PU Renal 53 (4-)

Blood-tinged urine

The nurse is caring for a client after a cystoscopic examination. Following the procedure, the nurse informs the client that which effect may occur?

phenazopyridine hydrochloride

The nurse is caring for a client who reports orange urine. The nurse suspects which factor as the cause of the urine discoloration?

Intake of medication such as phenazopyridine hydrochloride

The nurse observes that the client's urine is orange. Which additional assessment would be important for this client?

Aldosterone

Which hormone causes the kidneys to reabsorb sodium?

Cylindruria

Which term refers to casts in the urine?

10:1

A normal BUN-to-creatinine ratio is about The nurse is reviewing the results of a client's renal function study. The nurse understands that which value represent a normal BUN-to-creatinine ratio?

monitor site condition palpate pulses in the legs and feet monitor hypersensitivity response

A client is undergoing a renal angiogram after a traumatic accident. What post-procedural assessments would the nurse perform on the client? Select all that apply.

renal circulation

A client is undergoing diagnostics due to a significant drop in renal output. The physician has scheduled an angiography. This test will reveal details about:

Assess peripheral pulses in the left leg.

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?

gradual renal dysfunction.

Fatigue, shortness of breath, and exercise intolerance are consistent with unexplained anemia, which can be secondary to

1 min

The creatinine clearance measures the volume of blood cleared of endogenous creatinine in

Wilms' tumor, polycystic disease, and Alport

conditions that have a genetic influence

growth hormone and prostaglandins

do not cause the kidneys to reabsorb sodium.

The majority of nephrons (80% to 85%) are located

in the renal cortex. The remaining 15% to 20% are located deeper in the cortex.

casts

may be identified through microscopic examination of the urine sediment after centrifuging.

Creatinine clearance

measurement of the rate at which creatinine is cleared from the blood by the kidney A client develops decreased renal function and requires a change in antibiotic dosage. On which factor should the physician base the dosage change?

The left kidney usually is slightly higher than the right one.

A client with a genitourinary problem is being examined in the emergency department. When palpating the client's kidneys, the nurse should keep in mind which anatomic fact?

Collect the client's urine for 24 hours.

A creatinine clearance test has been ordered. The nurse prepares to:

"I'm allergic to shellfish."

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?

Detrusor muscle

The wall of the bladder is comprised of four layers. Which of the following is the layer responsible for micturition?

The elderly are more prone

The elderly are more prone to develop hypernatremia. These clients typically have a decreased glomerular filtration rate, decreased blood flow to the kidneys, and acid-base imbalances.

glucose

The nurse analyzes a urinalysis report. He is aware that the presence of this substance in the urine indicates a blood level that exceeds the kidney's reabsorption capacity. Select the substance.

Complete a pulse assessment of the legs and feet.

The nurse caring for a client is providing instructions for an upcoming renal angiography. Which nursing action, explained in the preoperative instructions, is essential in the postprocedure period?

When the urine output is less than 30 mL/h

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?

MRI Preparation

The client should not eat for at least 1 hour before an MRI. Alcohol, caffeine-containing beverages, and smoking should be avoided for at least 2 hours before an MRI. The client can take his or her usual medications except for iron supplements prior to the procedure.

renal cortex

Nephrons, masses of tiny tubules, are largely located in the medulla and receive fluid from the blood vessels in the The nephrons are the functional units of the kidney, responsible for the initial formation of urine. The nurse knows that damage to the area of the kidney where the nephrons are located will affect urine formation. Identify that area.

functional capacity

When the bladder contains 400 to 500 mL of urine, this is referred to as

Bacteriuria

refers to a bacterial count higher than 100,000 colonies/mL in the urine

Pyuria

refers to pus in the urine.

Antidiuretic hormone

secreted by the posterior pituitary gland.

microorganism transfer.

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 the bladder ultrasonic scan to measure residual urine instead of placing a straight catheter reduces the risk of:

recent streptococcal infection.

A client with renal dysfunction of acute onset comes to the emergency department complaining of fatigue, oliguria, and coffee-colored urine. When obtaining the client's history to check for significant findings, the nurse should ask about:

renal disease

A creatinine clearance test is a 24-hour urine test and is useful in evaluating

anuria

A nurse is caring for a client diagnosed with acute renal failure. The nurse notes on the intake and output record that the total urine output for the previous 24 hours was 35 mL. Urine output that's less than 50 ml in 24 hours is known as:

adrenal cortex

Aldosterone is a hormone synthesized and released by the

excreting protein

Although the primary function of the urinary system is the transport of urine, the kidneys perform several functions. Which is NOT a function of the kidneys?

confirm all of the medications and supplements normally taken.

An older adult's most recent laboratory findings indicate a decrease in creatinine clearance. When performing an assessment related to potential causes, the nurse should:

20

Approximately what percentage of blood passing through the glomeruli is filtered into the nephron?

renin-angiotensin system (RAS).

Renin is directly involved in the control of arterial blood pressure. It is also essential for the proper functioning of the glomerulus and management of the body's

renal disease progression

The creatinine clearance measures the volume of blood cleared of endogenous creatinine in 1 minute. This serves as a measure of the glomerular filtration rate. Therefore the creatinine clearance test is a sensitive indicator of renal disease progression.

Creatinine clearance level

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?

renin

The nurse is aware, when caring for patients with renal disease, that which substance made in the glomeruli directly controls blood pressure?

"I can resume my usual activities without restriction."

The nurse is giving discharge instructions to the client following a bladder ultrasound. Which statement by the client indicates the client understands the instructions?

"I took my blood pressure medication with my morning coffee an hour ago."

The nurse is preparing the client for magnetic resonance imaging (MRI) of the kidney. Which statement by the client requires action by the nurse?

Renal calculi

The nurse recognizes that a referral for genetic counseling is inappropriate for the client with:

mucosal

The wall of the bladder has four layers. Which of the following layers contains a membrane that prevents reabsorption of urine stored in the bladder?

More prone to develop hypernatremia

Which is an effect of aging on upper and lower urinary tract function?

Client reports increasing fatigue.

Which nursing assessment finding indicates the client with renal dysfunction has not met expected outcomes?

Crystalluria

refers to crystals in the urine.