Week 6

Pataasin ang iyong marka sa homework at exams ngayon gamit ang Quizwiz!

A patient being treated for acute tubular necrosis (ATN) develops mild polyuria. The nurse responds to questions about why this occurring by stating

"His renal tubules are recovering, so he is making more urine, but he is not able to concentrate urine well, because he is not fully recovered."

A patient injured severely in a motor vehicle accident is hospitalized with acute kidney injury as well as multiple broken bones and lacerations. When family members ask what is meant by the term 'prerenal,' the nurse responds

"Your husband's kidney injury did not start in the kidney itself, but rather in the blood flow to the kidney."

Hypotension is both a cause of chronic kidney disease and a result of chronic kidney disease.

False

A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate, because

GFR declines.

The major cause of glomerulonephritis is

Immune system damage to glomeruli

Treatment of a uterine prolapse may involve the insertion of a(n) ________ to hold the uterus in place.

Pessary

Which group is at the highest risk for urinary tract infection?

Sexually active women

Infection can lead to bladder stone formation.

True

The best intervention for acute kidney injury (AKI) is prevention.

True

The most common cause of urinary obstruction in male newborns and infants is urethral valves.

True

The prognosis of penile carcinoma depends upon the stage of the disease.

True

What problem is a patient likely to experience in end-stage renal disease?

Uremia

The risk for contrast media-induced acute tubular necrosis (ATN) is highest in

a 70-year-old patient with heart failure.

The pathophysiologic basis of acute glomerulonephritis is

an immune complex reaction.

A major modifiable risk factor for nephrolithiasis is

dehydration.

The patient most at risk for postrenal acute kidney injury is a(n)

elderly patient with hypertrophy of the prostate.

The oliguric phase of acute tubular necrosis is characterized by

fluid excess and electrolyte imbalance.

Nephrotic syndrome does not usually cause

hematuria

The most frequent initial symptom of bladder cancer is

hematuria.

Excessive vomiting in pregnant women is known as

hyperemesis gravidarum.

Phimosis is a disorder of the penis characterized by

inability to retract the foreskin.

A change occurring in a pregnant woman that is indicative of a potential disorder is

increased urinary protein.

The most common types of uterine tumors are known as

leiomyomas.

A person is unaware that his bladder is full of urine, but complains that he is leaking urine almost constantly. The most accurate term for this type of incontinence is

overflow.

The most common sign/symptom of renal calculi is

pain

One cause of an extrinsic renal system obstruction is

pelvic tumor.

Sexual impotence is rarely because of

primary causes.

Signs consistent with a diagnosis of glomerulonephritis include

proteinuria.

A 52-year-old female had a surgical procedure in which the breast, lymphatics, and underlying muscle were removed. The procedure performed was a

radical mastectomy.

Vesicoureteral reflux is associated with

recurrent cystitis.

The most common cause of ischemic acute tubular necrosis (ATN) in the United States is

sepsis.

When a patient experiencing nephrotic syndrome asks, "What causes my urine to be so full of protein," the nurse's response is based on the knowledge that

the glomerular membrane has increased permeability.

The infection frequently associated with development of postinfectious acute glomerulonephritis is

throat infection.

The most common cause of intrinsic kidney injury is _____ injury.

tubular

A patient who reported a very painful sore throat 3 weeks ago is now diagnosed with acute post-streptococcal glomerulonephritis. When asked, "Why is my urine the color of coffee?", the nurse responds

"Your immune system was activated by your sore throat and has caused some damage in your kidneys that allows red blood cells to leak into the fluid that becomes urine and make it coffee-colored."

The HPV vaccine is recommended for 11- to 12-year-old girls, but can be administered to girls as young as _____ years of age.

9

Which intervention has been found to retard the advancement of chronic kidney disease?

ACE inhibitors

The organism most commonly associated with acute pyelonephritis is

Escherichia coli.

Activation of parasympathetic nerves to the bladder will cause

bladder contraction.

The most common type of renal stone is

calcium.


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