Exam #3 (CH 53 - Assessment of Kidney & Urinary Function)
B
2. A patient is being seen in the clinic for possible kidney disease. What major sensitive indicator of kidney disease does the nurse anticipate the patient will be tested for? a. Blood urea nitrogen level b. Creatinine clearance level c. Serum potassium level d. Uric acid level
C
3. The nurse is caring for a patient with endstage kidney disease in the hospital and smells a fetid odor from the patient's breath. What major manifestation of uremia will be present? a. A decreased serum phosphorus level b. Hyperparathyroidism c. Hypocalcemia with bone changes d. Increased secretion of parathormone
A, B, C
4. The nurse is assessing a patient upon admission to the hospital. What significant nursing assessment data is relevant to renal function? (Select all that apply.) a. Any voiding disorders b. The patient's occupation c. The presence of hypertension or diabetes d. The patient's financial status e. The ability of the patient to manage activities of daily living
A
5. The nurse is assigned to care for a patient in the oliguric phase of kidney failure. When does the nurse understand that oliguria is said to be present? 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 300 and 500 mL/h d. When the urine output is between 500 & 1,000 mL/h
A
1. A patient has an increase in blood osmolality when the nurse reviews the laboratory work. What can this increase indicate for the patient? a. ADH stimulation b. An increase in urine volume c. Diuresis d. Less reabsorption of water
B
10. A patient is scheduled for a test with contrast to determine kidney function. What statement made by the patient should the nurse inform the physician about prior to testing? a. "I don't like needles." b. "I am allergic to shrimp." c. "I take medication to help me sleep at night." d. "I have had a test similar to this one in the past."
A
6. A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse initiate the procedure? 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
B
7. The nurse is educating a patient about preparation for an IV urography. What should the nurse be sure to include in the preparation instructions? a. A liquid restriction for 8 to 10 hours before the test is required b. The patient may have liquids before the test. c. The patient will have enemas until the urine is clear. d. The patient is restricted from eating or drinking from midnight until after the test
A, B, C
8. A patient had a renal angiography and is being brought back to the hospital room. What nursing interventions should the nurse carry out after the procedure to detect complications? (Select all that apply.) a. Assess peripheral pulses. b. Compare color and temperature between the involved and uninvolved extremities. c. Examine the puncture site for swelling & hematoma formation. d. Apply warm compresses to the insertion site to decrease swelling. e. Increase the amount of IV fluids to prevent clot formation.
A
9. A patient is having an MAG3 renogram and is informed that radioactive material will be injected to determine kidney function. What should the nurse instruct the patient to do during the procedure? a. Lie still on the table for approximately 35 minutes. b. Drink contrast material at various intervals during the procedure. c. Turn from side to side to get a variety of views during the procedure. d. Take deep breaths and hold them at various times throughout the procedure.
