Renal and Urinary Quiz Flashcards
Which client is at greatest risk for the development of bacterial cystitis?
A. Older female client not taking estrogen replacement
B. Older male client with mild congestive heart failure
C. Middle-aged female client who has never been pregnant
D. Middle aged male client who is taking steroids for COPD
E. Older male with a history of renal calculi
A. Older female client not taking estrogen replacement
Which client statement indicates understanding regarding antibiotic therapy for recurrent urinary tract infections?
A. “If my urine becomes lighter and clear, I can stop taking my medicine.”
B. “Even if I feel completely well, I should take the medication until it is gone.”
C. When my urine no longer burns, I will no longer need to take the antibiotics.”
D. “If my temperature goes above 100 degrees F (37.8 degrees C), I should take twice as much medicine.”
E. “I should drink cranberry juice every day for one week.”
B. “Even if I feel completely well, I should take the medication until it is gone.”
How is urge incontinence different from stress incontinence?
A. Urge incontinence post void residual volume is 50mL.
B. Stress incontinence occurs in cognitively intact individuals. Urge incontinence occurs in a cognitive impairment.
C. Stress incontinence occurs because of weak pelvic floor muscles. Urge incontinence occurs because of abnormal bladder contractions.
D. Urge incontinence can be managed by increasing fluid intake. Stress incontinence can be managed by decreasing fluid intake.
E. Urge incontinence is from weak pelvic floor muscles. Stress incontinence is from weak abdominal muscles.
C. Stress incontinence occurs because of weak pelvic floor muscles. Urge incontinence occurs because of abnormal bladder contractions.
Which client is at highest risk for developing a renal calculus?
A. An older man with diabetes mellitus
B. A young woman who is 6 months pregnant.
C. A middle-aged woman with mild congestive heart failure
D. An older woman who takes 500mg of calcium/day for osteoporosis
E. A young man who had a renal calculus 1 year ago
E. A young man who had a renal calculus 1 year ago
Which personal factor places the client a greater risk for bladder cancer?
A. Has worked in a lumber yard for 10 years
B. A 50 pack-year cigarette smoking history
C. Numerous episodes of bacterial cystitis
D. History of gonorrhea
E. History of hypertension
B. A 50 pack-year cigarette smoking history
Which is the priority discharge teaching for a client who has undergone ESWL for a renal calculus?
A. “Expect to see some blood in your urine.”
B. “Expect to experience pain in the bladder area.”
C. “Look for bruising and report it.”
D. “Drink at least 3L of fluid daily.”
E. “Finish all of your antibiotics.”
D. “Drink at least 3L of fluid daily.”
The nurse is teaching the client about self-catherization of his Kock Pouch in the home setting. Which instructions are applicable?
A. “Use a large-lumen catheter for each catheterization.”
B. “Self-catheterize every 12 hours.”
C. “Use sterile gloves for the procedure.”
D. “Rinse the pouch after each catheterization.”
E. “Wash your hands before and after self-catheterization.”
E. “Wash your hands before and after self-catheterization.”
Which clinical manifestation in a client with a urinary tract infection alerts the nurse to the possibility of acute pyelonephritis? A. Burning on urination B. Cloudy, dark urine C. Fever and chills D. Hematuria E. Painful bladder upon palpation
C. Fever and chills
Which dietary modification will the nurse teach the client with nephrotic syndrome and a normal glomerular filtration rate? A. Decreased intake of protein B. Increased intake of protein C. Decreased intake of carbohydrates D. Increased intake of carbohydrates E. Increase intake of fluids
B. Increased intake of protein
Which of the following conditions may lead to Pre-Renal, Acute Renal Failure? A. Prostatic Enlargement B. Metabolic imbalance C. Contrast medium dye D. Dehydration E. Use of steroids
D. Dehydration
The nurse is assessing a patient 6 hours after a nephrectomy. He notes that the patient’s BP has decreased from 134/90 to 98/56 & urine output is 20mL this past hour. which is the next best action?
A. Positioning the client so that the remaining kidney is not dependent
B. Measuring the specific gravity of the urine
C. Documenting the findings as the only action
D. Encouraging fluids
E. Notifying the health care provider
E. Notifying the health care provider
Which of the following clients is most at risk for developing Post Renal, Acute Renal Failure?
A. Client diagnosed with urethral calculi
B. Client with CHF
C. Client taking NSAIDS for arthritis
D. Client recovering from glomerulonephritis
E. Client with cystitis
A. Client diagnosed with urethral calculi
During a hot summer day, an older client states, “I’m not voiding very much.” The nurse measures his VS which are: T= 99.1 F, BP = 90/60, P = 100, RR = 24. Which action should the nurse take first?
A. Have the client drink some fluids
B. Insert an IV for fluids
C. Place the client on strict I&O
D. Insert a Foley Catheter to monitor urine output
E. Notify the primary health care provider
A. Have the client drink some fluids
A client has an arteriovenous fistula in his right arm. The nurse understands that the care of this client includes:
A. Avoiding movement of the right extremity
B. Placing gentle pressure over the fistula site after blood draws
C. Starting any IV lines below the site of the fistula
D. Taking blood pressure in the left arm
E. Elevating the right arm on pillows while in bed.
D. Taking blood pressure in the left arm
A client with urolithiasis has not voided for 7 hours. What is the primary concern for this client? A. Hematuria B. Hydronephrosis C. Infection D. Pain E. Cystitis
B. Hydronephrosis
