Exam 49: Care of the Patient with a Urinary Disorder

It is 2 days after a 42-year-old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him. What is the most likely explanation for his behavior?

What is the hormone from the posterior pituitary gland that influences the amount of water that is eliminated with the urine?

A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright red-orange urine. What should the nurse do?

Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply.)

Why are pediatric patients, especially girls, susceptible to urinary tract infections?

The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching, what should the nurse emphasize about what the patient can expect after the procedure?

The patient with nephrosis complains about the need for bed rest. How would the nurse explain the benefit of bed rest?

_____________ is a term for severe generalized edema.

As the nurse and the dietitian review a female patient's diet plan with her, she shouts that with her diabetes and now the kidney failure, there is just nothing she can eat. She says she might as well eat what she wants, because there is nothing she can do to help herself. Based on the patient's response, which nursing diagnosis does the nurse identify?

A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?

Exercises to increase muscle tone of the pelvic floor are known as ____________ exercises.

A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of "spasm-like" pain over his lower abdomen. What should the initial intervention be by the nurse?

The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, what should be the nurse's next action?

What should the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis?

Put the sequence of blood flow in order of flow through the nephron. (Separate letters by a comma and space as follows: A, B, C, D) A) Reabsorption in loop of Henle B) Efferent arteriole C) Filtration in the glomerulus D) Reabsorption in proximal convoluted tubule E) Afferent arteriole F) Secretion in the distal convoluted tubule

In the nephrotic syndrome, the glomeruli are damaged by inflammation and allow small _______ to pass through into the urine.

The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal? (Select all that apply.)

An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day. What should be the nurse's highest priority when planning care for this patient?

What should the patient be encouraged to eat during the active phase of acute renal failure?

The nurse assessing a patient who is taking furosemide (Lasix) finds an irregular pulse. This is likely a sign of: