Chapter 53 Quiz

A  pyelonephritis.

B  ureteral stones.

C  Urethral infection.

D  cystitis.

A  Bruits noted over the abdominal area

B  A dull sound when percussing over the bladder

C  The ingestion of 8 oz of water

D  Tenderness over the kidneys

A  kidney

B  urethra

C  bladder

D  ureter

A  Mucosal

B  Connective tissue

C  Detrusor

D  Adventitia

A  I can resume my usual activities without restriction.”

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

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

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

A  Albumin

B  Vasopressin

C  Renin

D  Cortisol

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  Increased glomerular filtration rate

B  Susceptibility to develop hypernatremia

C  Acid-base balance

D  Increased blood flow to the kidney

A  Phenytoin

B  Infection

C  phenazopyridine hydrochloride

D  Metronidazole

A  Tympany

B  Resonance

C  Flatness

D  Dullness

A  Glomerulus

B  Renal pelvis

C  Parenchyma

D  Nephron

A  Who has come with you today?”

B  Have you any artificial joints?”

C  “Do you have any allergies?”

D  Do you have a pacemaker?”

A  Growth hormone

B  Prostaglandins

C  Aldosterone

D  Antidiuretic hormone

A  4:01

B  10:01

C  6:01

D  3:01

A  confirm all of the medications and supplements normally taken.

B  assess the client’s usual intake of sodium.

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

D  confirm which beverages the client normally consumes.

A  Creatinine clearance level

B  Blood urea nitrogen (BUN)

C  BUN to creatinine ratio

D  Uric acid level

A  Do you urinate while sleeping?”

B  Do you have a strong desire to void?”

C  Is it painful when you urinate?”

D  Does it burn when you urinate?”

A  Chronic kidney disease

B  Proteinuria

C  Kidney stone formation

D  Neurogenic bladder

A  Have you had a recent urinary tract infection?”

B  “Do you take multiple vitamin preparations?”

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  Acid-base balance

D  Increased blood flow to the kidneys

A  Therapeutic index

B  Liver function studies

C  GI absorption rate

D  Creatinine clearance

A  6 hours after the urine is discarded

B  With the first specimen voided after 8:00 am

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

D  After discarding the 8:00 am specimen

A  Blood urea nitrogen level

B  Creatinine clearance level

C  Uric acid level

D  Serum potassium level

A  Glomerulonephritis

B  Increased fluid intake

C  Diabetes insipidus

D  Decreased fluid intake

A  Osmolality

B  Hemoglobin

C  Blood urea nitrogen

D  Creatinine

A  The costovertebral angle

B  Above the symphysis pubis

C  The upper abdominal quadrants on the left and right side

D  Around the umbilicus

A  Neurogenic bladder

B  Fistula

C  Chronic renal failure

D  Kidney stones

A  potassium

B  chloride

C  glucose

D  creatinine

A  Fluid deficits

B  Severe renal damage

C  Diabetes

D  Glomerulonephritis

E  Diabetes insipidus

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  Pain after voiding

B  Perineal pain

C  Suprapubic pain

D  Costovertebal angle tenderness

A  When the urine output is less than 30 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 between 300 and 500 mL/h

A  Circulating ADH concentration

B  Volume of urine output

C  Creatinine clearance

D  Urine-specific gravity

A  maintain bed rest for 2 hours.

B  carefully handle urine because it is radioactive.

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

D  drink liberal amounts of fluids.

A  Nocturia

B  Dysuria

C  Polyuria

A  Decreased potassium

B  Increased serum albumin

C  Decreased blood urea nitrogen (BUN)

D  Increased serum creatinine

A  oliguria.

B  nocturia.

C  anuria.

D  dysuria.

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  Unusually smooth skin

C  Hypoventilation

D  Pruritus

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  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  Renin

B  Antidiuretic hormone (ADH)

C  Calcitonin

D  Aldosterone

A  Secretion of prostaglandins

B  Vitamin B production

C  Regulation of blood pressure

D  Vitamin D synthesis

E  Secretion of insulin

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  Control of water balance

B  Secretion of enzymes

C  Regulation of white blood cell production

D  Synthesis of vitamin K

A  Assess the client’s mental changes.

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

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

D  Evaluate the client for periorbital edema.

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

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

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

D  The client voids 75 cc four hours post cystoscopy.

A  Phosphorous

B  Sodium

C  Calcium

D  Potassium

A  Have you noticed any vaginal bleeding?”

B  “Do you take phenytoin daily?”

C  “Do you take multiple vitamin preparations?”

D  Have you had a recent urinary tract infection?”

A  Enuresis

B  Dysuria

C  Hematuria

D  Anuria

A  Cystoscopy

B  Bladder ultrasonography

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 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  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  Obstruction of the lower urinary tract

C  Nephrotic syndrome

D  Acute renal failure

A  Computed tomography (CT scan)

B  Radiography

C  Angiography

D  Cystoscopy

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

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

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

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

A  client discomfort.

B  microorganism transfer.

C  incorrect urine output values.

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  At 8:00 am, with or without a specimen

B  After discarding the 8:00 am specimen

C  6 hours after the urine is discarded

D  With the first specimen voided after 8:00 am

A  Uric acid level

B  Serum potassium level

C  Creatinine clearance level

D  Blood urea nitrogen level

A  Urinary frequency

B  Urinary stasis

C  Urinary urgency

D  Urinary incontinence

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  Infection

C  Bleeding

D  Dehydration