Urinary Chapter 47-49 prep U questions
Which of the following vitamins is necessary for maintenance of normal calcium levels? A.) D B.) A C.) C D.) E
A.) D
An appropriate nursing intervention for the client following a nuclear scan of the kidney is to: A.) encourage high fluid intake B.)strain all urine for 48 hours C.) apply moist heat to the flank area D.) monitor for hematuria
A.) encourage high fluid intake
A client with a history of bladder retention hasn't voided for 8 hours. A nurse concerned that the client is retaining urine notifies the physician. He orders a bladder ultrasonic scan and placement of an indwelling catheter if the residual urine is greater than 350 mL. The nurse knows that using a bladder ultrasonic scan to measure residual urine instead of placing a straight catheter reduces the risk of: A.) microorganism transfer B.)Prostate infection C.)Client discomfort D.) Incorrect u
A.) microorganism transfer
A client presents to the emergency department complaining of a dull, constant ache along the right costovertebral angle along with nausea and vomiting. The most likely cause of the client's symptoms is: A.) renal calculi B.)an overdistended bladder C.) interstitial cystitis D.) acute prostatitis
A.) renal calculi
A client who had a history of neurogenic bladder uses a permanent, indwelling catheter to facilitate urine elimination. What can this client consume to decrease the likelihood of bladder infection? A.) Cranberry juice B.) Increased protein C.) Red meat D.)Prune juice
A.) Cranberry juice
Which of the following urine characteristics would the nurse anticipate when caring for a client whose lab work reveals a high urine specific gravity related to dehydration? A.) Dark amber urine B.)Clear or light yellow urine C.) Red urine D.) Turbid urine
A.) Dark Amber urine
A client presents at the testing center for an intravenous pyelogram. What question should the nurse ask to ensure the safety of the client? A.)" Do you have any allergies?" B.)"Who has come with you today?" C.)" Have you any artificial joints?" D.)" Do you have a pacemaker?"
A.) Do you have any allergies
Which substance stimulates the bone marrow to produce red blood cells? A.) Erythropoietin B.) Prostaglandin E C.) Prostacyclin D.) Renin
A.) Erythropoietin
The nurse is providing preprocedure teaching about an ultrasound. The nurse included the fact in preparation for an ultrasound of the lower urinary tract the client will require what intervention? A.) Increased fluid intake to produce a full bladder B.)IV administration of radiopaque contrast agent C.) Sedation and intubation D.) Injection of a radioisotope
A.) Increased fluid intake to produce a full bladder
A client is having a blood urea nitrogen (BUN) test. BUN level is A.) Increased in renal disease and urinary obstruction B.) decreased in nephrotic syndrome C.)decreased in renal disease and urinary obstruction D.) unchanged in renal disease
A.) Increased in renal disease and urinary obstruction
A patient is having a problem with retention of urine in the bladder. Which of the following diagnostic test measurements the amount of residual urine in the bladder? A.)Bladder ultrasonography B.) Nuclear scan C.) cystography D.) IV urography
A.) Bladder ultrasonography
The nurse is providing care to a client who has a kidney biopsy. The nurse would need to be alert for signs and symptoms of which of the following? A.) Bleeding B.)Infection C.) dehydration D.) allergic reaction
A.) Bleeding
The nurse is providing care to a client who has a renal biopsy. The nurse would need to be alert for signs of which of the following? A.) Bleeding B.)infection C.)dehydration D.)allergic reaction
A.) Bleeding
The nurse is caring for a client after a cystoscopic examination. Following the procedure, the nurse informs the client that which effect may occur? A.) Blood- tinged urine B.) Nausea and emesis C.) Diarrhea D.) Severe abdominal pain
A.) Blood tinged urine
The nurse is assessing a client's new stoma and observes that the stoma color is now dark purple. The appropriate nursing intervention is to A.) Contact the physician B.) Change the punching system C.)Remove the urinary stents D.) Apply karaya powder
A.) Contact the physician
Retention of which electrolyte is the most life-threatening effect of renal failure? A.) Calcium B.)Sodium C.)Potassium D.)Phosphorous
B.)Sodium
Which term describes painful or difficult urination? A.) Oliguria B.) Anuria C.) Nocturia D.) Dysuria
D.) Dysuria
Following a renal biopsy, a client reports severe pain in the back, the arms and shoulders. Which intervention should be offered by the nurse? A.) Assess the patient's back and shoulder areas for signs of internal bleeding B.)Distract the patient's attention from the pain C.) Provide analgesics to the patient D.) Enable the patient to sit up and ambulate
A.) Assess the patient's back and shoulder areas for signs of internal bleeding
The nurse is admitting a client who is to undergo an open renal biopsy. About which of the following comments by the client should the nurse be most concerned? A.) "I took my usual dose of coumadin last night" B.) "I have not eaten since 8 pm last night" C.) "I brought a copy of my living will with me" D.) " I signed the consent form in the physician's office"
A.) "I took my usual dose of coumadin last night"
A nursing student asks the nurse why older adults are at risk for renal disease. The best response by the nurse is: A.)"The glomerular filtration rate decreases as we age" B.)" Contractility of the bladder wall increases with age" C.)" Urethral hypertrophy occurs following menopause" D.)" Hypoplasia of the prostate occurs in older men."
A.) "The glomerular filtration rate decreases as we age"
The nurse is caring for a patient with dementia in the long- term care facility when the patient has a change in cognitive function. What should the nurse suspect this patient may be experiencing? A.) A UTI B.) A stroke C.) An aneurysm D.) Facinal impaction
A.) A UTI
After undergoing renal arteriogram, in which the left groin was accessed, a client complains of left calf pain. Which intervention should the nurse perform first A.) Assess peripheral pulses in the left leg B.) Place cool compresses on the calf C.) Exercise the leg and foot D.) Assess for anaphylaxis
A.) Assess peripheral pulses in the left leg
A patient has undergone a renal biopsy. After the test, while the patient is resting, the patient reports severe pain in the back, arms, and shoulders. Which intervention should be offered by the nurse? A.) Assess the patient's back and shoulder areas for signs of internal bleeding B.)Distract the patient's attention from the pain C.) Provide analgesics to the patient D.) Enable the patient to sit up and ambulate
A.) Assess the patient's back and shoulder areas for signs of internal bleeding
A client is being treated for renal calculi and suspected hydronephrosis. Which measure should the nurse take to help maintain a record of the kidneys' function? A.) Monitor the client's intake and output B.) palpate for a thrill over the vascular access C.) inspect the skin over the fistula or graft for signs of infection D.) Note the nail beds and mobility of the fingers
A.) Monitor the client's intake and output
Which of the following describes awakening at night to urinate? A.) Nocturia B.)Polyuria C.). Oliguria D.)Dysuria
A.) Nocturia
Which finding is an early indicator of bladder cancer? A.) Painless hematuria B.) Occasional polyuria C.) Nocturia D.) Dysuria
A.) Painless hematuria
A female client is undergoing a bladder training program as treatment for urinary incontinence. Which technique would be the most appropriate for the nurse to suggest? A.) Performing kegel exercises B.) Reducing fluid intake C.) Attempting to hold the urine for five minutes until the sensation is felt D.)taking warm sitz baths
A.) Performing kegel exercises
Which of the following id an age- related change associated with the renal system? A.) Renal arteries thicken B.) Kidney weight increases C.) Blood flow increases D.) Increased bladder capacity
A.) Renal arteries thicken
Which nursing assessment finding indicates the client has not met expected outcomes? A.) The client voids 75 cc four hours post cystoscopy B.) the client reports a pain rating of 3 two hours post- kidney biopsy C.)Interstitial cystitis D.) acute prostatitis
A.) The client voids 75 cc four hours post cystoscopy
The most frequent reason for administration to skilled care facilities includes which of the following? A.) Urinary incontinence B.) Congestive heart failure C.) Stroke D.)Myocardial infarction
A.) Urinary incontinence
The nurse is caring for a client scheduled for urodynamic testing. Following the procedure, which information does the nurse provide to the client? A.)"Contact the primary provider if you experience fever, chills, or lower back pain." B.)"You will be sent home with a urinary catheter" C.)"You may resume consuming caffeinated, carbonated and alcoholic beverages" D.)"You can stop taking the prescribed antibiotics
A.)"Contact the primary provider if you experience fever, chills, or lower back pain."
The nurse is providing instructions to the client prior to an intravenous pyelogram. Which statement by the client indicates teaching was effective? A.)"I will feel a warm sensation as the dye is injected" B.)" I should remove all jewelry before the test" C.)"I should let the staff know if i feel claustrophobic" D.)"I will need to drink all of the dye as quickly as possible"
A.)"I will feel a warm sensation as the dye is injected"
Following the voiding cystogram, the client has a nursing diagnosis of risk for infection related to the introduction of bacterial following manipulation of the urinary tract. An appropriate nursing intervention for the client is to: A.)Encourage high fluid intake B.) strain urine for 48 hours C.) apply moist heat to the flank area D.)monitor for hematuria
A.)Encourage high fluid intake
Which of the following diagnostic tests would the nurse expect to be ordered to determine the details of the arterial supply to the kidneys? A.)Radiography B.)angiography C.)computed tomography (CT scan) D.) Cystoscopy
B.)angiography
The nurse is instructing a 3- year- old's parent regarding abnormal findings within the urinary system. Which assessment findings would the nurse document as a normal finding for this age group? A.) dysuria B.)enuresis C.)hematuria D.) anuria
B.)enuresis
The nurse is assessing a client at the diagnostic imaging center. For which diagnostic test would the client be assessed for an allergy to iodine? A.) Radiography B.) Computed tomography with contrast C.) Cystoscopy D.)Bladder ultrasonography
B.) Computed tomography with contrast
Nursing management of the client with a urinary tract infection should include: A.) Teaching the client to douche daily B.) Discouragement caffeine intake C.) Instructing the client to limit fluids intake D.)Administering morphine sulfate
B.) Discouragement caffeine intake
Which term best describes a total urine output less than 500 mL in 24 hours? A.) Polyuria B.) Oliguria C.) Nocturia D.) Dysuria
B.) Oliguria
The nurse is preparing to assess a client's new stoma. Which finding would the nurse include in the documentation of a healthy stoma? A.) Pain B.) Pink Color C.) Black Color D.)Dry Color
B.) Pink color
When a client with an indwelling urinary catheter wants to walk to the hospital lobby to visit with family members, the nurse teaches him how to do this without compromising the catheter. Which client action indicates an accurate understanding of this information? A.) The client sets the drainage bag on the floor while sitting down B.) The client keeps the drainage bag below the bladder at all times. C.)The client clamps the catheter drainage tubing while visiting with the family D.) The cl
B.) The client keeps the drainage bag below the bladder at all times.
The nurse is caring for a client who is describing urinary symptoms of needing to go to the bathroom with little notice. When the nurse is documenting these symptoms, which medical term will the nurse document? A.)Urinary frequency B.) Urinary urgency C.) Urinary incontinence D.)Urinary stasis
B.) Urinary urgency
The nurse is teaching a client with recurrent urinary infections (UTIs) ways to decrease risk for additional UTIs. The nurse includes which information? A.)Take tub baths instead of showers B.) Void immediately after sexual intercourse C.)Increase intake of coffee, tea, and colas D.) Void every 5 hours during the day.
B.) Void immediately after sexual intercourse
The nurse who teaches a client about preventing recurrent urinary tract infections would include which statement? A.)Take tub baths instead of showers B.) Void immediately after sexual intercourse C.)Increase intake of coffee, tea, and colas D.) Void every 5 hours during the day.
B.) Void immediately after sexual intercourse
A client is scheduled for a renal angiography. Which of the following would be appropriate before the test? A.) monitor the client for signs of electrolyte and water imbalances B.) monitor the client for an allergy to iodine contrast material C.) assess the client's mental changes D.) Evaluate the client for periorbital edema
B.) monitor the client for an allergy to iodine contrast material
The nurse is caring for a client who has presented to the walk-in-clinic. The client verbalizes pain on urination, feelings of fatigue, and diffuse back pain. When completing a head- to toe assessment, at which specific location would the nurse assess the client's kidneys for tenderness? A.) The upper abdominal quadrants on the left and right side B.) the costovertebral angle C.)above the symphysis pubis D.)around the umbilicus
B.) the costovertebral angle
A nurse is collecting a health history on a client who's to undergo a renal angiography. Which statement by the client should be the priority for the nurse to address? A.)"I've has diabetes for 4 years" B.)"I'm allergic to shellfish" C.)"I haven't eaten since midnight" D.)"My physician diagnosed me with hypertension 3 months ago."
B.)"I'm allergic to shellfish"
A patient is scheduled for a test with contrast to determine kidney function. What statement made by the patients should the nurse inform the physician about prior testing? A.)" I don't like needles" B.)"I'm allergic to shrimp" C.)" I take medication to help me sleep at night" D.)" I have had a test similar to this one in the past"
B.)"I'm allergic to shrimp"
A client has been successfully treated for kidney stones and is preparing for discharge. The nurse recognizes the risk of recurrence and has planned the clients discharge education accordingly. What preventive measure should the nurse encourage the client to adopt? A.) increasing intake of protein from plant sources B.)increasing fluid intake C.) Adopting a high- calcium diet D.) Eating several small meals each day
B.)increasing fluid intake
A patient comes to the clinic suspecting a possible UTI. what symptoms of a UTI would the nurse recognize from the assessment data gathered? A.) Rebound tenderness at McBurney's point B.) An output of 200mL with each voiding C.) Cloudy urine D.) Urine with a specific gravity og 1.005-1.022
C.) Cloudy urine
When describing the functions of the kidney to a client, which of the following would the nurse include? A.) regulation of white blood cell production B.)Synthesis of vitamin K C.) Control of water balance D.)Secretion of enzymes
C.) Control of water balance
Which instruction would be included in a teaching plan for a client diagnosed with a UTI? A.) Take tub baths as opposed to showers B.) Drink coffee or tea to increase diuresis C.) Drink liberal amount of fluids D.) Void every 4 to 6 hours
C.) Drink liberal amount of fluids
During a routine assessment, the client states: "I wake up all night long to go to the bathroom." The nurse documents this finding as which condition? A.) polyuria B.) Oliguria C.) Nocturia D.) Dysuria
C.) Nocturia
Which of the following is a strategy to promote urinary continence? A.) Urge incontinence B.) Functional incontinence C.) Stress incontinence D.) Iatrogenic incontinence
C.) Stress incontinence
A client with urinary retention needs to undergo a procedure to insert an indwelling catheter. Before catheterization, the nurse would discuss the physician information about A.) insertion of nasogastric tube B.) Placement of IV and central venous pressure lines C.) The type and size of the catheter to be used D.) Administering cleansing enemas
C.) The type and size of the catheter to be used
A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? A.)Bladder B.)Urethra C.) Ureters D.)Pelvic floor muscles
C.) Ureters
A 24- year old patient was admitted to the emergency room after a water skiing accident. The x-rays revealed two fractured vertebrae, T-12 and L1. Based on this information, the nurse would know to perform which of the following actions? A.) Keep the patient on bed rest or 72 hours B.)Place a bed board under the mattress to add support C.) Check the patient's urine for hematuria D.)Apply moist heat, every 4 hours for the first 48 hours to aid healing.
C.) check the patient's urine for hematuria
When the bladder contains 400 to 500 mL of urine, this is referred to as A.) anuria B.) Specific gravity C.) functional capacity D.) renal clearance
C.) functional capacity
When the bladder contains 400- 500 mL of urine, this is referred to as A.) anuria B.)specific gravity C.) functional capacity D.)renal clearance
C.) functional capacity
A nurse is reviewing the laboratory test results of a client with renal disease. Which of the following would the nurse expect to find? A.) Decreased BUN B.) Increased serum albumin C.) increased serum creatinine D.)decreased potassium
C.) increased serum creatinine
A client with recurrent urinary tract infections has just undergone a cystoscopy and reports slight hematuria during the first void after the procedure. What is the nurse's most appropriate action? A.) Administer a STAT dose of vitamin K, as prescribed B.)Reassure the client that this is not unexpected and then monitor the client for further bleeding C.) promptly inform the health care provider of this assessment finding D.) position the client supine and insert a foley catheter, as prescrib
C.) promptly inform the health care provider of this assessment finding
A nurse is aware of the high incidence and prevalence of fluid volume deficit among older adults. What related health education should the nurse provide to an older adult? A.)" If possible, try to drink at least 4 liters of fluid a day" B.)" Ensure that you avoid replacing water with other beverages" C.)"Remember to drink frequently, even if you don't feel thirsty" D.)" Make sure you eat plenty of salt in order to stimulate thirst"
C.)"Remember to drink frequently, even if you don't feel thirsty"
The nurse is completing a full exam of a client' renal system. Which assessment finding best documents the need to offer the use of the bathroom? A.)Tenderness over the kidneys B.)Bruits noted over the abdominal area C.)A dull sound when percussing over the bladder D.) the ingestion of 8 oz of water
C.)A dull sound when percussing over the bladder
The nurse is caring for a client who is brought to the emergency department after being found unconscious outside in hot weather. Dehydration is suspected. Baseline lab work including a urine specific gravity is ordered. Which relation between the clients symptoms and urine specific gravity is anticipated? A.) A specific gravity will be inversely proportional B.)A specific gravity will equal to one C.)A specific gravity will be high D.)A specific gravity will be low
C.)A specific gravity will be high
As the nurse comes from morning report, the nurse is instructed to use a bladder scanner on a client following a client's attempt at urination. The nurse scans 250 mL of remaining urine in the bladder. Which entry is most correct when documenting the intervention? A.) Client voided 300 mL without dysuria B.)Client voided 550 mL of urine for the daylight shift C.)Client voided 300 mL with 250 mL residual volume D.) Bladder scanning resulted. in 250 mL
C.)Client voided 300 mL with 250 mL residual volume
A nurse is planning a group teaching session on the topic of urinary tract infection (UTI) prevention. Which point should the nurse include? A.) Limit fluid intake to reduce the need to urinate B.) Take medications ordered for a UTI until the symptoms subside C.)Notify the physician if urinary urgency, burning, frequency, or difficulty occurs D.)wear only nylon underwear to reduce the chance of irritation
C.)Notify the physician if urinary urgency, burning, frequency, or difficulty occurs
A client in a short- procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should: A.) Keep the client's knee on the affected side bent for 6 hours B.) apply pressure to the puncture site for 30 mins C.)check the clients pedal pulses frequently D.)remove the dressing on the puncture site after vital signs stabilize
C.)check the clients pedal pulses frequently
When fluid intake is normal, the specific gravity of urine should be: A.) 1.000 B.) less than 1.010 C.) Greater than 1.025 D.)1.010 to 1.025
D)1.010 to 1.025
When fluid intake is normal, the specific gravity of urine should be A.) 1.000. B.) Less than 1.010. C.) greater than 1.025. D.) 1.010 to 1.025.
D.) 1.010 to 1.025.
The nurse is caring for a client who is going to have an open renal biopsy. What nursing action should the nurse prioritize when preparing this client for the procedure? A.) discuss the client's diagnosis B.) bathe the client before the procedure with antiseptic skin wash C.)administer antivirals before sending the client for the procedure D.) Keep the client NPO prior to the procedure
D.) Keep the client NPO prior to the procedure
As women age, may experience an increased sense of urgency to void, as well as an increased risk of incontinence. This is usually the result of age related changes in which part of the renal system? A.) Kidney B.)Nephron C.) Tubule system D.)Bladder
D.)Bladder
The nurse is caring for the client following surgery for a urinary diversion. The client refuses to look at the stoma or participate in its care. The nurse formulates a nursing diagnosis of: A.) Anticipatory grieving B.)Situational low self- esteem C.)Deficient knowledge: stoma care D.)Disturbed body image
D.)Disturbed body image
A client has undergone diagnostic testing that involved the insertion of a lighted tube with a telescopic lens. The nurse identifies this test was which of the following? A.) renal angiography B.) intravenous pyelography C.)excretory urogram D.)cystoscopy
D.)cystoscopy