Test 2 Ch 50 Flashcards
Which hormone from the posterior pituitary gland influences the amount of water that is eliminated with the urine?
a. Pitocin
b. Renin hormone
c. Antidiuretic hormone (ADH)
d. ACTH
c. Antidiuretic hormone (ADH)
As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and which other product?
a. nitrogen.
b. uric acid.
c. nitrates.
d. creatinine.
d. creatinine
Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location is referred to by which term?
a. retroperitoneal.
b. diaphragm-vertebral.
c. costovertebral.
d. urachal-peritoneal.
a. retroperitoneal.
A home health patient with end-stage renal disease (ESRD) verbalizes feeling helplessness related to this life-altering disease. Which nursing intervention would be most helpful?
a. Ensure restricted protein intake to prevent nitrogenous product accumulation.
b. Include the patient in making the plan of care.
c. Counsel patient about end-of-life provisions.
d. Write out a detailed schedule of health care provider’s appointments.
b. Include the patient in making the plan of care.
Which portion of the nephron is involved with filtration?
a. Glomerulus of the Bowman capsule
b. Henle loop
c. Proximal convoluted tubule
d. Distal convoluted tubule
a. Glomerulus of the Bowman capsule
When the patient receiving home health services is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service?
a. National Kidney Foundation
b. American Association of Kidney Patients
c. American Red Cross
d. Veterans Administration
b. American Association of Kidney Patients
The nurse is aware that as a person ages there is a loss of which mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons?.
a. filtering
b. reabsorption
c. sterile water
d. concentrating
a. filtering
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. Which step will be the initial intervention by the nurse?
a. Inform the nurse in charge.
b. Decrease the continuous bladder irrigation flow.
c. Administer the prescribed analgesic.
d. Check the catheter and drainage system for obstruction.
d. Check the catheter and drainage system for obstruction.
A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. Which aspect is an important nursing intervention of the patient with an ileal conduit?
a. Instructing the patient to report mucus from the stoma
b. Maintaining skin integrity
c. Limiting oral intake to 1000 mL/day
d. Limiting acid-ash foods
b. Maintaining skin integrity
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. Which explanation is most likely for his behavior?
a. He is angry about hospital policy.
b. He is feeling neglected by the nursing staff.
c. He is in denial of the effects of the surgery.
d. He is reacting to the loss of self-esteem and altered body image.
d. He is reacting to the loss of self-esteem and altered body image.
Which aspect of self care wil lthe nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis?
a. Increase his fluid intake.
b. Increase intake of dairy products.
c. Restrict his protein intake.
d. Take one baby aspirin daily.
a. Increase his fluid intake.
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, which action will be the nurse’s next action?
a. Discard the urine.
b. Add the urine to a 24-hour collector.
c. Send the urine to the laboratory.
d. Strain the urine.
d. Strain the urine.
The nurse assessing a patient who is taking furosemide finds an irregular pulse. This is likely a sign of which disorder?
a. hypomagnesemia.
b. hypernatremia.
c. hypokalemia.
d. hypercalcemia.
c. hypokalemia.
The patient with nephrosis questions the need for bed rest. How would the nurse explain the benefit of bed rest?
a. The recumbent position may initiate diuresis.
b. It preserves the skin integrity.
c. It lowers the level of albuminuria.
d. It saves stress on joints.
a. The recumbent position may initiate diuresis.
In which way will the nurse instruct the patient to do before obtaining the urine specimen for a urine culture?
a. Collect the urine for a 24-hour period.
b. Obtain a clean-catch specimen.
c. Bring in an early morning specimen.
d. Limit fluid intake to concentrate the urine.
b. Obtain a clean-catch specimen.
The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching, which aspect will the nurse emphasize about what the patient can expect after the procedure?
a. Red drainage from the catheter
b. Limited intake of fluids
c. A sodium-restricted diet
d. Incisional drainage
a. Red drainage from the catheter
A male patient, age 71, is recovering from a trans-urethral prostatic resection (TURP). The health care provider requests removal of the indwelling catheter 2 days after the TURP procedure. Which occurrence might the patient experience after the catheter is removed?
a. Burning on urination
b. Passing of blood clots in the urine
c. Dribbling of urine
d. Coffee-colored urine
c. Dribbling of urine
A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The health care provider suspects renal cancer. When assisting with data collection from this patient, the nurse recognizes which risk factor as significant for renal cancer?
a. High caffeine intake
b. Cigarette smoking
c. Use of artificial sweeteners
d. Chronic cystitis
b. Cigarette smoking
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 patient problem does the nurse identify?
a. The patient will not likely follow a prescribed diet due to anger.
b. The patient does not understand the diet, and will likely have poor nutrition.
c. The patient is in the grieving process, due to the probability she will die soon.
d. The patient is feeling unable to cope, and feels helpless over having diabetes and
kidney failure.
d. The patient is feeling unable to cope, and feels helpless over having diabetes and
kidney failure.
The patient is on postoperative day 1 after having undergone a Transurethral resection of the prostate (TURP) procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation in which manner?
a. measuring and recording all fluid output in the drainage bag.
b. measuring the total output and deducting the total of the irrigating and intravenous solutions.
c. adding the total of the intravenous and irrigating solutions and then deducting the amount of output.
d. measuring total output and deducting the amount of irrigating solution used.
d. measuring total output and deducting the amount of irrigating solution used.
A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications?
a. “I will need to increase protein and decrease sodium intake.”
b. “I will need to drink more milk to get my calcium.”
c. “Carbohydrate restriction will be difficult.”
d. “Potassium restriction won’t be hard since I don’t like fruit.”
a. “I will need to increase protein and decrease sodium intake.”
Which type of diet will the patient be encouraged to eat during the active phase of acute renal failure?
a. A diet high in sodium
b. A diet high in potassium
c. A diet high in carbohydrates
d. A diet high in fluid sources
c. A diet high in carbohydrates
The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL. An excessive elevation of BUN could cause which problem?
a. dehydration.
b. disorientation.
c. edema.
d. catabolism.
b. disorientation.
An intravenous pyelogram confirms the presence of a large renal calculus in the proximal left ureter of a newly admitted patient. The patient is not a candidate for conservative measures, so surgical correction is recommended. In addition to observing the patient for hemorrhage, which aspect of care will be the nurse’s postsurgical interventions included for this patient?
a. Encouraging fluid intake
b. Addressing anxiety related to unclear outcome of condition
c. Monitoring the patient for signs of prostatic hypertrophy
d. Recommending appropriate oral analgesics to the health care provider
a. Encouraging fluid intake
