Question 1

A nurse is caring for a patient with acute glomerulonephritis.What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?

Accepted Answer

A)  Moderate to high blood pressure 
B)  Low blood volume with polyuria 
C)  Irritability and hyperactivity 
D)  Low levels of BUN and creatinine 
A)  Moderate to high blood pressure 
B)  Low blood volume with polyuria 
C)  Irritability and hyperactivity 
D)  Low levels of BUN and creatinine A

Question 2

A patient who has cystitis has been told to drink at least 30 mL for each kilogram of body weight.Her weight is 154 lb.How many mL/day should the nurse instruct the patient to drink?

Accepted Answer

A)  1500 
B)  2100 
C)  2700 
D)  3100 
A)  1500 
B)  2100 
C)  2700 
D)  3100 B

Question 3

A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient.What is the nurse's best explanation when explaining the reason for hematuria in this patient?

Accepted Answer

A)  "It is related to the immunosuppressant drugs taken before transplantation." 
B)  "It is a normal postoperative expectation." 
C)  "It is caused by dye injected during surgery." 
D)  "It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases." 
A)  "It is related to the immunosuppressant drugs taken before transplantation." 
B)  "It is a normal postoperative expectation." 
C)  "It is caused by dye injected during surgery." 
D)  "It is caused by a small vessel that may be bleeding but will coagulate as urine flow increases." B

Question 4

A patient with chronic renal failure is to begin renal dialysis treatment and asks for advice about which type of dialysis would be best.The patient is considering peritoneal dialysis because it is less expensive and has fewer dietary and fluid restrictions.What is the most accurate information for the nurse to provide about peritoneal dialysis?

Accepted Answer

A)  It has literally no drawbacks. 
B)  It gives more independence and more closely resembles normal kidney function. 
C)  It is a lot more work than hemodialysis, in which the health care staff takes care of everything. 
D)  It usually does not work very well and has many complications, such as a high blood sugar level. 
A)  It has literally no drawbacks. 
B)  It gives more independence and more closely resembles normal kidney function. 
C)  It is a lot more work than hemodialysis, in which the health care staff takes care of everything. 
D)  It usually does not work very well and has many complications, such as a high blood sugar level.

Question 5

A nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident.What does this finding indicate?

Accepted Answer

A)  Retroperitoneal bleeding and bruising over the flank 
B)  Hematuria with abdominal bruising 
C)  Distended bladder with painful urination 
D)  Bladder spasms on palpation of abdomen 
A)  Retroperitoneal bleeding and bruising over the flank 
B)  Hematuria with abdominal bruising 
C)  Distended bladder with painful urination 
D)  Bladder spasms on palpation of abdomen

Question 6

A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine.What should the nurse suspect that this patient has?

Accepted Answer

A)  Urinary calculi, probably located in the ureter 
B)  Kidney infection, most likely pyelonephritis 
C)  Cystitis, probably from bacterial contamination 
D)  Interstitial cystitis (although rare in a male patient) 
A)  Urinary calculi, probably located in the ureter 
B)  Kidney infection, most likely pyelonephritis 
C)  Cystitis, probably from bacterial contamination 
D)  Interstitial cystitis (although rare in a male patient)

Question 7

A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder.What should the nurse explain regarding the action of that Amphojel?

Accepted Answer

A)  Calms the frequent upset stomach experienced by patients on dialysis 
B)  Binds with phosphorus to increase the serum calcium level 
C)  Increases the appetite 
D)  Corrects the pH of the bowel 
A)  Calms the frequent upset stomach experienced by patients on dialysis 
B)  Binds with phosphorus to increase the serum calcium level 
C)  Increases the appetite 
D)  Corrects the pH of the bowel

Question 8

A female patient reports very painful urethritis.What should the home health care nurse question the patient about the use of? (Select all that apply.)

Accepted Answer

A)  Bubble bath 
B)  Vitamin preparations 
C)  Herbal remedies 
D)  Vaginal sprays 
E)  Exercise machines 
A)  Bubble bath 
B)  Vitamin preparations 
C)  Herbal remedies 
D)  Vaginal sprays 
E)  Exercise machines

Question 9

Which outcome is most necessary for a patient diagnosed with renal calculi?

Accepted Answer

A)  Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief. 
B)  Patient will measure intake and output so that they will be approximately equal. 
C)  Patient will avoid infections and situations that would increase stress. 
D)  Patient is able to describe measures to prevent recurrence of calculi. 
A)  Patient states an awareness of signs and symptoms of kidney stones and knows where to find pain relief. 
B)  Patient will measure intake and output so that they will be approximately equal. 
C)  Patient will avoid infections and situations that would increase stress. 
D)  Patient is able to describe measures to prevent recurrence of calculi.

Question 10

A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather.How many years of age should the nurse explain that kidney donors must be?

Accepted Answer

A)  At least 14 years old 
B)  At least 16 years old 
C)  At least 18 years old 
D)  At least 21 years old 
A)  At least 14 years old 
B)  At least 16 years old 
C)  At least 18 years old 
D)  At least 21 years old

Question 11

A nurse is aware that if a ureter is blocked by a kidney stone, the urine backs up into the kidney, causing ______.

Accepted Answer

The answer of A nurse is aware that if a...

Question 12

What is the usual cause of the autoimmune disease of acute glomerulonephritis?

Accepted Answer

A)  Frequent cystitis 
B)  Streptococcal infection 
C)  Childhood disease of mumps 
D)  Recent wound infection 
A)  Frequent cystitis 
B)  Streptococcal infection 
C)  Childhood disease of mumps 
D)  Recent wound infection

Question 13

A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis.He is acutely ill with a high fever, chills, nausea, and vomiting.He also has severe pain in the flank area.What is the primary goal of treatment?

Accepted Answer

A)  Provide adequate nutrition with a stable body weight. 
B)  Provide adequate hydration with pulse and blood pressure within patient norms. 
C)  Give pain relief with analgesics and antispasmodics. 
D)  Prevent further damage to his kidneys that could lead to renal failure. 
A)  Provide adequate nutrition with a stable body weight. 
B)  Provide adequate hydration with pulse and blood pressure within patient norms. 
C)  Give pain relief with analgesics and antispasmodics. 
D)  Prevent further damage to his kidneys that could lead to renal failure.

Question 14

What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?

Accepted Answer

A)  Check for edema of the legs and ankles. 
B)  Watch for stone debris in the urine in 1 to 4 weeks. 
C)  Decrease fluid intake to 1000 mL/day. 
D)  Remain on restricted activity for a week. 
A)  Check for edema of the legs and ankles. 
B)  Watch for stone debris in the urine in 1 to 4 weeks. 
C)  Decrease fluid intake to 1000 mL/day. 
D)  Remain on restricted activity for a week.

Question 15

The major risk of peritoneal dialysis is ______.

Accepted Answer

The answer of The major risk of peritoneal dialysis is...

Question 16

Which statement by a patient on dialysis, taking gentamicin (Garamycin), should cause the nurse the most concern?

Accepted Answer

A)  "I have a horrible headache." 
B)  "Speak up! I can't hear you." 
C)  "I've had diarrhea once or twice today." 
D)  "I'm thirsty.I can't get enough water." 
A)  "I have a horrible headache." 
B)  "Speak up! I can't hear you." 
C)  "I've had diarrhea once or twice today." 
D)  "I'm thirsty.I can't get enough water."

Question 17

A home health patient diagnosed with cystitis has been prescribed the medication phenazopyridine (Pyridium).When providing patient teaching, what should the nurse caution the patient about?

Accepted Answer

A)  Staying out of the heat 
B)  Nausea 
C)  Staining of clothing 
D)  Skin rash 
A)  Staying out of the heat 
B)  Nausea 
C)  Staining of clothing 
D)  Skin rash

Question 18

A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active.He asks, "What has to happen for me to get off of bed rest?" What is the most accurate statement by the nurse?

Accepted Answer

A)  Dialysis starts. 
B)  The antibiotic protocol is completed. 
C)  Potassium levels are normal. 
D)  Blood pressure drops to normal levels. 
A)  Dialysis starts. 
B)  The antibiotic protocol is completed. 
C)  Potassium levels are normal. 
D)  Blood pressure drops to normal levels.

Question 19

A nurse is caring for a patient with an atrioventricular (AV)fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula.What action should the nurse implement?

Accepted Answer

A)  Inject the ordered amount of heparin into the fistula. 
B)  Apply warm compresses and lower the arm below the heart level. 
C)  Send the patient to dialysis for remedy. 
D)  Report to the charge nurse that the fistula is occluded. 
A)  Inject the ordered amount of heparin into the fistula. 
B)  Apply warm compresses and lower the arm below the heart level. 
C)  Send the patient to dialysis for remedy. 
D)  Report to the charge nurse that the fistula is occluded.

Question 20

Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

Accepted Answer

A)  Bone demineralization and peripheral neuropathy 
B)  Fatigue and drug side effects 
C)  Impaired immune response and malnutrition 
D)  Multiple life changes and hormone deficiencies 
A)  Bone demineralization and peripheral neuropathy 
B)  Fatigue and drug side effects 
C)  Impaired immune response and malnutrition 
D)  Multiple life changes and hormone deficiencies

Exam 42: Urologic Disorders

A nurse is caring for a patient with acute glomerulonephritis.What should the nurse be aware that the inflammation of the capillary loops in the glomeruli will lead to?

A patient who has cystitis has been told to drink at least 30 mL for each kilogram of body weight.Her weight is 154 lb.How many mL/day should the nurse instruct the patient to drink?

A family member of a patient who has returned to the special unit after renal transplantation is alarmed by blood in the urine of the patient.What is the nurse's best explanation when explaining the reason for hematuria in this patient?

A nurse assesses a Grey Turner sign in a patient who was admitted 2 days earlier after an automobile accident.What does this finding indicate?

A patient comes to the medical clinic with complaints of urgency, frequency, pain in the area of the symphysis pubis, and dark cloudy urine.What should the nurse suspect that this patient has?

A patient on dialysis asks why he is receiving aluminum hydroxide gel (Amphojel), a phosphate binder, for his renal disorder.What should the nurse explain regarding the action of that Amphojel?

A female patient reports very painful urethritis.What should the home health care nurse question the patient about the use of? (Select all that apply.)

Which outcome is most necessary for a patient diagnosed with renal calculi?

A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather.How many years of age should the nurse explain that kidney donors must be?

A nurse is aware that if a ureter is blocked by a kidney stone, the urine backs up into the kidney, causing ______.

What is the usual cause of the autoimmune disease of acute glomerulonephritis?

A nurse is collecting data from a hospital patient who has been admitted with pyelonephritis.He is acutely ill with a high fever, chills, nausea, and vomiting.He also has severe pain in the flank area.What is the primary goal of treatment?

What discharge teaching is appropriate for the nurse to provide to a patient who has had a lithotripsy?

The major risk of peritoneal dialysis is ______.

Which statement by a patient on dialysis, taking gentamicin (Garamycin), should cause the nurse the most concern?

A home health patient diagnosed with cystitis has been prescribed the medication phenazopyridine (Pyridium).When providing patient teaching, what should the nurse caution the patient about?

A 16-year-old patient with acute glomerulonephritis complains of boredom with bed rest and asks when he can become more active.He asks, "What has to happen for me to get off of bed rest?" What is the most accurate statement by the nurse?

A nurse is caring for a patient with an atrioventricular (AV)fistula in the forearm and assesses that a trill is absent when palpating the venous side of the fistula.What action should the nurse implement?

Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Intravenous Therapy

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders