Chapter 53 Quiz

A  Urethral infection.

B  pyelonephritis.

C  ureteral stones.

D  cystitis.

A  A dull sound when percussing over the bladder

B  Bruits noted over the abdominal area

C  The ingestion of 8 oz of water

D  Tenderness over the kidneys

A  urethra

B  ureter

C  kidney

D  bladder

A  Mucosal

B  Adventitia

C  Detrusor

D  Connective tissue

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  Renin

B  Albumin

C  Cortisol

D  Vasopressin

A  Check the patient’s urine for hematuria.

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  Keep the patient on bed rest for 72 hours.

A  Increased blood flow to the kidney

B  Increased glomerular filtration rate

C  Susceptibility to develop hypernatremia

D  Acid-base balance

A  Infection

B  phenazopyridine hydrochloride

C  Metronidazole

D  Phenytoin

A  Dullness

B  Flatness

C  Resonance

D  Tympany

A  Nephron

B  Renal pelvis

C  Glomerulus

D  Parenchyma

A  “Do you have any allergies?”

B  Have you any artificial joints?”

C  Do you have a pacemaker?”

D  Who has come with you today?”

A  Aldosterone

B  Antidiuretic hormone

C  Growth hormone

D  Prostaglandins

A  3:01

B  4:01

C  6:01

D  10:01

A  confirm which beverages the client normally consumes.

B  confirm all of the medications and supplements normally taken.

C  assess the client’s usual intake of sodium.

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

A  Blood urea nitrogen (BUN)

B  BUN to creatinine ratio

C  Creatinine clearance level

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  Kidney stone formation

B  Chronic kidney disease

C  Neurogenic bladder

D  Proteinuria

A  Do you take phenytoin daily?”

B  Have you had a recent urinary tract infection?”

C  “Do you take multiple vitamin preparations?”

D  Have you noticed any vaginal bleeding?”

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

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

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

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

A  More prone to develop hypernatremia

B  Acid-base balance

C  Increased blood flow to the kidneys

D  Increased glomerular filtration rate

A  GI absorption rate

B  Creatinine clearance

C  Liver function studies

D  Therapeutic index

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  Creatinine clearance level

B  Blood urea nitrogen level

C  Serum potassium level

D  Uric acid level

A  Diabetes insipidus

B  Increased fluid intake

C  Decreased fluid intake

D  Glomerulonephritis

A  Blood urea nitrogen

B  Osmolality

C  Creatinine

D  Hemoglobin

A  Around the umbilicus

B  The upper abdominal quadrants on the left and right side

C  The costovertebral angle

D  Above the symphysis pubis

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  Diabetes insipidus

C  Fluid deficits

D  Glomerulonephritis

E  Diabetes

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

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

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

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

A  Perineal pain

B  Costovertebal angle tenderness

C  Suprapubic pain

D  Pain after voiding

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

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

C  When the urine output is about 100 mL/h

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

A  Volume of urine output

B  Circulating ADH concentration

C  Urine-specific gravity

D  Creatinine clearance

A  maintain bed rest for 2 hours.

B  carefully handle urine because it is radioactive.

C  drink liberal amounts of fluids.

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

A  Dysuria

B  Nocturia

C  Polyuria

A  Decreased potassium

B  Increased serum creatinine

C  Decreased blood urea nitrogen (BUN)

D  Increased serum albumin

A  anuria.

B  nocturia.

C  oliguria.

D  dysuria.

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  Unusually smooth skin

B  Hypoventilation

C  Increased alertness

D  Pruritus

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  unchanged in renal disease.

B  decreased in nephrotic syndrome.

C  increased in renal disease and urinary obstruction.

D  decreased in renal disease and urinary obstruction.

A  Congestive heart failure

B  Stroke

C  Myocardial infarction

D  Urinary incontinence

A  Renin

B  Calcitonin

C  Aldosterone

D  Antidiuretic hormone (ADH)

A  Secretion of prostaglandins

B  Regulation of blood pressure

C  Vitamin B production

D  Vitamin D synthesis

E  Secretion of insulin

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

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

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

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

A  Synthesis of vitamin K

B  Control of water balance

C  Regulation of white blood cell production

D  Secretion of enzymes

A  Assess the client’s mental changes.

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

C  Evaluate the client for periorbital edema.

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

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

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

C  The client voids 75 cc four hours post cystoscopy.

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

A  Phosphorous

B  Calcium

C  Potassium

D  Sodium

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  Dysuria

B  Hematuria

C  Enuresis

D  Anuria

A  Cystoscopy

B  Radiography

C  Bladder ultrasonography

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  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 high urine output with a low 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  Acute renal failure

B  Obstruction of the lower urinary tract

C  Nephrotic syndrome

D  Infection

A  Cystoscopy

B  Radiography

C  Computed tomography (CT scan)

D  Angiography

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 should remove all jewelry before the test.”

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

A  incorrect urine output values.

B  client discomfort.

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  With the first specimen voided after 8:00 am

B  6 hours after the urine is discarded

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

D  After discarding the 8:00 am specimen

A  Serum potassium level

B  Blood urea nitrogen level

C  Creatinine clearance level

D  Uric acid 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  Bruits noted over the abdominal area

D  Tenderness over the kidneys

A  Allergic reaction

B  Dehydration

C  Infection

D  Bleeding