NUR 202 Mod E, renal, Urinary, and Reproductive Systems
A client is taught how to change the dressing and how to care for a recently inserted nephrostomy tube. On the day of discharge the client states, "I hope I can handle all this at home; it's a lot to remember." Which is the best response by the nurse?
"You seem to be nervous about going home."
What is the concentration of estradiol in the blood during the follicular phase of the menstrual cycle?
130 pg/mL (In the follicular phase of the menstrual cycle, 20-150 pg/mL of estradiol is released)
Shrinkage of the tumor on scanning
72 hours
Which hormone influences kidney function?
Aldosterone (Released from the adrenal cortex)
A client reports an absence of menstruation to the nurse. Which condition does the nurse suspect?
Amenorrhea
A nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hyperplasia (BPH). Which test result will the nurse check to confirm the diagnosis?
Biopsy of prostatic tissue
What is the cup-like structure that collects a client's urine and is located at the end of each papilla?
Calyx
Which is a primary glomerular disease?
Chronic glomerulonephritis
A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse most likely observe written in the client's medical record?
Cystitis (Cystitis is an inflammation of the bladder that causes frequency and urgency of urination, pain on micturition, and hematuria.)
Radium inserted in the vagina of a client now is being removed. Which safety precaution should the nurse employ when assisting with the radium removal?
Ensure that long forceps are available for removing the radium
A client has a kidney transplant. The nurse should monitor for which assessment findings associated with rejection of the transplant? Select all that apply.
Fever, Oliguria, Weight gain
A client is admitted to the hospital with a diagnosis of cancer of the liver with ascites and is scheduled for a paracentesis. Which nursing intervention is appropriate to include in the client's plan of care?
Having the client void before the procedure
A client who had a transurethral resection of the prostate is transferred to the postanesthesia care unit with an intravenous (IV) line and a urinary retention catheter. For which major complication is it most important for the nurse to assess during the immediate postoperative period? 1 Sepsis
Hemorrhage
Which test helps to identify fibroids, tumors, and fistulas while performing a reproductive tract examination?
Hysterosalpingography
The nurse is caring for a client with ureteral colic. To prevent the development of renal calculi in the future, which strategy should be included in the client's plan of care?
Instructing the client to drink 8 to 10 glasses of water daily
Which part of the kidney produces the hormone bradykinin?
Juxtaglomerular cells of the arterioles
The nurse finds that a client has reduced urinary output. Which condition would the nurse document in the client's medical record?
Oliguria
Which part of the female reproductive system produces testosterone in females?
Ovary
The nurse is educating student nurses about the anatomy and physiology of the kidneys. What term does the nurse explain is used for the tip of the pyramid of a kidney?
Papilla
Which structures are included in the external genitalia in males? Select all that apply.
Penis, Scrotum
Which drug prescribed to a client with a urinary tract infection (UTI) turns urine reddish-orange in color?
Phenazopyridine
Which phase of the woman's sexual response is characterized by elevation of the uterus?
Plateau phase
Which structure is removed during circumcision of an infant?
Prepuce
Which hormone is crucial in maintaining the implanted egg at its site?
Progesterone
A client is transferred to the postanesthesia care unit after undergoing a pyelolithotomy. The client's urinary output is 50 mL/hr. What should the nurse do?
Record the output as an expected finding.
Which intervention would be most beneficial in preventing a catheter-associated urinary tract infection in a postoperative client?
Removing the catheter within 24 hours
A client is diagnosed as having invasive cancer of the bladder, and brachytherapy is scheduled. What should the nurse expect the client to demonstrate that indicates success of this therapy?
Shrinkage of the tumor on scanning
A nurse is notified that the latest potassium level for a client in acute kidney injury is 6.2 mEq (6.2 mmol/L). Which action should the nurse take first?
Take vital signs and notify the primary healthcare provider.
The nurse provides discharge instructions to a male client who had an ureterolithotomy. The client has a history of recurrent urinary tract infections (UTIs). For which indicators of a UTI should the nurse instruct the client to be on the alert?
Urgency or frequency of urination
A couple approaches the primary healthcare provider to seek guidance on permanent contraception. Which surgeries are suggested to the couple? Select all that apply.
Vasectomy, Tubal ligation
A client begins therapy with a new medication. One month later the client notices blood in the urine. Which drug does the nurse anticipate as the cause?
Warfarin
A nurse is evaluating a client's understanding of peritoneal dialysis. Which information in the client's response indicates an understanding of the purpose of the procedure?
Removing toxins in addition to other metabolic wastes
A student nurse is caring for a client with chronic kidney failure who is to be treated with continuous ambulatory peritoneal dialysis (CAPD). Which statement by the student nurse indicates to the primary nurse that the student nurse understands the purpose of this therapy?
"It uses the peritoneum as a semipermeable membrane to clear toxins by osmosis and diffusion."
The primary healthcare provider suspects pituitary gland dysfunction in a female client. Which diagnostic test would the primary healthcare provider suggest to the client?
Prolactin test
A nurse writes a goal of preventing renal calculi in a care plan for a client with paraplegia. Which information most likely caused the nurse to write this goal?
Accelerated bone demineralization
A client is admitted to the hospital from the emergency department with a diagnosis of urolithiasis. The nurse reviews the client's clinical record and performs an admission assessment. Which is the priority nursing action?
Administer the prescribed morphine
Tests reveal that a client has phosphatic renal calculi. The nurse teaches the client that the diet may include which food item?
Apples (Apples are low in phosphate; fresh fruit is low in phosphorus.)
The nurse is performing an assessment of a client's reproductive system. Which action should the nurse take?
Ask about menstrual history at the beginning of assessment
Which statement indicates the nurse has a correct understanding about kidney ultrasonography?
Kidney ultrasonography makes use of sound waves and has minimal risk.
A pathology report states that a client's urinary calculus is composed of uric acid. Which food item should the nurse instruct the client to avoid?
Liver
Which parts of the nephron are the sites for the regulation of water balance?
Loop of Henle, Descending limb (DL)
Which hormone is crucial for ovulation and complete maturation of a client's ovarian follicles?
Luteinizing hormone
Which hormone elevations indicate Turner syndrome? Select all that apply.
Lutropin, Follitropin
A 55-year-old client reports cessation of menstrual periods. Which term best describes the client's condition?
Menopause
A client is diagnosed with condyloma acuminatum. Which finding in the client supports the diagnosis?
Moist, fleshy projections on the penis
The nurse is caring for a client in the postanesthesia care unit. The client had a suprapubic prostatectomy for cancer of the prostate and has a continuous bladder irrigation (CBI) in place. Which primary goal is the nurse trying to achieve with the CBI?
Prevent the development of clots in the bladder.
A nurse is caring for a client with a diagnosis of cancer of the prostate. The nurse should teach the client that which serum level will be monitored throughout the course of the disease?
Prostate-specific antigen (PSA)
A nurse is counseling a woman who had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?
Proximity of the urethra to the anus
A nurse is counseling a woman who has had recurrent urinary tract infections. Which factor should the nurse explain is the reason why women are at a greater risk than men for contracting a urinary tract infection?
Proximity of the urethra to the anus
Which retrograde procedure involves the examination of the ureters and the renal pelvises?
Pyelogram
Which electrolyte deficiency triggers the secretion of renin?
Sodium (Low sodium ion concentration causes decreased blood volume, thereby resulting in decreased perfusion. Decreased blood volume triggers the release of renin from the juxtaglomerular cells.)
When assessing a client during peritoneal dialysis, a nurse observes that drainage of the dialysate from the peritoneal cavity has ceased before the required volume has returned. What should the nurse instruct the client to do?
Turn from side to side
What instruction regarding sample collection should the nurse give a client who is ordered a clean-catch urine specimen?
Urinate small amount, stop flow, fill half of cup
A client with chronic renal failure has been on hemodialysis for 2 years. The client communicates with the nurse in the dialysis unit in an angry, critical manner and is frequently noncompliant with medications and diet. The nurse can best intervene by first considering that the client's behavior is most likely for which reason?
A defense against underlying depression and fear
Which statement regarding erythropoietin is true?
An erythropoietin deficiency is associated with renal failure.
What does the presence of ketones in the urine of a client with renal dysfunction indicate?
Anorexia nervosa
Which urodynamic study provides information on bladder capacity, bladder pressure, and voiding reflexes?
Cystometrography (CMG)
A nurse is teaching a class about the male anatomy. What is the function of the structure pointed out in the given figure? (scrotom)
Holds the testes
The nurse is educating a couple concerning the process of fertilization. The nurse explains to the couple that which component stimulates the release of estrogen and progesterone after fertilization?
Human chorionic gonadotropin (hCG)
Which part of the nephron secretes creatinine required for elimination?
Proximal tubule
Which diagnostic tests are used to measure the kidney size of a client with kidney dysfunction?
Radiography, Computed tomography (CT)
The urinalysis report of a client reveals cloudy urine. What does a nurse infer from the client's report?
The client has a urinary infection.
A client who is recovering from deep partial-thickness burns develops chills, fever, flank pain, and malaise. The primary healthcare provider makes a tentative diagnosis of urinary tract infection. Which diagnostic tests should the nurse expect the primary healthcare provider to prescribe to confirm this diagnosis?
Urinalysis and urine culture and sensitivity
