Chapter 53 Quiz

A  cystitis.

B  Urethral infection.

C  ureteral stones.

D  pyelonephritis.

A  Tenderness over the kidneys

B  The ingestion of 8 oz of water

C  A dull sound when percussing over the bladder

D  Bruits noted over the abdominal area

A  ureter

B  bladder

C  urethra

D  kidney

A  Detrusor

B  Mucosal

C  Connective tissue

D  Adventitia

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

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

C  I can resume my usual activities without restriction.”

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

A  Vasopressin

B  Cortisol

C  Renin

D  Albumin

A  Keep the patient on bed rest for 72 hours.

B  Check the patient’s urine for hematuria.

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  Susceptibility to develop hypernatremia

B  Increased glomerular filtration rate

C  Increased blood flow to the kidney

D  Acid-base balance

A  Infection

B  Phenytoin

C  Metronidazole

D  phenazopyridine hydrochloride

A  Dullness

B  Flatness

C  Resonance

D  Tympany

A  Parenchyma

B  Glomerulus

C  Renal pelvis

D  Nephron

A  Have you any artificial joints?”

B  Do you have a pacemaker?”

C  Who has come with you today?”

D  “Do you have any allergies?”

A  Prostaglandins

B  Aldosterone

C  Antidiuretic hormone

D  Growth hormone

A  4:01

B  3:01

C  10:01

D  6:01

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

B  confirm which beverages the client normally consumes.

C  assess the client’s usual intake of sodium.

D  confirm all of the medications and supplements normally taken.

A  Creatinine clearance level

B  BUN to creatinine ratio

C  Blood urea nitrogen (BUN)

D  Uric acid 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  Chronic kidney disease

C  Proteinuria

D  Kidney stone formation

A  “Do you take multiple vitamin preparations?”

B  Do you take phenytoin daily?”

C  Have you had a recent urinary tract infection?”

D  Have you noticed any vaginal bleeding?”

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

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

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  Acid-base balance

D  More prone to develop hypernatremia

A  Liver function studies

B  Creatinine clearance

C  GI absorption rate

D  Therapeutic index

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  Creatinine clearance level

B  Blood urea nitrogen level

C  Serum potassium level

D  Uric acid level

A  Diabetes insipidus

B  Decreased fluid intake

C  Increased fluid intake

D  Glomerulonephritis

A  Osmolality

B  Creatinine

C  Hemoglobin

D  Blood urea nitrogen

A  Around the umbilicus

B  The costovertebral angle

C  The upper abdominal quadrants on the left and right side

D  Above the symphysis pubis

A  Neurogenic bladder

B  Chronic renal failure

C  Kidney stones

D  Fistula

A  potassium

B  creatinine

C  chloride

D  glucose

A  Fluid deficits

B  Diabetes insipidus

C  Glomerulonephritis

D  Diabetes

E  Severe renal damage

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

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

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

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

A  Perineal pain

B  Suprapubic pain

C  Costovertebal angle tenderness

D  Pain after voiding

A  When the urine output is about 100 mL/h

B  When the urine output is less than 30 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  Urine-specific gravity

B  Creatinine clearance

C  Volume of urine output

D  Circulating ADH concentration

A  drink liberal amounts of fluids.

B  carefully handle urine because it is radioactive.

C  maintain bed rest for 2 hours.

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

A  Polyuria

B  Nocturia

C  Dysuria

A  Decreased potassium

B  Decreased blood urea nitrogen (BUN)

C  Increased serum albumin

D  Increased serum creatinine

A  dysuria.

B  anuria.

C  nocturia.

D  oliguria.

A  Assess peripheral pulses in the left leg.

B  Assess for anaphylaxis.

C  Exercise the leg and foot.

D  Place cool compresses on the calf.

A  Pruritus

B  Hypoventilation

C  Increased alertness

D  Unusually smooth skin

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

B  Check the patient’s urine for hematuria.

C  Keep the patient on bed rest for 72 hours.

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

A  unchanged in renal disease.

B  decreased in renal disease and urinary obstruction.

C  decreased in nephrotic syndrome.

D  increased in renal disease and urinary obstruction.

A  Urinary incontinence

B  Stroke

C  Myocardial infarction

D  Congestive heart failure

A  Calcitonin

B  Aldosterone

C  Antidiuretic hormone (ADH)

D  Renin

A  Vitamin B production

B  Regulation of blood pressure

C  Vitamin D synthesis

D  Secretion of insulin

E  Secretion of prostaglandins

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

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

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

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

A  Regulation of white blood cell production

B  Secretion of enzymes

C  Control of water balance

D  Synthesis of vitamin K

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

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

C  Assess the client’s mental changes.

D  Evaluate the client for periorbital edema.

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

B  The client voids 75 cc four hours post cystoscopy.

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

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

A  Potassium

B  Phosphorous

C  Calcium

D  Sodium

A  Have you noticed any vaginal bleeding?”

B  “Do you take multiple vitamin preparations?”

C  Have you had a recent urinary tract infection?”

D  “Do you take phenytoin daily?”

A  Anuria

B  Dysuria

C  Enuresis

D  Hematuria

A  Radiography

B  Bladder ultrasonography

C  Computed tomography with contrast

D  Cystoscopy

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

A  Distract the client’s attention from the pain.

B  Enable the client to sit up and ambulate.

C  Provide analgesics to the client.

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

A  Acute renal failure

B  Nephrotic syndrome

C  Infection

D  Obstruction of the lower urinary tract

A  Computed tomography (CT scan)

B  Angiography

C  Cystoscopy

D  Radiography

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

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

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

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

A  incorrect urine output values.

B  microorganism transfer.

C  prostate irritation.

D  client discomfort.

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  With the first specimen voided after 8:00 am

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

C  6 hours after the urine is discarded

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  Urinary stasis

B  Urinary frequency

C  Urinary incontinence

D  Urinary urgency

A  Bruits noted over the abdominal area

B  A dull sound when percussing over the bladder

C  Tenderness over the kidneys

D  The ingestion of 8 oz of water

A  Allergic reaction

B  Bleeding

C  Dehydration

D  Infection