Deck 61: Assessment of Renal and Urinary Function

Question 1

The nurse is caring for a group of patients on a medical-surgical unit.Which patient does the nurse anticipate to be at the greatest risk for alterations in urinary elimination?

A) The patient with hypertension who takes a diuretic to manage blood pressure
B) An 80-year-old male reporting frequent urination at night
C) A 25-year-old female patient with low self-esteem
D) A patient who had bladder cancer and now has a newly created ileal conduit

Answer 1

An 80-year-old male reporting frequent urination at night

Question 2

The nurse is providing care to a patient who is experiencing painful urination.Which term should the nurse use when documenting this occurrence?

A) Anuria
B) Dysuria
C) Enuresis
D) Hematuria

Answer 2

Dysuria

Question 3

The nurse is providing care to a patient with blood in the urine.Which term should the nurse use when documenting this occurrence?

A) Anuria
B) Dysuria
C) Enuresis
D) Hematuria

Answer 3

Hematuria

Question 4

The nurse is providing care to a patient at a local clinic.The nurse suspects that the patient is experiencing a urinary tract infection.Which urinalysis result supports the nurse's suspicions?

A) pH 5.2
B) Negative glucose
C) WBC 10-15
D) Specific gravity 1.012

Question 5

The nurse is providing care to a patient who is burning upon urination.Which diagnostic tool does the nurse anticipate will be ordered for this patient?

A) Ultrasonic bladder scan
B) Urinalysis
C) Intravenous pyelography (IVP)
D) Cystoscopy

Question 6

The nurse is providing care to a patient with less than 100 mL of urine output in a 24-hour period.Which term should the nurse use when documenting this occurrence?

A) Anuria
B) Dysuria
C) Enuresis
D) Hematuria

Question 7

The nurse is preparing to conduct a male genitourinary assessment.Which approach is least likely to be used during this process?

A) Percussion
B) Palpation
C) Inspection
D) Auscultation

Question 8

The nurse is providing education information regarding urinary health at an assisted living facility.When planning topics to include in the session,which is appropriate for the nurse to consider?

A) Full urinary control usually occurs at four or five years of age.
B) Because of neuromuscular immaturity,voluntary urinary control is absent.
C) The kidneys reach maximum size between 35 and 40 years of age.
D) Renal blood flow decreases because of vascular changes and a decrease in cardiac output.

Question 9

The nurse is caring for an older adult patient with a history of urinary tract infections (UTIs).Which action by the nurse would decrease the risk of the patient experiencing future UTIs?

A) Instruct the patient to completely empty the bladder.
B) Tell the patient to increase sugar in the diet.
C) Encourage the patient to take bubble baths.
D) Remind the patient to wipe from back to front.

Question 10

The nurse is conducting a genitourinary assessment for an older adult male patient.Which is an expected finding based on the patient's age?

A) Thick pubic hair on the external genitalia
B) Larger and harder testicles
C) Atrophy of the penis
D) Elastic scrotal sac

Question 11

The nurse is providing care to a patient who requires the removal of a kidney stone.Which procedure does the nurse anticipate will be ordered for this patient?

A) Ultrasonic bladder scan
B) Urinalysis
C) Intravenous pyelography (IVP)
D) Cystoscopy

Question 12

The nurse is providing care to a patient who states,"My doctor says I am experiencing nocturia.What does that mean?" Which response by the nurse is most appropriate?

A) "It means you have pain radiating to your groin."
B) "It means you have the sudden urge to void immediately."
C) "It means you are getting up frequently at night to urinate."
D) "It means you are unable to completely empty your bladder."

Question 13

The nurse is providing care to a patient who is experiencing symptoms of a kidney stone.Which diagnostic tool does the nurse anticipate will be ordered for this patient?

A) Ultrasonic bladder scan
B) Urinalysis
C) Intravenous pyelography (IVP)
D) Cystoscopy

Question 14

A patient is diagnosed with high blood pressure that is not responding to medications.The nurse suspects renal stenosis.When assessing for this condition,which location will the nurse use for auscultation?

A) Renal arteries
B) Bladder
C) Ureters
D) Internal urethral sphincter

Question 15

The nurse is providing care to an older adult patient who is experiencing urinary incontinence.Which independent nursing intervention is the most appropriate for this patient?

A) Encouraging increased fluid intake
B) Providing catheter care
C) Instructing on self-catheterization
D) Implementing hygiene care

Question 16

The nurse is providing care to a patient who is experiencing involuntary urination at night.Which term should the nurse use when documenting this occurrence?

A) Anuria
B) Dysuria
C) Enuresis
D) Hematuria

Question 17

The nurse is providing care to a patient who states,"My doctor says I am experiencing renal colic.What does that mean?" Which response by the nurse is most appropriate?

A) "It means you have pain radiating to your groin."
B) "It means you have the sudden urge to void immediately."
C) "It means you are getting up frequently at night to urinate."
D) "It means you are unable to completely empty your bladder."

Question 18

The nurse is conducting a health history interview while assessing a male patient who presents with genitourinary symptoms.Which assessment question is most appropriate?

A) "Have you noticed any unusual discharge from your penis?"
B) "Do you have blood in your urine?"
C) "What color is your penile discharge?"
D) "Is there any odor to the discharge?"

Question 19

The nurse is caring for an older adult patient on a medical-surgical unit.The patient tells the nurse,"I don't get any sleep at night because I have to get up and use the bathroom every couple of hours!" When providing an explanation for the nocturia,which statement by the nurse is the most appropriate?

A) "As you get older,there is a decrease in number of nephrons."
B) "As you get older,there is a decrease in the blood supply to your bladder."
C) "As you get older,you may have a decrease in bladder capacity."
D) "As you get older,there is a decrease in cardiac output,which can cause your symptoms."

Question 20

The nurse is providing care to a patient who is experiencing urinary retention.Which diagnostic tool does the nurse anticipate will be ordered for this patient?

A) Ultrasonic bladder scan
B) Urinalysis
C) Intravenous pyelography (IVP)
D) Cystoscopy

Question 21

The nurse is providing care to a patient who states,"My doctor says I am experiencing urinary urgency.What does that mean?" Which response by the nurse is most appropriate?

A) "It means you have pain radiating to your groin."
B) "It means you have the sudden urge to void immediately."
C) "It means you are getting up frequently at night to urinate."
D) "It means you are unable to completely empty your bladder."

Question 22

The nurse is providing care to a patient who states,"My doctor says I am experiencing urinary retention.What does that mean?" Which response by the nurse is most appropriate?

A) "It means you have pain radiating to your groin."
B) "It means you have the sudden urge to void immediately."
C) "It means you are getting up frequently at night to urinate."
D) "It means you are unable to completely empty your bladder."