NUR 222 - Ch 26 - PrepU

The nurse is assessing a client at the diagnostic *imaging* center. For which diagnostic test would the client assess for an *allergy to shellfish*?

Computed tomography with *contrast*

A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract?

Ureters

The nurse is providing care to a client who has had a kidney *biopsy*. The nurse would need to be alert for signs and symptoms of which of the following?

Bleeding

The nurse is providing care to a client who has had a renal *biopsy*. The nurse would need to be alert for signs and symptoms of which of the following?

Bleeding

A 42-year-old client is being seen by an urologist in the group where you practice nursing. She is experiencing some secretion abnormalities, for which diagnostics are being performed. Which of the following substances are typically *reabsorbed and not secreted in urine*?

Glucose (Page 727)

Regulation of *electrolyte balance* is a management goal for patients suffering from renal disease. Which of the following lab results is considered the *most life-threatening effect of renal failure*?

Hyperkalemia (Page 729)

A nurse is reviewing the laboratory test results of a client with renal disease. Which of the following would the nurse expect to find?

Increased serum creatinine (Page 730)

A client reports urinary *frequency, urgency, and dysuria*. Which of the following would the nurse most likely suspect?

Infection (Page 734)

The term used to describe total urine output less than *0.5 mL/kg/hour* is

oliguria (Page 733)

The nurse is aware, when caring for patients with renal disease, that which *substance made in the glomeruli directly controls blood pressure*?

Renin (Page 726)

Which of the following *hormone*s is secreted by the *juxtaglomerular apparatus*?

Renin (Page 726)

A 24-year-old patient was admitted to the emergency room after a water skiing *accident*. The X-rays revealed two fractured vertebrae, T-12 and L1. Based on this information, the nurse would know to perform which of the following actions?

Check the patient's urine for *hematuria*. (Page 724)

A client develops decreased renal function and requires a change in *antibiotic dosage*. On which factor should the physician base the dosage change?

Creatinine clearance (Page 738)

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?

Creatinine clearance level (Page 730)

A client has undergone diagnostic testing that involved the *insertion of a lighted tube with a telescopic lens*. The nurse identifies this test as which of the following?

Cystoscopy (Page 738)

*Common tests of renal function* include which of the following? Select all that apply.

Renal concentration test; Creatinine clearance; Serum creatinine; Blood urea nitrogen {BUN} (Page 738)

The wall of the *bladder has four layers*. Which of the following layers contains a *membrane* that *prevents reabsorption* of urine stored in the bladder?

Mucosal (Page 726)

A client asks the nurse why a *creatinine clearance test* is accurate. The nurse is most correct to reply which of the following?

"Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney."

The nurse is caring for a client who has presented to the walk-in clinic. The client verbalizes pain on urination, feelings of fatigue, and diffuse back pain. When completing a head-to-toe assessment, at which specific location would the nurse *assess the client's kidneys for tenderness*?

The costovertebral angle

A client is scheduled for a renal ultrasound. Which of the following would the nurse include when explaining this procedure to the client?

"You don't need to do any fasting before this noninvasive test." (Page 739)

When the bladder contains 400 to 500 mL of urine, this is referred to as

functional capacity (Page 730)

The wall of the *bladder* is comprised of *four layers*. Which of the following is the layer responsible for *micturition*?

*Detrusor* muscle (Page 726)

The most frequent reason for *admission to skilled care facilities* includes which of the following?

Urinary incontinence (Page 732)

A nurse measures a patient's urinary output every 8 hours. The nurse weighs the importance of these results by comparing the normal 24-hour urinary output with the patient's condition and medication. The *normal 24-hour output* should be:

1 to 2 L/day (Page 728)

When fluid intake is *normal*, the *specific gravity of urine* should be which of the following?

1.010 to 1.025 (Page 737)

A routine serum glucose analysis indicated the presence of *renal glycosuria*. The nurse knew that the serum glucose level was:

>180 mg/dL (Page 727)

As women age, many experience an *increased sense of urgency* to void, as well as an *increased risk of incontinence*. This is usually the result of *age-related changes* in which part of the renal system?

Bladder

The nurse is completing a full exam of the renal system. Which *assessment finding* best documents the need to offer the use of the bathroom {*full bladder*}?

A *dull* sound when percussing over the bladder

Which of the following *diagnostic tests* would the nurse expect to be ordered to determine the details of the *arterial supply to the kidneys*?

Angiography (Page 739)

Which of the following *vitamin* is necessary for maintenance of *normal calcium levels*?

D (Page 730)

A client has a *full bladder*. Which *sound* would the nurse expect to hear *on percussion*?

Dullness (Page 735)

A nurse, when caring for a client, notes that the *specific gravity* of the client's urine is low. *What could have led to the low specific gravity* of urine?

Excess fluid intake (Page 737)

The nurse reviews a client's history and notes that the client has a history of *hyperparathyroidism*. The nurse would identify that this client most likely would be *at risk for* which of the following?

Kidney stones

A client is scheduled for a *renal angiography*. Which of the following would be appropriate before the test?

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

The nurse is caring for a client who is describing urinary symptoms of *needing to go to the bathroom with little notice*. When the nurse is documenting these symptoms, which medical term will the nurse document?

Urinary urgency

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?

When the urine output is less than 30 mL/h (Page 733)

A client presents to the emergency department complaining of a *dull, constant ache* along the right costovertebral angle along with *nausea and vomiting*. The most likely cause of the client's symptoms is:

renal calculi. (Page 733)