Chapter 53 Quiz

A  ureteral stones.

B  cystitis.

C  Urethral infection.

D  pyelonephritis.

A  The ingestion of 8 oz of water

B  A dull sound when percussing over the bladder

C  Bruits noted over the abdominal area

D  Tenderness over the kidneys

A  kidney

B  ureter

C  urethra

D  bladder

A  Connective tissue

B  Detrusor

C  Adventitia

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  Cortisol

B  Renin

C  Albumin

D  Vasopressin

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

B  Check the patient’s urine for hematuria.

C  Keep the patient on bed rest for 72 hours.

D  Place a bed board under the mattress to add support

A  Increased glomerular filtration rate

B  Increased blood flow to the kidney

C  Susceptibility to develop hypernatremia

D  Acid-base balance

A  phenazopyridine hydrochloride

B  Infection

C  Metronidazole

D  Phenytoin

A  Resonance

B  Dullness

C  Flatness

D  Tympany

A  Glomerulus

B  Parenchyma

C  Renal pelvis

D  Nephron

A  “Do you have any allergies?”

B  Do you have a pacemaker?”

C  Have you any artificial joints?”

D  Who has come with you today?”

A  Prostaglandins

B  Antidiuretic hormone

C  Growth hormone

D  Aldosterone

A  4:01

B  6:01

C  10:01

D  3:01

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  Creatinine clearance level

C  Uric acid level

D  BUN to creatinine ratio

A  Do you urinate while sleeping?”

B  Is it painful when you urinate?”

C  Do you have a strong desire to void?”

D  Does it burn when you urinate?”

A  Kidney stone formation

B  Proteinuria

C  Neurogenic bladder

D  Chronic kidney disease

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

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

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

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

A  Acid-base balance

B  Increased glomerular filtration rate

C  More prone to develop hypernatremia

D  Increased blood flow to the kidneys

A  Therapeutic index

B  Creatinine clearance

C  Liver function studies

D  GI absorption rate

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  Blood urea nitrogen level

C  Serum potassium level

D  Creatinine clearance level

A  Decreased fluid intake

B  Increased fluid intake

C  Diabetes insipidus

D  Glomerulonephritis

A  Blood urea nitrogen

B  Creatinine

C  Osmolality

D  Hemoglobin

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  Fistula

B  Neurogenic bladder

C  Chronic renal failure

D  Kidney stones

A  potassium

B  glucose

C  creatinine

D  chloride

A  Glomerulonephritis

B  Diabetes insipidus

C  Severe renal damage

D  Diabetes

E  Fluid deficits

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 did not take my multivitamin this morning.”

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

A  Pain after voiding

B  Perineal pain

C  Costovertebal angle tenderness

D  Suprapubic pain

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 300 and 500 mL/h

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

A  Circulating ADH concentration

B  Creatinine clearance

C  Urine-specific gravity

D  Volume of urine output

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  Polyuria

B  Nocturia

C  Dysuria

A  Decreased potassium

B  Increased serum albumin

C  Decreased blood urea nitrogen (BUN)

D  Increased serum creatinine

A  anuria.

B  nocturia.

C  dysuria.

D  oliguria.

A  Assess for anaphylaxis.

B  Exercise the leg and foot.

C  Place cool compresses on the calf.

D  Assess peripheral pulses in the left leg.

A  Hypoventilation

B  Increased alertness

C  Unusually smooth skin

D  Pruritus

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

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

C  Keep the patient on bed rest for 72 hours.

D  Check the patient’s urine for hematuria.

A  increased in renal disease and urinary obstruction.

B  decreased in nephrotic syndrome.

C  unchanged in renal disease.

D  decreased in renal disease and urinary obstruction.

A  Myocardial infarction

B  Stroke

C  Congestive heart failure

D  Urinary incontinence

A  Antidiuretic hormone (ADH)

B  Calcitonin

C  Aldosterone

D  Renin

A  Vitamin D synthesis

B  Vitamin B production

C  Secretion of insulin

D  Regulation of blood pressure

E  Secretion of prostaglandins

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  Regulation of white blood cell production

B  Control of water balance

C  Synthesis of vitamin K

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 consumes 75% of lunch following an intravenous pyelogram

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 voids 75 cc four hours post cystoscopy.

A  Potassium

B  Calcium

C  Phosphorous

D  Sodium

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  Hematuria

B  Enuresis

C  Dysuria

D  Anuria

A  Computed tomography with contrast

B  Cystoscopy

C  Bladder ultrasonography

D  Radiography

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

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  Infection

B  Acute renal failure

C  Obstruction of the lower urinary tract

D  Nephrotic syndrome

A  Computed tomography (CT scan)

B  Angiography

C  Radiography

D  Cystoscopy

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

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

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

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

A  incorrect urine output values.

B  microorganism transfer.

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 kidneys are situated just above the adrenal glands.

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

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

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  Uric acid level

B  Serum potassium level

C  Blood urea nitrogen level

D  Creatinine clearance level

A  Urinary stasis

B  Urinary urgency

C  Urinary frequency

D  Urinary incontinence

A  A dull sound when percussing over the bladder

B  The ingestion of 8 oz of water

C  Bruits noted over the abdominal area

D  Tenderness over the kidneys

A  Allergic reaction

B  Infection

C  Bleeding

D  Dehydration