Med-Surg II Ch 36, 37
The nurse is collecting data for a patient who has stress incontinence. Which of these findings would the nurse document? A The patient is unable to reach the bathroom and urinates in underwear. B The patient loses small amounts of urine when he or she coughs or sneezes. C The patient is unable to hold urine when under emotional stress. D The patient is unable to tell when there is the need to urinate.
B The patient loses small amounts of urine when he or she coughs or sneezes.
If crystals are found in a baby's diaper, they are called A Ashen crystals B Uremic crystals C Red Crystals D Sediment
B Uremic crystals
A patient who has HIV asks the nurse why blood work has to be done so frequently. Which of the following responses by the nurse is best? A "Neutrophil counts help the doctor titrate medication levels to keep you healthy." B "CD4+ lymphocyte counts are monitored to determine the progression of the disease." C "B-lymphocyte levels increase if you have an acute infection." D "Phagocytes are decreased when the disease is in an active phase."
B "CD4+ lymphocyte counts are monitored to determine the progression of the disease."
A patient hospitalized for orthopedic surgery had a urinary catheter inserted. The patient later develops a urinary tract infection and asks the nurse what caused it. What is the appropriate response by the nurse? A "Bacteria probably ascended the catheter, causing the infection." B "You probably did not void frequently enough." C "There was a change in the pH of your urine." D "There are always bacteria on your perineum that enter your urine."
A "Bacteria probably ascended the catheter, causing the infection."
Which Urine SP Gravity which represents the normal range? A 2.040- 2.135 B 1.002-1.035 C 150mg/24 hours D .15gms in SI units
B 1.002-1.035
The nurse is caring for a patient who has a renal biopsy. For which complication would the nurse monitor the patient during the 24 hours after the procedure? A Bleeding B Infection C Urinary obstruction D Polyuria
A Bleeding
Complications of lithotripsy include: A Bruising B Congestive Heart Failure C Dyspnea D Thrombus
A Bruising
Which procedure uses sound, laser or dry shock wave energy to break up renal calculi? A Lithotripsy B Lithotomy C Nephrolithatomy D Ureterolithotomy
A Lithotripsy
Aging and the urinary system reveals: A Nephrons decrease B Prostate size gets smaller C Pelvic floor muscles get tighter D No changes occur
A Nephrons decrease
The nurse is collecting data for a patient who has kidney disease. How much urine will the nurse need to collect for a urinalysis? A 5 ml B 10 ml C 20 ml D 50 ml
B 10 ml
Normal pH of urine is: A 1.0-3.0 B 4.5-8.0 C 8.5-10.0 D 10.5-12.5
B 4.5-8.0
Bladder perforation is rare following cystoscopy, but may be indicated by severe: A Hemaruria B Abdominal Pain C Tachycardia D Hypotension
B Abdominal Pain
Risk factors for bladder CA include: A Obesity B Cigarette smoking C High-purine diet D Sedentary lifestyle
B Cigarette smoking
When collecting a urine specimen from a female patient, which of these actions should the nurse take? A Have the patient urinate into a bedpan, then pour the urine into the specimen container. B Direct the patient to wash her perineum before collecting the urine specimen. C Have the patient void, throw that urine away, and then collect another specimen at least 1 hour later. D Obtain the first voided urine of the day.
B Direct the patient to wash her perineum before collecting the urine specimen.
What interventions, in addition to monitoring vital signs, should the nurse plan for in a patient returning from renal arteriogram involves all except: A Implement bedrest for 12 hours, and instruct the patient not to bend leg. B Encourage the patient to ambulate as soon as possible. C Check distal pulses in leg every 30 to 60 minutes. D A pressure dressing and sandbag used to apply pressure.
B Encourage the patient to ambulate as soon as possible.
Select the route that indicates where urine is produced to when it's transported out of the body A Bladder > Kidneys > Urethra >Ureters B Kidneys > Ureters >Bladder > Urethra C Ureters >Kidney > Urethra > Bladder D Kidneys > Bladder > Urethra > Ureters
B Kidneys > Ureters >Bladder > Urethra
The treatment of choice of renal cancer is: A Lithotriosy B Radical Nephrectomy C Cystectomy D Nephrostomy
B Radical Nephrectomy
Which is the most common malignancy of the urinary tract A Kidney CA B Cervical CA C Bladder CA D Liver CA
C Bladder CA
After a renal biopsy, which is the most important side effect to watch for? A Infection B Dyspnea C Bleeding D Fatigue
C Bleeding
A nurse is monitoring an older patient suspected of having a urinary tract infection (UTI) for signs of infection. The nurse would be alert to the presence of: A Fever B Urgency C Confusion D Frequency
C Confusion
The nurse contributes to the plan of care for a patient who has edema. Which of the following is the best indicator of a patient's fluid volume status? A Intake and output B Vital signs C Daily weight D Skin turgor
C Daily weight
Which is the most effective means of assessing changes in fluid status of patients in acute renal failure? A Monitor edema B Record I&O C Daily weight D Take vital signs
C Daily weight
A patient is scheduled for intravenous pyelography (IVP). Before the test, the priority nursing action would be to: A Restrict fluids B Administer a sedative C Determine a history of allergies D Administer an oral preparation of radiopaque dye
C Determine a history of allergies
The nurse is caring for a patient who has a nephrostomy tube. What action should the nurse take? A Limit fluids to 1,000 mL per 24 hours. B Keep collection bag taped to abdomen. C Ensure tube is not kinked or clamped. D Remove and clean the tube once daily.
C Ensure tube is not kinked or clamped.
A nurse is collecting data on a newly admitted patient with the diagnosis of bladder cancer (CA). While collecting data the nurse would most likely to note: A Urgency B Frequency C Hematuria D Burning on urination
C Hematuria
What helps decrease incontinence by strengthening the pubococcygeal muscle? A Sitz Baths B Pessary C Kegel exercises D Yoga
C Kegel exercises
Normal color of urine is: A Dark to amber B Dark smoky C Pale yellow to amber D Cloudy with no color
C Pale yellow to amber
A patient with pyelonephritis has received instructions of managing the condition at home. The nurse determines that the patient understood the instructions if he has verbalized that he will: A Stop taking antibiotics when the pain subsides B Exercise as much as possible to stimulate circulation C Use sitz baths and analgesics to increase comfort D Keep fluid intake to a minimum to decrease the need to void
C Use sitz baths and analgesics to increase comfort
A new shift is starting, and the LPN is given a list of assigned patients. Of the following patients, whom should the LPN see first? A A patient reporting constipation and stomach cramps B A 2-day postsurgical patient reporting pain at a level of 6 C A patient with pneumonia who is short of breath and anxious D A patient in cardiac arrest
D A patient in cardiac arrest
Low specific gravity is an indicator of: A Diabetes insipidus B Glomerulonephritis C Severe renal damage D All of the above
D All of the above
The nurse contributes to the plan of care for an older patient. The nurse recognizes which of the following does not occur with aging to plan care. A Muscle tone decreases B Number of nephrons decreases C Number of UTI's increases D Bladder size increases
D Bladder size increases
Skin turgor is evaluated in patients with urinary disorders to detect: A Infection B Uremic Crystals C Respiratory disorders D Dehydration
D Dehydration
The nurse is caring for a male patient who has functional incontinence. What actions should the nurse take to help prevent incontinence? A Give the patient cranberry juice to keep the urine acidic. B Teach the patient to increase the time between voiding. C Teach the patient how to do Kegel exercises. D Ensure that the patient has ready access to the urinal
D Ensure that the patient has ready access to the urinal
The nurse is caring for a male patient who has functional incontinence. What actions should the nurse take to help prevent incontinence? A Give the patient cranberry juice to keep the urine acidic. B Teach the patient to increase the time between voiding. C Teach the patient how to do Kegel exercises. D Ensure that the patient has ready access to the urinal.
D Ensure that the patient has ready access to the urinal.
A patient is scheduled for an intravenous pyelogram (IVP). The nurse would evaluate the patient as understanding pre-procedure teaching if the patient reported that which of these would be restricted as part of the preparation for an IVP? A Physical activities B Use of tobacco C Salt intake D Fluid intake
D Fluid intake
A person has a urinary disorder with dyspnea, this is a sign of: A dehydration B uremic frost C potassium imbalance D Fluid overload
D Fluid overload
What is the structural and functional unit of the kidney? A Cortex B Medulla C Pyramid D Nephron
D Nephron
The nurse is helping to prepare a patient for a renal biopsy. What position should the nurse help the patient assume? A Sims B Fowler's C Supine D Prone
D Prone
A patient who has AIDS-related wasting syndrome is admitted to the hospital. The patient is very weak, lies listlessly in bed, has an IV drip, and receives antiretroviral medications via injection. What is a priority nursing diagnosis for this patient? A Risk for Injury due to impaired mobility, weakness, and weight loss B Pain related to immobility C Ineffective Individual Coping due to terminal stage of HIV D Risk for Infection due to weak immune system and parenteral therapy
D Risk for Infection due to weak immune system and parenteral therapy
The nurse contributes to the plan of care for an older patient. The nurse recognizes which of the following occur with aging to plan care? A Bladder size becomes smaller B Detrusor muscle tone decreases C Number of nephrons goes down D Diminished renal blood flow E All the above
E All the above
