Chapter 53 Quiz

A  pyelonephritis.

B  ureteral stones.

C  cystitis.

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  kidney

B  ureter

C  bladder

D  urethra

A  Detrusor

B  Adventitia

C  Connective tissue

D  Mucosal

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

B  I can resume my usual activities without restriction.”

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

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

A  Cortisol

B  Vasopressin

C  Albumin

D  Renin

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  Increased blood flow to the kidney

B  Acid-base balance

C  Susceptibility to develop hypernatremia

D  Increased glomerular filtration rate

A  Infection

B  phenazopyridine hydrochloride

C  Phenytoin

D  Metronidazole

A  Flatness

B  Resonance

C  Tympany

D  Dullness

A  Glomerulus

B  Renal pelvis

C  Parenchyma

D  Nephron

A  Who has come with you today?”

B  Do you have a pacemaker?”

C  “Do you have any allergies?”

D  Have you any artificial joints?”

A  Prostaglandins

B  Growth hormone

C  Aldosterone

D  Antidiuretic hormone

A  3:01

B  10:01

C  6:01

D  4:01

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  BUN to creatinine ratio

B  Uric acid level

C  Blood urea nitrogen (BUN)

D  Creatinine clearance level

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  Kidney stone formation

C  Proteinuria

D  Chronic kidney disease

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

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

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 blood flow to the kidneys

C  Increased glomerular filtration rate

D  More prone to develop hypernatremia

A  Therapeutic index

B  GI absorption rate

C  Creatinine clearance

D  Liver function studies

A  After discarding the 8:00 am specimen

B  With the first specimen voided after 8:00 am

C  6 hours after the urine is discarded

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

A  Blood urea nitrogen level

B  Uric acid level

C  Serum potassium level

D  Creatinine clearance level

A  Diabetes insipidus

B  Glomerulonephritis

C  Decreased fluid intake

D  Increased fluid intake

A  Hemoglobin

B  Blood urea nitrogen

C  Osmolality

D  Creatinine

A  The upper abdominal quadrants on the left and right side

B  Around the umbilicus

C  Above the symphysis pubis

D  The costovertebral angle

A  Kidney stones

B  Neurogenic bladder

C  Chronic renal failure

D  Fistula

A  glucose

B  creatinine

C  potassium

D  chloride

A  Severe renal damage

B  Glomerulonephritis

C  Fluid deficits

D  Diabetes insipidus

E  Diabetes

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 did not take my multivitamin this morning.”

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

A  Perineal pain

B  Costovertebal angle tenderness

C  Suprapubic pain

D  Pain after voiding

A  When the urine output is less than 30 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 about 100 mL/h

A  Creatinine clearance

B  Volume of urine output

C  Circulating ADH concentration

D  Urine-specific gravity

A  drink liberal amounts of fluids.

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

C  maintain bed rest for 2 hours.

D  carefully handle urine because it is radioactive.

A  Polyuria

B  Dysuria

C  Nocturia

A  Decreased potassium

B  Decreased blood urea nitrogen (BUN)

C  Increased serum creatinine

D  Increased serum albumin

A  dysuria.

B  anuria.

C  nocturia.

D  oliguria.

A  Assess for anaphylaxis.

B  Assess peripheral pulses in the left leg.

C  Exercise the leg and foot.

D  Place cool compresses on the calf.

A  Increased alertness

B  Pruritus

C  Unusually smooth skin

D  Hypoventilation

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 renal disease and urinary obstruction.

B  unchanged in renal disease.

C  increased in renal disease and urinary obstruction.

D  decreased in nephrotic syndrome.

A  Myocardial infarction

B  Stroke

C  Congestive heart failure

D  Urinary incontinence

A  Calcitonin

B  Antidiuretic hormone (ADH)

C  Aldosterone

D  Renin

A  Vitamin B production

B  Vitamin D synthesis

C  Regulation of blood pressure

D  Secretion of insulin

E  Secretion of prostaglandins

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

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

A  Synthesis of vitamin K

B  Control of water balance

C  Regulation of white blood cell production

D  Secretion of enzymes

A  Evaluate the client for periorbital edema.

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

C  Assess the client’s mental changes.

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

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

B  The client voids 75 cc four hours post cystoscopy.

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

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

A  Calcium

B  Phosphorous

C  Sodium

D  Potassium

A  “Do you take multiple vitamin preparations?”

B  Have you noticed any vaginal bleeding?”

C  “Do you take phenytoin daily?”

D  Have you had a recent urinary tract infection?”

A  Dysuria

B  Anuria

C  Hematuria

D  Enuresis

A  Bladder ultrasonography

B  Cystoscopy

C  Radiography

D  Computed tomography with contrast

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

B  Provide analgesics to the client.

C  Distract the client’s attention from the pain.

D  Enable the client to sit up and ambulate.

A  Acute renal failure

B  Infection

C  Nephrotic syndrome

D  Obstruction of the lower urinary tract

A  Angiography

B  Radiography

C  Cystoscopy

D  Computed tomography (CT scan)

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

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

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

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

A  microorganism transfer.

B  incorrect urine output values.

C  client discomfort.

D  prostate irritation.

A  The kidneys are situated just above the adrenal glands.

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

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  At 8:00 am, with or without a specimen

C  With the first specimen voided after 8:00 am

D  After discarding the 8:00 am specimen

A  Blood urea nitrogen level

B  Creatinine clearance level

C  Serum potassium level

D  Uric acid level

A  Urinary frequency

B  Urinary incontinence

C  Urinary stasis

D  Urinary urgency

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  Allergic reaction

B  Dehydration

C  Bleeding

D  Infection