Health and Healing Renal
A client with an indwelling catheter is prescribed a urinalysis test. Arrange the steps involved in the collection of the urine sample in correct order.
1. clamp drainage tubing 2. attach a sterile syringe 3. aspirate the urine 4. remove the clamp
The nurse is performing an assessment of a female client's reproductive system. Which action should the nurse take?
Ask about menstrual history at the beginning of assessment
Which hormone is crucial for ovulation and complete maturation of a client's ovarian follicles?
Luteinizing hormone
Which structures are included in the external genitalia in males? Select all that apply.
Penis, Scrotum
A client with ascites has a paracentesis, and 1500 mL of fluid is removed. For which immediate response is it most important for the nurse to monitor?
Rapid, thready pulse
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 statement regarding erythropoietin is true?
an erythropoietin deficiency is associated with renal failure
Tests reveal that a client has phosphatic renal calculi. The nurse teaches the client that the diet may include which food item?
apples; they are low in phosphate
What is the cup-like structure that collects a client's urine and is located at the end of each papilla?
calyx
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
Which part of the nephron secretes creatinine required for elimination?
proximal tubule
What is the action of vasopressin?
reabsorbs water into the capillaries
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
A female client has a history of recurrent urinary tract infections. What should the nurse include in the teaching plan when educating the client about health practices that may help decrease future urinary tract infections?
wear cotton underpants
Which test helps to identify fibroids, tumors, and fistulas while performing a reproductive tract examination?
hysterosalpingography
The nurse is performing a physical examination of a client by placing the left hand on the back and supporting the client's right side between the rib cage and the iliac crest. Which physical assessment maneuver is the nurse performing on this client?
palpation
A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the primary healthcare provider?
obtain a urine specimen for C&S
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
A nurse educates the client about the relationship between the kidneys and blood pressure. Which term should the nurse use to describe the part of the kidney that senses changes in blood pressure?
macula densa
Which structure is removed during circumcision of an infant?
prepuce
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
Which electrolyte deficiency triggers the secretion of renin?
sodium
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
A nurse is providing client teaching to a woman who has recurrent urinary tract infections. Which information should the nurse include concerning the reason why women are more susceptible to urinary tract infections than men?
the length of the urethra
