A  Therapeutic index

B  Creatinine clearance

C  GI absorption rate

D  Liver function studies

A  6 hours after the urine is discarded

B  With the first specimen voided after 8:00 am

C  After discarding the 8:00 am specimen

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

A  Creatinine clearance level

B  Uric acid level

C  Blood urea nitrogen level

D  Serum potassium level

A  Glomerulonephritis

B  Diabetes insipidus

C  Increased fluid intake

D  Decreased fluid intake

A  Hemoglobin

B  Creatinine

C  Osmolality

D  Blood urea nitrogen

A  Around the umbilicus

B  Above the symphysis pubis

C  The upper abdominal quadrants on the left and right side

D  The costovertebral angle

A  Kidney stones

B  Neurogenic bladder

C  Fistula

D  Chronic renal failure

A  potassium

B  creatinine

C  chloride

D  glucose

A  Glomerulonephritis

B  Severe renal damage

C  Fluid deficits

D  Diabetes

E  Diabetes insipidus

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

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

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

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

A  Costovertebal angle tenderness

B  Perineal pain

C  Suprapubic pain

D  Pain after voiding

A  When the urine output is about 100 mL/h

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

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

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

A  Volume of urine output

B  Creatinine clearance

C  Urine-specific gravity

D  Circulating ADH concentration

A  drink liberal amounts of fluids.

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

C  carefully handle urine because it is radioactive.

D  maintain bed rest for 2 hours.

A  Dysuria

B  Polyuria

C  Nocturia

A  Increased serum albumin

B  Increased serum creatinine

C  Decreased blood urea nitrogen (BUN)

D  Decreased potassium

A  anuria.

B  nocturia.

C  dysuria.

D  oliguria.

A  Assess for anaphylaxis.

B  Place cool compresses on the calf.

C  Assess peripheral pulses in the left leg.

D  Exercise the leg and foot.

A  Pruritus

B  Unusually smooth skin

C  Increased alertness

D  Hypoventilation

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

B  Check the patient’s urine for hematuria.

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 renal disease and urinary obstruction.

B  decreased in nephrotic syndrome.

C  unchanged in renal disease.

D  increased in renal disease and urinary obstruction.

A  Stroke

B  Myocardial infarction

C  Urinary incontinence

D  Congestive heart failure

A  Renin

B  Calcitonin

C  Antidiuretic hormone (ADH)

D  Aldosterone

A  Secretion of insulin

B  Vitamin D synthesis

C  Regulation of blood pressure

D  Secretion of prostaglandins

E  Vitamin B production

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

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

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

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

A  Regulation of white blood cell production

B  Secretion of enzymes

C  Synthesis of vitamin K

D  Control of water balance

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

B  Evaluate the client for periorbital edema.

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

D  Assess the client’s mental changes.

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  Sodium

B  Calcium

C  Phosphorous

D  Potassium

A  “Do you take phenytoin daily?”

B  “Do you take multiple vitamin preparations?”

C  Have you noticed any vaginal bleeding?”

D  Have you had a recent urinary tract infection?”

A  Hematuria

B  Dysuria

C  Anuria

D  Enuresis

A  Bladder ultrasonography

B  Radiography

C  Computed tomography with contrast

D  Cystoscopy

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 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  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  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  Nephrotic syndrome

B  Infection

C  Acute renal failure

D  Obstruction of the lower urinary tract

A  Angiography

B  Cystoscopy

C  Radiography

D  Computed tomography (CT scan)

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

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

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

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

A  incorrect urine output values.

B  microorganism transfer.

C  client discomfort.

D  prostate irritation.

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

B  The kidneys are situated just above the adrenal glands.

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

A  With the first specimen voided after 8:00 am

B  6 hours after the urine is discarded

C  After discarding the 8:00 am specimen

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

A  Blood urea nitrogen level

B  Creatinine clearance level

C  Uric acid level

D  Serum potassium level

A  Urinary frequency

B  Urinary stasis

C  Urinary urgency

D  Urinary incontinence

A  Bruits noted over the abdominal area

B  Tenderness over the kidneys

C  The ingestion of 8 oz of water

D  A dull sound when percussing over the bladder

A  Bleeding

B  Allergic reaction

C  Dehydration

D  Infection