Chapter 47 Urinary

Which value represents a normal BUN-to-creatinine ratio?

10:1

A patient has undergone a renal biopsy. After the test, while the patient is resting, the patient complains of severe pain in the back, arms, and shoulders. Which of the following appropriate nursing interventions should be offered by the nurse?

Assess the patient's back and shoulder areas for signs of internal bleeding.

A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change?

Creatinine clearance

The health care provider ordered four tests of renal function for a patient suspected of having renal disease. Which of the four is the most sensitive indicator?

Creatinine clearance level

A client has been experiencing severe pain and hematuria and is hardly able to ambulate into the physician's office. The physician suspects kidney stones and orders diagnostic tests to confirm. What test would the nurse expect the physician to order?

KUB

A client with suspected renal dysfunction is scheduled for excretory urography. The nurse reviews his history for conditions that may warrant changes in client preparation. Normally, the client should be mildly hypovolemic (fluid depleted) before excretory urography. Which history finding calls for the client to be well hydrated?

Multiple myeloma

A client with a history of chronic renal infections is to undergo CT with contrast. Before the procedure, the nurse should complete which action?

Place emergency medical equipment in the procedure room.

Retention of which electrolyte is the most life-threatening effect of renal failure?

Potassaium

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?

The costovertebral angle

The nurse is assigned to care for a patient in the oliguric phase of kidney failure. When does the nurse understand that oliguria is said to be present?

When the urine output is less than 30 mL/h

Which value does the nurse recognize as the best clinical measure of renal function?

creatine clearance

A client has undergone diagnostic testing that involved the insertion of a lighted tube with a telescopic lens. The nurse identifies this test as which of the following?

cystoscopy

The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect which condition?

decrease fluid intake

When diagnostic testing reveals renal glycosuria, the nurse should recognize the need for the client to be assessed for what health problem?

diabetes mellitus

While reviewing a client's chart, the nurse notes the client has been experiencing enuresis. To assess whether this remains an ongoing problem for the client, the nurse asks which question?

do you urinate when you were sleeping

When fluid intake is normal, the specific gravity of urine should be:

drink water

The nurse is completing a full exam of the client's renal system. Which assessment finding best documents the need to offer the use of the bathroom?

dull sound when percussing bladder

The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is:

gravity 1.035

Following a 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:

high fluid intake

A nurse is reviewing the laboratory test results of a client with renal disease. Which of the following would the nurse expect to find?

increase creatinine serum

The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following?

kidney stone

Which of the following hormones is secreted by the juxtaglomerular apparatus?

renin

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?

ureters