Med Surg Chapter 26: Nursing Assessment: Renal and Urinary Tract Function: PREPU
In a diagnosis of an upper urinary tract infection, which structures could be affected? Select all that apply. A. ureter B. kidney C. bladder D. urethra
A, B
A creatinine clearance test has been ordered. The nurse prepares to: A. Insert a straight catheter for a specimen. B. Collect the client's urine for 24 hours. C. Obtain a blood specimen. D. Obtain a clean catch urine.
B.
Which of the following hormones is secreted by the juxtaglomerular apparatus? A. Calcitonin B. Renin C. Antidiuretic hormone (ADH) D. Aldosterone
B
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: A. renal circulation. B. urine production. C. kidney function. D. kidney structure.
A
The nurse observes that the client's urine is orange. Which additional assessment would be important for this client? A. Intake of medication such as phenytoin B. Intake of multiple vitamin preparations C. Infection D. Bleeding
A
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? A. Mucosal B. Detrusor C Connective tissue D. Adventitia
A
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? A When the urine output is less than 30 mL/h B. When the urine output is between 300 and 500 mL/h C. When the urine output is between 500 and 1,000 mL/h D. When the urine output is about 100 mL/h
A.
A nurse who works in a clinic is aware of the importance of thorough and thoughtful urologic assessments, despite the fact that these assessments have the potential to make patients uncomfortable. When interviewing patients about their urologic health, the nurse should: A. Emphasize the dangers of neglecting urologic health. B. Maintain a composed but empathic demeanor. C. Forego a urologic assessment if the patient is visibly uncomfortable. D. Use lighthearted or slang terminology to help put the patient at ease.
B.
A client undergoes renal angiography. Which postprocedure care intervention should the nurse provide to the client? A. Monitor the client for signs and symptoms of pyelonephritis. B. Encourage the client to void. C. Palpate the pulses in the legs and feet. D. Assess for signs of electrolyte and water imbalances.
C
A client asks the nurse why a creatinine clearance test is accurate. The nurse is most correct to reply which of the following? A. "Creatinine is a stress-related response that is excreted by the kidney." B. "Creatinine is metabolized in the liver and excreted by the kidney at a regular rate." C. "Creatinine is found in the urine to make the urine acidic and can be measured." D. "Creatinine is broken down at a constant rate, and the total amount is excreted by the kidney."
D. A creatinine clearance test is used to determine kidney function and creatinine excretion. Creatinine results from a breakdown of phosphocreatine. It is filtered by the glomeruli and excreted at a consistent rate by the kidney.
Urine output less than 50 ml in 24 hours is called _____? Urine output of less than 400 ml in 24 hours is called _______?. _______ is excessive urination. _______ is the presence of blood in the urine.
Urine output less than 50 ml in 24 hours is called anuria. Urine output of less than 400 ml in 24 hours is called oliguria. Polyuria is excessive urination. Hematuria is the presence of blood in the urine.
A client presents to the ED reporting left flank pain and lower abdominal pain. The pain is severe, sharp, stabbing, and colicky in nature. The client has also experienced nausea and emesis. The nurse suspects the client is experiencing: A. ureteral stones. B cystitis. C. Urethral infection. D. pyelonephritis.
A.
