Urinary System

Front 1

A renal stone in the pelvis of the kidney will alter the function of the kidney by interfering with__________?

Back 1

Collection and drainage of urine from the kidney.

Front 2

A patient with renal disease has oliguria and a creatinine clearance of 40 ml per minute. The nurse recognize that these finding most directly reflect abnormal function of_______?

Back 2

glomerular filtration

Front 3

The nurse identifies a risk for urinary calculi in a patient who relates a past health history that includes _______?

Back 3

hyperparathyroidism

Front 4

Normal changes associated with aging of the urinary system that the nurse excepts to find include ______?

Back 4

urine post voiding residual

Front 5

During physical assesment of the urinary system, the nurse ______?

Back 5

percussess the flank area with firm blow

Front 6

Normal findings expected by the nurse on physcial assessment of the urinary system include ______?

Back 6

nonpalpable left kidney

Front 7

An important nursing responsibility after an IVP is to ______?

Back 7

encourage extra oral fluid intake.

Front 8

On reading the urinanlysis results of a dehydrated patient the nurse would expect to find _____?

Back 8

specific gravity of 1.035

Front 9

In teaching a patient with pyelonephritis about disorders, the nurse informs the patient that the organism that causes pyelonephritis most commonly reach the kidneys through _____?

Back 9

an ascending infection

Front 10

The nurse teaches the femal patient who has frequent UTIs that she should ______?

Back 10

urinate after sexual intercourse

Front 11

The immunologic mechanism involved in glomerulonephritis include _______?

Back 11

include deposition of immune complexes and complement along the GBM

Front 12

One of the most important roles of the nurse in relatino to acute poststreptococcal glomerulonephritis is to _____?

Back 12

promote early diagnosis and treatment of sore throats and skin lesions

Front 13

The edema that occurs in nephrotic syndrome is due to _____?

Back 13

decreased colloidal osmotic pressure caused by loss of serum albumin

Front 14

A patient is admitted to the hospital with severe renal colic cased by renal lithiasis. The nurse first priority _____?

Back 14

in management of the patient is administer narcotics as prescribed.

Front 15

The nurse recommends genetic counsling for the children of a patient with ______?

Back 15

adult onset polycystic renal disease

Front 16

The nurse encourages strict diabetic control in the patient prone to diabetic nephropathy knowing that the renal changes that may occur in this condition include ______?

Back 16

include thickening of the GBM and glomerulosclerosis

Front 17

The nurse identifies a risk factor for kidney and bladder cancer in a patient who relates a history of ______?

Back 17

tobacco use

Front 18

In plannning nursing invterventions to increase bladder contol in the patient with urinary incontinence, the nurse includes ____?

Back 18

resitricting fluids to diminish the risk of urinary leakage

Front 19

A patient with ureterolithotomy teturns from surgery with a nephrostomy tube in place. Postoperative nursing care of the patient includes _____?

Back 19

forcing fluids of at least 2-3 L per day after nausea has subsided

Front 20

A patient has had a cystectomy and ileal conduit diversion performed. Four days postoperatively, mucous shreds are seen in the drainage bag. The nurse should ____?

Back 20

chart it as a normal observation.

Front 21

A patient is admitted to the hospital with chronic kidney disease. The nurse understands that this condition is characterized by _____?

Back 21

progressive irreversible destruction of the kidney.

Front 22

Prerenal causes of ARF include _____?

Back 22

hypovolemia and myocardial infarction

Front 23

During the oliguric phase of ARF, the nurse monitors the patient for _____?

Back 23

pulmonary edema and ECG changes

Front 24

If a patient is in the diuretic phase of ARF, the nurse must monitor for which serum electrolyte imbalance?

Back 24

hypokalemia and hyponatremia

Front 25

A systemic effect of chronic kidney disease that is usually reversed by the initiation of dialysis is _____?

Back 25

nausea and vomiting

Front 26

Measures indicated in the conservative therapy of chronic kidney disease include _______?

Back 26

decreased fluid intake and protein intake, increased carbohydrate intake.

Front 27

One major disadvantages of peritoneal dialysis is that

Back 27

high glucose concentrations of the dialysate necesary for ultrafiltration cause carbohydrate and lipid abnormailities.

Front 28

The assess the patency of newly placed arterioenous graft for dialysis, the nurse should _____?

Back 28

listen with a stethoscope over the graft for the presence of a bruit

Front 29

A patient in ESRD recieving hemodialysis is considering asking a relative to donate a kidney for trasnplant. In assisting the patient to make a decision about treatment, the nurse informs the patient that _____?

Back 29

successful transplantation usually provides better qualitiy of life than that offered by dialysis

Front 30

Following a kidney transplant, the nurse teaches the patient that signs of rejection _____?

Back 30

fever, weight gain, decreased urinary output, increased BP.

Front 31

Most of the long term problems that occur in the patient with a kidney transplant are a result of _____?

Back 31

immunosuppressive therapy