Chapter 53 Quiz

A  pyelonephritis.

B  ureteral stones.

C  Urethral infection.

D  cystitis.

A  The ingestion of 8 oz of water

B  Bruits noted over the abdominal area

C  A dull sound when percussing over the bladder

D  Tenderness over the kidneys

A  bladder

B  urethra

C  ureter

D  kidney

A  Mucosal

B  Detrusor

C  Adventitia

D  Connective tissue

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

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

C  I can resume my usual activities without restriction.”

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

A  Vasopressin

B  Renin

C  Albumin

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  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  Acid-base balance

C  Susceptibility to develop hypernatremia

D  Increased blood flow to the kidney

A  Infection

B  Metronidazole

C  Phenytoin

D  phenazopyridine hydrochloride

A  Dullness

B  Tympany

C  Flatness

D  Resonance

A  Parenchyma

B  Glomerulus

C  Nephron

D  Renal pelvis

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  Prostaglandins

B  Aldosterone

C  Antidiuretic hormone

D  Growth hormone

A  6:01

B  4:01

C  3:01

D  10:01

A  confirm which beverages the client normally consumes.

B  assess the client’s usual intake of sodium.

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

D  confirm all of the medications and supplements normally taken.

A  Creatinine clearance level

B  Blood urea nitrogen (BUN)

C  BUN to creatinine ratio

D  Uric acid level

A  Is it painful when you urinate?”

B  Does it burn when you urinate?”

C  Do you have a strong desire to void?”

D  Do you urinate while sleeping?”

A  Chronic kidney disease

B  Neurogenic bladder

C  Proteinuria

D  Kidney stone formation

A  Have you had a recent urinary tract infection?”

B  “Do you take multiple vitamin preparations?”

C  Have you noticed any vaginal bleeding?”

D  Do you take phenytoin daily?”

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

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

C  “I took my usual dose of Coumadin 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  Liver function studies

B  Therapeutic index

C  Creatinine clearance

D  GI absorption rate

A  After discarding the 8:00 am specimen

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

C  6 hours after the urine is discarded

D  With the first specimen voided after 8:00 am

A  Creatinine clearance level

B  Uric acid level

C  Blood urea nitrogen level

D  Serum potassium level

A  Diabetes insipidus

B  Increased fluid intake

C  Decreased fluid intake

D  Glomerulonephritis

A  Osmolality

B  Creatinine

C  Hemoglobin

D  Blood urea nitrogen

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  Fistula

B  Chronic renal failure

C  Kidney stones

D  Neurogenic bladder

A  potassium

B  chloride

C  creatinine

D  glucose

A  Diabetes insipidus

B  Fluid deficits

C  Glomerulonephritis

D  Diabetes

E  Severe renal damage

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

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

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

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

A  Perineal pain

B  Suprapubic pain

C  Pain after voiding

D  Costovertebal angle tenderness

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

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

C  When the urine output is about 100 mL/h

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

A  Urine-specific gravity

B  Creatinine clearance

C  Circulating ADH concentration

D  Volume of urine output

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  Dysuria

B  Nocturia

C  Polyuria

A  Decreased potassium

B  Increased serum creatinine

C  Increased serum albumin

D  Decreased blood urea nitrogen (BUN)

A  anuria.

B  dysuria.

C  oliguria.

D  nocturia.

A  Assess peripheral pulses in the left leg.

B  Place cool compresses on the calf.

C  Assess for anaphylaxis.

D  Exercise the leg and foot.

A  Increased alertness

B  Hypoventilation

C  Pruritus

D  Unusually smooth skin

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  Check the patient’s urine for hematuria.

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

A  decreased in nephrotic syndrome.

B  decreased in renal disease and urinary obstruction.

C  unchanged in renal disease.

D  increased in renal disease and urinary obstruction.

A  Myocardial infarction

B  Urinary incontinence

C  Stroke

D  Congestive heart failure

A  Antidiuretic hormone (ADH)

B  Calcitonin

C  Aldosterone

D  Renin

A  Vitamin D synthesis

B  Secretion of insulin

C  Regulation of blood pressure

D  Secretion of prostaglandins

E  Vitamin B production

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

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

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

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

A  Regulation of white blood cell production

B  Synthesis of vitamin K

C  Secretion of enzymes

D  Control of water balance

A  Assess the client’s mental changes.

B  Evaluate the client for periorbital edema.

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 has blood-tinged urine following brush biopsy.

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

C  The client voids 75 cc four hours post cystoscopy.

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

A  Sodium

B  Phosphorous

C  Potassium

D  Calcium

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  Hematuria

B  Anuria

C  Dysuria

D  Enuresis

A  Bladder ultrasonography

B  Computed tomography with contrast

C  Cystoscopy

D  Radiography

A  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.

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  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

A  Provide analgesics to the client.

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

C  Distract the client’s attention from the pain.

D  Enable the client to sit up and ambulate.

A  Nephrotic syndrome

B  Obstruction of the lower urinary tract

C  Acute renal failure

D  Infection

A  Computed tomography (CT scan)

B  Angiography

C  Cystoscopy

D  Radiography

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

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

A  client discomfort.

B  incorrect urine output values.

C  microorganism transfer.

D  prostate irritation.

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

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 lie between the 10th and 12th thoracic vertebrae.

D  The kidneys are situated just above the adrenal glands.

A  After discarding the 8:00 am specimen

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

C  With the first specimen voided after 8:00 am

D  6 hours after the urine is discarded

A  Blood urea nitrogen level

B  Creatinine clearance level

C  Uric acid level

D  Serum potassium level

A  Urinary stasis

B  Urinary frequency

C  Urinary urgency

D  Urinary incontinence

A  A dull sound when percussing over the bladder

B  The ingestion of 8 oz of water

C  Tenderness over the kidneys

D  Bruits noted over the abdominal area

A  Allergic reaction

B  Bleeding

C  Dehydration

D  Infection