Chapter 53 Quiz

A  cystitis.

B  Urethral infection.

C  ureteral stones.

D  pyelonephritis.

A  The ingestion of 8 oz of water

B  Bruits noted over the abdominal area

C  Tenderness over the kidneys

D  A dull sound when percussing over the bladder

A  ureter

B  urethra

C  kidney

D  bladder

A  Detrusor

B  Mucosal

C  Connective tissue

D  Adventitia

A  I should increase my fluid intake for the rest of the day.”

B  It is normal for my urine to be blood-tinged.”

C  I can resume my usual activities without restriction.”

D  If I have difficulty urinating, I should contact my physician.”

A  Vasopressin

B  Renin

C  Albumin

D  Cortisol

A  Keep the patient on bed rest for 72 hours.

B  Check the patient’s urine for hematuria.

C  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

D  Place a bed board under the mattress to add support

A  Increased glomerular filtration rate

B  Increased blood flow to the kidney

C  Susceptibility to develop hypernatremia

D  Acid-base balance

A  phenazopyridine hydrochloride

B  Metronidazole

C  Phenytoin

D  Infection

A  Tympany

B  Flatness

C  Dullness

D  Resonance

A  Glomerulus

B  Parenchyma

C  Renal pelvis

D  Nephron

A  Have you any artificial joints?”

B  “Do you have any allergies?”

C  Do you have a pacemaker?”

D  Who has come with you today?”

A  Growth hormone

B  Antidiuretic hormone

C  Prostaglandins

D  Aldosterone

A  4:01

B  10:01

C  3:01

D  6:01

A  confirm all of the medications and supplements normally taken.

B  assess the client’s usual intake of sodium.

C  confirm which beverages the client normally consumes.

D  palpate the client’s bladder before and after voiding.

A  Blood urea nitrogen (BUN)

B  Creatinine clearance level

C  Uric acid level

D  BUN to creatinine ratio

A  Do you urinate while sleeping?”

B  Do you have a strong desire to void?”

C  Is it painful when you urinate?”

D  Does it burn when you urinate?”

A  Kidney stone formation

B  Proteinuria

C  Chronic kidney disease

D  Neurogenic bladder

A  Do you take phenytoin daily?”

B  “Do you take multiple vitamin preparations?”

C  Have you noticed any vaginal bleeding?”

D  Have you had a recent urinary tract infection?”

A  “I have not eaten since 8 pm last night.”

B  “I took my usual dose of Coumadin last night.”

C  “I signed the consent form in the physician’s office.”

D  I brought a copy of my living will with me.”

A  Acid-base balance

B  More prone to develop hypernatremia

C  Increased glomerular filtration rate

D  Increased blood flow to the kidneys

A  Therapeutic index

B  Liver function studies

C  GI absorption rate

D  Creatinine clearance

A  With the first specimen voided after 8:00 am

B  6 hours after the urine is discarded

C  At 8:00 am, with or without a specimen

D  After discarding the 8:00 am specimen

A  Uric acid level

B  Blood urea nitrogen level

C  Serum potassium level

D  Creatinine clearance level

A  Increased fluid intake

B  Glomerulonephritis

C  Diabetes insipidus

D  Decreased fluid intake

A  Blood urea nitrogen

B  Creatinine

C  Osmolality

D  Hemoglobin

A  The upper abdominal quadrants on the left and right side

B  Around the umbilicus

C  Above the symphysis pubis

D  The costovertebral angle

A  Kidney stones

B  Neurogenic bladder

C  Fistula

D  Chronic renal failure

A  glucose

B  chloride

C  potassium

D  creatinine

A  Diabetes

B  Diabetes insipidus

C  Glomerulonephritis

D  Fluid deficits

E  Severe renal damage

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

B  “I had my last cigarette 3 hours ago with my morning coffee.”

C  “I do not have a pacemaker, artificial heart valve, or artificial joints.”

D  “I did not take my multivitamin this morning.”

A  Perineal pain

B  Suprapubic pain

C  Pain after voiding

D  Costovertebal angle tenderness

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 about 100 mL/h

D  When the urine output is between 500 and 1,000 mL/h

A  Creatinine clearance

B  Volume of urine output

C  Urine-specific gravity

D  Circulating ADH concentration

A  drink liberal amounts of fluids.

B  notify the health care team if bloody urine is noted.

C  maintain bed rest for 2 hours.

D  carefully handle urine because it is radioactive.

A  Polyuria

B  Nocturia

C  Dysuria

A  Increased serum creatinine

B  Decreased potassium

C  Increased serum albumin

D  Decreased blood urea nitrogen (BUN)

A  dysuria.

B  oliguria.

C  anuria.

D  nocturia.

A  Place cool compresses on the calf.

B  Exercise the leg and foot.

C  Assess peripheral pulses in the left leg.

D  Assess for anaphylaxis.

A  Unusually smooth skin

B  Increased alertness

C  Hypoventilation

D  Pruritus

A  Apply moist heat, every 4 hours for the first 48 hours to aid healing.

B  Check the patient’s urine for hematuria.

C  Place a bed board under the mattress to add support.

D  Keep the patient on bed rest for 72 hours.

A  unchanged in renal disease.

B  decreased in nephrotic syndrome.

C  decreased in renal disease and urinary obstruction.

D  increased in renal disease and urinary obstruction.

A  Congestive heart failure

B  Stroke

C  Myocardial infarction

D  Urinary incontinence

A  Antidiuretic hormone (ADH)

B  Renin

C  Calcitonin

D  Aldosterone

A  Vitamin B production

B  Secretion of prostaglandins

C  Secretion of insulin

D  Vitamin D synthesis

E  Regulation of blood pressure

A  “You don’t need to do any fasting before this noninvasive test.”

B  You’ll have a pressure dressing on your groin after the test.”

C  An x-ray will be done to view your kidneys, ureters, and bladder.”

D  “A contrast medium will be used to help see the structures better.”

A  Control of water balance

B  Synthesis of vitamin K

C  Regulation of white blood cell production

D  Secretion of enzymes

A  Monitor the client for signs of electrolyte and water imbalance.

B  Assess the client’s mental changes.

C  Evaluate the client for periorbital edema.

D  Monitor the client for an allergy to iodine contrast material.

A  The client consumes 75% of lunch following an intravenous pyelogram

B  The client voids 75 cc four hours post cystoscopy.

C  The client has blood-tinged urine following brush biopsy.

D  The client reports a pain rating of 3 two hours post-kidney biopsy.

A  Calcium

B  Potassium

C  Phosphorous

D  Sodium

A  “Do you take multiple vitamin preparations?”

B  Have you had a recent urinary tract infection?”

C  “Do you take phenytoin daily?”

D  Have you noticed any vaginal bleeding?”

A  Hematuria

B  Enuresis

C  Anuria

D  Dysuria

A  Cystoscopy

B  Bladder ultrasonography

C  Computed tomography with contrast

D  Radiography

A  On a hot day, a person who is perspiring profusely and taking little fluid has high urine output with a low specific gravity.

B  A person who has a high fluid intake and who is not losing excessive water from perspiration, diarrhea, or vomiting has scant urine output with a high specific gravity.

C  When the kidneys are diseased, the ability to concentrate urine may be impaired and the specific gravity may vary widely.

D  On a hot day, a person who is perspiring profusely and taking little fluid has low urine output with a high specific gravity.

A  Provide analgesics to the client.

B  Distract the client’s attention from the pain.

C  Enable the client to sit up and ambulate.

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

A  Obstruction of the lower urinary tract

B  Acute renal failure

C  Infection

D  Nephrotic syndrome

A  Angiography

B  Radiography

C  Cystoscopy

D  Computed tomography (CT scan)

A  “I should remove all jewelry before the test.”

B  I should let the staff know if I feel claustrophobic.”

C  “I will feel a warm sensation as the dye is injected.”

D  “I will need to drink all of the dye as quickly as possible.”

A  client discomfort.

B  prostate irritation.

C  microorganism transfer.

D  incorrect urine output values.

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

B  The kidneys lie between the 10th and 12th thoracic vertebrae.

C  The average kidney is approximately 5 cm (2 in.) long and 2 to 3 cm (0.8 to 1.2 in.) wide.

D  The kidneys are situated just above the adrenal glands.

A  With the first specimen voided after 8:00 am

B  After discarding the 8:00 am specimen

C  6 hours after the urine is discarded

D  At 8:00 am, with or without a specimen

A  Uric acid level

B  Creatinine clearance level

C  Serum potassium level

D  Blood urea nitrogen level

A  Urinary frequency

B  Urinary incontinence

C  Urinary urgency

D  Urinary stasis

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

A  Allergic reaction

B  Bleeding

C  Dehydration

D  Infection