Chapter 49: Assessment: Urinary System Flashcards
A renal stone in the pelvis of the kidney will change the patient’s kidney function by interfering with the
a. structural support of the kidney
b. regulation of the concentration of urine
c. entry and exit of blood vessels at the kidney
d. collection and drainage of urine from the kidney
d. collection and drainage of urine from the kidney
A patient with kidney disease has oliguria and a creatinine clearance of 40 mL/min. These findings most directly reflect abnormal function of:
a. tubular secretion
b. glomerular filtration
c. capillary permeability
d. concentration of filtrate
b. glomerular filtration
Normal findings expected on physical assessment of the urinary system include (SATA):
a. nonpalpable bladder
b. nonpalpable left kidney
c. auscultation of renal artery bruit
d. no CVA tenderness elicited by a kidney punch
e. full bladder percusses as dullness above the symphysis pubis
a. nonpalpable bladder
b. nonpalpable left kidney
d. no CVA tenderness elicited by a kidney punch
e. full bladder percusses as dullness above the symphysis pubis
A diagnostic study that evaluates renal blood flow, glomerular filtration, tubular function, and excretion is a(n):
a. IVP
b. VCUG
c. renal scan
d. loopogram
c. renal scan
Which medication taken by a patient with decreased renal function will be of most concern to the nurse?
a. ibuprofen (Motrin)
b. warfarin (Coumadin)
c. folic acid (vitamin B 9 )
d. penicillin (Bicillin C-R)
a. ibuprofen (Motrin)
The nurse completing a physical assessment for a newly admitted patient is unable to feel either kidney on palpation. Which action would the nurse take?
a. Obtain a urine specimen to check for hematuria.
b. Document the information on the assessment form.
c. Ask the patient about any history of recent sore throat.
d. Ask the health care provider about scheduling a renal ultrasound.
b. Document the information on the assessment form.
What glomerular filtration rate (GFR) would the nurse estimate for a 30-yr-old patient with a creatinine clearance result of 60 mL/min?
a. 60 mL/min
b. 90 mL/min
c. 120 mL/min
d. 180 mL/min
a. 60 mL/min
A patient who has increased blood urea nitrogen (BUN) and serum creatinine levels is scheduled for a renal arteriogram. Which bowel preparation order would the nurse question for this patient?
a. Fleet enema
b. Tap-water enema
c. Senna/docusate (Senokot-S)
d. Bisacodyl (Dulcolax) tablets
a. Fleet enema
