Med Surg- GU A&P
Nursing students are reviewing information about the male reproductive system and normal age-related changes. They demonstrate understanding of the topic when they identify which of the following as occurring?
Plasma testosterone levels decrease.
Retention of which electrolyte is the most life-threatening effect of renal failure?
Potassium
Which is the correct term for the ability of the kidneys to clear solutes from the plasma?
Renal clearance
Common tests of renal function include which of the following?
Renal concentration test Creatinine clearance Serum creatinine Blood urea nitrogen (BUN)
Which hormone is secreted by the juxtaglomerular apparatus?
Renin
The client asks the nurse about the functions of the kidney. Which should the nurse include when responding to the client?
Secretion of prostaglandins Regulation of blood pressure Vitamin D synthesis
A nursing student asks the nurse why older adults are at risk for renal disease. The best response by the nurse is:
"The glomerular filtration rate decreases as we age."
A client is scheduled for a creatinine clearance test. The nurse should explain that this test is done to assess the kidneys' ability to remove a substance from the plasma in:
1 minute
When fluid intake is normal, the specific gravity of urine should be:
1.010 to 1.025
Approximately what percentage of blood passing through the glomeruli is filtered into the nephron?
20%
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
Which hormone causes the kidney to reabsorb sodium?
Aldosterone
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?
The left kidney usually is slightly higher than the right one.
Which part of the kidneys contain the nephrons?
cortex
What substance stimulates the bone marrow to red blood cells?
Erythropoietin
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening?
Monthly testicular self examination
Which of the following is an effect of aging on upper and lower urinary tract function?
More prone to hypernatremia
A creatinine level has been ordered. The nurse prepares to:
Obtain a blood sample.
The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is:
Specific gravity 1.035
The nurse is reviewing the client's lab results. Which lab result requires follow up by the nurse?
Urine: RBC 20 BUN 28 mg/dl
What Vitamin is necessary for maintenance of normal calcium levels?
Vitamin D
The term used to describe painful or difficult urination is which of the following?
dysuria
When the bladder contains 300 mL or more of urine, this is referred to as
functional capacity
During a routine assessment, the patient states; "I wake up all night long to go the bathroom." The nurse will document this finding as which of the following?
nocturia
What describes awakening at night to urinate?
nocturia
The term used to describe total urine output of less than 400 mL in 24 hours is
oliguria
A client asks the nurse what PSA is. The nurse should reply that it stands for:
prostate specific antigen, which is used to screen for prostate cancer.
What is an age-related associated with renal system?
renal arteries thicken
Students preparing for a test are reviewing the structure and function of the male reproductive system. They demonstrate understading of the material when they identify which of the following as the site of spermatogenesis?
testes
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?
testicular cancer is a highly curable type of cancer
