Chapter 53 Quiz

A  ureteral stones.

B  pyelonephritis.

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  bladder

B  ureter

C  urethra

D  kidney

A  Adventitia

B  Connective tissue

C  Mucosal

D  Detrusor

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

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

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

D  I can resume my usual activities without restriction.”

A  Renin

B  Albumin

C  Vasopressin

D  Cortisol

A  Check the patient’s urine for hematuria.

B  Keep the patient on bed rest for 72 hours.

C  Place a bed board under the mattress to add support

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

A  Acid-base balance

B  Increased glomerular filtration rate

C  Susceptibility to develop hypernatremia

D  Increased blood flow to the kidney

A  phenazopyridine hydrochloride

B  Phenytoin

C  Infection

D  Metronidazole

A  Resonance

B  Flatness

C  Tympany

D  Dullness

A  Glomerulus

B  Renal pelvis

C  Nephron

D  Parenchyma

A  Have you any artificial joints?”

B  “Do you have any allergies?”

C  Who has come with you today?”

D  Do you have a pacemaker?”

A  Antidiuretic hormone

B  Aldosterone

C  Growth hormone

D  Prostaglandins

A  6:01

B  3:01

C  10:01

D  4:01

A  confirm all of the medications and supplements normally taken.

B  confirm which beverages the client normally consumes.

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

D  assess the client’s usual intake of sodium.

A  Blood urea nitrogen (BUN)

B  Creatinine clearance level

C  Uric acid level

D  BUN to creatinine ratio

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  Proteinuria

B  Chronic kidney disease

C  Neurogenic bladder

D  Kidney stone formation

A  Have you had a recent urinary tract infection?”

B  Have you noticed any vaginal bleeding?”

C  Do you take phenytoin daily?”

D  “Do you take multiple vitamin preparations?”

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

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

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

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

A  Increased blood flow to the kidneys

B  Increased glomerular filtration rate

C  More prone to develop hypernatremia

D  Acid-base balance

A  GI absorption rate

B  Therapeutic index

C  Creatinine clearance

D  Liver function studies

A  6 hours after the urine is discarded

B  After discarding the 8:00 am specimen

C  With the first specimen voided after 8:00 am

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

A  Blood urea nitrogen level

B  Creatinine clearance level

C  Serum potassium level

D  Uric acid level

A  Decreased fluid intake

B  Increased fluid intake

C  Diabetes insipidus

D  Glomerulonephritis

A  Creatinine

B  Hemoglobin

C  Osmolality

D  Blood urea nitrogen

A  Around the umbilicus

B  The upper abdominal quadrants on the left and right side

C  Above the symphysis pubis

D  The costovertebral angle

A  Kidney stones

B  Fistula

C  Neurogenic bladder

D  Chronic renal failure

A  potassium

B  glucose

C  chloride

D  creatinine

A  Diabetes

B  Diabetes insipidus

C  Severe renal damage

D  Fluid deficits

E  Glomerulonephritis

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

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

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

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

A  Perineal pain

B  Pain after voiding

C  Suprapubic pain

D  Costovertebal angle tenderness

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

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

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

D  When the urine output is about 100 mL/h

A  Creatinine clearance

B  Urine-specific gravity

C  Volume of urine output

D  Circulating ADH concentration

A  carefully handle urine because it is radioactive.

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

C  maintain bed rest for 2 hours.

D  drink liberal amounts of fluids.

A  Polyuria

B  Dysuria

C  Nocturia

A  Increased serum albumin

B  Decreased potassium

C  Decreased blood urea nitrogen (BUN)

D  Increased serum creatinine

A  dysuria.

B  anuria.

C  oliguria.

D  nocturia.

A  Assess peripheral pulses in the left leg.

B  Exercise the leg and foot.

C  Place cool compresses on the calf.

D  Assess for anaphylaxis.

A  Unusually smooth skin

B  Increased alertness

C  Pruritus

D  Hypoventilation

A  Keep the patient on bed rest for 72 hours.

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  Check the patient’s urine for hematuria.

A  decreased in renal disease and urinary obstruction.

B  decreased in nephrotic syndrome.

C  increased in renal disease and urinary obstruction.

D  unchanged in renal disease.

A  Urinary incontinence

B  Congestive heart failure

C  Stroke

D  Myocardial infarction

A  Renin

B  Calcitonin

C  Aldosterone

D  Antidiuretic hormone (ADH)

A  Secretion of insulin

B  Secretion of prostaglandins

C  Regulation of blood pressure

D  Vitamin B production

E  Vitamin D synthesis

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

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

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  Regulation of white blood cell production

C  Secretion of enzymes

D  Control of water balance

A  Evaluate the client for periorbital edema.

B  Assess the client’s mental changes.

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

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

A  The client voids 75 cc four hours post cystoscopy.

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

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

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

A  Sodium

B  Phosphorous

C  Calcium

D  Potassium

A  “Do you take phenytoin daily?”

B  “Do you take multiple vitamin preparations?”

C  Have you had a recent urinary tract infection?”

D  Have you noticed any vaginal bleeding?”

A  Anuria

B  Enuresis

C  Hematuria

D  Dysuria

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 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  Obstruction of the lower urinary tract

B  Acute renal failure

C  Nephrotic syndrome

D  Infection

A  Cystoscopy

B  Radiography

C  Angiography

D  Computed tomography (CT scan)

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

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

A  microorganism transfer.

B  incorrect urine output values.

C  client discomfort.

D  prostate irritation.

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

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 kidneys are situated just above the adrenal glands.

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

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

B  With the first specimen voided after 8:00 am

C  After discarding the 8:00 am specimen

D  6 hours after the urine is discarded

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  The ingestion of 8 oz of water

D  A dull sound when percussing over the bladder

A  Bleeding

B  Infection

C  Allergic reaction

D  Dehydration