Test 1 (Urinary)

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following risk factors should the nurse identify as contributing to this diagnosis?

High Purine diet

A 176-lb client with pyelonephritis has been instructed to drink at least 30 mL of water for each kilogram of body weight. The client prefers to drink bottled water and asks the nurse to calculate the number of 16-oz bottles needed to fulfill the daily intake required. Fill in the blank with the total number of 16-oz bottles of water that should be consumed each day.

5

A nurse is caring for a client who has a new diagnosis of chronic renal failure. The nurse should recognize which of the following client statements as an indication of anticipatory grief?

"I just can't believe that my whole life is going to be ruined by dialysis."

A nurse is providing teaching for a client who has an ileal conduit following bladder cancer. Which of the following statements by the client indicates a need for the nurse to provide additional teaching?

"I need to catheterize the stoma several times a day."

A nurse is reinforcing teaching with a client who has recurrent urinary tract infections (UTIs) about prevention measures. Which of the following client statements indicates the need for further teaching?

"I will need to wipe my perineal area from back to front after urination."

A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose for this test?" Which of the following responses should the nurse give?

"This test will inform your provider how your kidneys are functioning."

A nurse in a provider's office is reinforcing teaching with a client who is to undergo a cystoscopy. Which of the following information should the nurse include in the teaching?

"You can take a warm sitz bath after the procedure."

Adult bladder can hold typically __________millimeters of fluid.

300-500

A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding?

Increased specific gravity

A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?

Instruct the client to avoid drinking caffeinated beverages

A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority?

Instruct the parent to avoid pressing on the abdominal area.

A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?

Diabetes mellitus

The client with glomerulonephritis is exhibiting gross periorbital edema. Which is the best nursing intervention to relieve this symptom

Elevate head of bed

A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect?

Elevated Creatinine

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Encourage the client to drink 3 L of fluids per day.

A nurse is assisting with the care of a client who has hypertension and chronic kidney disease. The client is scheduled for hemodialysis. Which of the following actions should the nurse plan to take while caring for this client? (Select all that apply.)

a. Check the graft site for a palpable thrill. b. Document vital signs d. Verify the glomerular filtration rate. e. Obtain the client's weight.

The lower urinary tract consists of________________

a. bladder b. pelvic floor muscles c. urethra

The amount of urine left in the bladder after urination is known as_______ residual.

postvoid

A nurse is caring for a child who has acute glomerulonephritis. Which of the following actions is the nurse's priority?

Check the weight daily

A nurse is collecting data from a client who is to have an intravenous pyelogram (IVP). Which of the following data is a contraindication to this procedure?

Client has an allergy to shellfish

A nurse is caring for a client who is in the oliguric phase of acute kidney injury. Which of the following actions should the nurse take?

Monitor intake and output

True or False: Aminoglycosides such as gentamicin, can result in increased levels of BUN and serum Creatinine, indicating nephrotoxicity.

True

True or False: Assessing the kidneys for tenderness or pain is done by lightly striking the fist at the costovertebral angle which is the area where the lower ribs meet at the vertebrae.

True

True or False: Bleeding is a serious complication of a renal biopsy.

True

True or False: Normally, protein is minimally present in the urine.

True

The ____________is a hollow tube which serves as a conduit for urinary elimination.

Urethra

A nurse in a provider's office is collecting data from an older adult client who reports a sudden onset of urinary incontinence. The nurse should collect additional data to determine if the client has which of the following conditions?

Urinary tract infection

The primary function of the kidneys is to regulate ___________

-Regulate red blood cell production -regulate pH and blood pressure -remove/excrete waste -acid-base balance -regulate calcium/phosphate -electrolyte balance

A nurse in a provider's office is reinforcing teaching with a client who is to collect a 24-hr urine specimen. Which of the following instructions should the nurse include in the teaching?

At the beginning of the collection time, urinate and then discard the urine, collect after that.

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?

BUN

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

BUN 35 mg/dL, serum creatinine 8 mg/dL

​A nurse is caring for a client who has a diagnosis of acute glomerulonephritis. Which of the following should be reported immediately to the provider?

Blood pressure 162/90 mm Hg

A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?

Body Weight

The nurse is to check residual urine amounts for a client experiencing urinary retention. Which of the following would be most important?

Catheterize the client immediately after the client voids.

A nurse is collecting data from a client who has systemic lupus erythematosus (SLE). Which of the following laboratory values should the nurse review to determine the client's renal function?

Creatinine

A____________is the visual examination of the inside of the bladder.

Cystoscopy

During the physical examination of a client, the nurse monitors for signs that may indicate a urinary tract disorder. Which of the following would suggest that the client may have a urinary tract disorder? Select all that apply.

-flank pain -peripheral edema -periorbital edema -malaise

A nurse is caring for a client who has impaired renal function. The nurse should notify the provider if the client's hourly urine output falls below what amount? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

30

_____________is a measurement of the kidney's ability to concentrate and excrete urine.

Specific Gravity

A nurse in a clinic is collecting data from a client who has cystitis. The nurse should expect which of the following findings ?

Suprapubic tenderness

True or False: To begin a 24-hour volume collection, the client is initially instructed to void and the urine is collected in the collection bottle.

False

A nurse is collecting data for a middle aged client who has pyelonephritis. Which of the following finding should the nurse expect?

Flank Pain

The nurse is obtaining a health history from a client describing urinary complications. Which assessment finding is most suggestive of a malignant tumor of the bladder?

Hematuria

A nurse is planning care for a client who has renal stones and a urinary catheter in place. Which of the following interventions should the nurse include in the plan of care

Strain the client's urine through a mesh filter

A nurse is collecting data from a client who has end-stage kidney disease and is waiting for transport to dialysis. Which of the following findings should the nurse expect?

Peripheral edema

A nurse is collecting data on a client who has end-stage kidney disease (ESKD). Which of the following is an expected finding?

Pruritus, rash and itching

A nurse is preparing a client for a kidney biopsy. Which of the following actions should the nurse take?

Review labs for coagulation times and levels prior to surgery/procedure

A nurse is reviewing laboratory findings for a client who has acute kidney disease. Which of the following findings should the nurse expect?

Serum creatinine 6 mg/dL

A nurse is reinforcing teaching with a client about the oliguric phase of acute kidney injury. Which of the following information should the nurse include in the teaching?

The client's urine output is less than 400 mL per 24 hours.

A nurse is reinforcing teaching about monitoring weight with a client who has chronic kidney disease. Which of the following instructions should the nurse include in the teaching?

Weigh at the same time each day.

A nurse is reinforcing teaching with a client who has received treatment for kidney stones. The nurse should remind the client to increase intake of which of the following?

Water

A nurse is assessing an older adult client who has a urinary tract infection (UTI). Which of the following findings should the nurse identify as unique for this age group?

Confusion

A nurse is obtaining a urine specimen for culture and sensitivity via a straight catheterization. Which of the following actions should the nurse take?

Use a sterile specimen container.

A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?

Stress incontinence

True or False: Prior to a renal angiography, the nurse must ask the patient about allergies to iodine or seafood and any previous dye reactions.

True

True or False: The client undergoing a retrograde pyelography may experience a dull ache caused by a distention of the renal pelves with the radiopaque dye.

True

A nurse is emptying a client's urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

Urinary tract infection