URI NUR 313 Exam 4 Questions and
Correct Answers/ Latest Update / Already
Graded
Causes of nephrolithiasis
Ans: Metabolic abnormalities, warm climate, large
protein/tea/fruit juice intake, large calcium/oxalate intake, low
fluid intake
Diagnostic test for nephrolithiasis
Ans: CT scan
Nursing interventions for nephrolithiasis
Ans: Ureteral stent, nephrostomy tube, ESWL, ureteroscopy,
percutaneous nephrolithotomy, nutrition therapy
meds: narcotics/NSAIDs, antiemetics, alpha-adrenergic
blockers
Causes of kidney cancer
Ans: Use of cigarettes, pipes, cigars; chewing tobacco, other
forms of smokeless tobacco; family history; obesity;
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hypertension; exposure to asbestos, cadmium, and gasoline;
people with cystic disease of the kidney associated with ESRD
Diagnostic tests for kidney cancer
Ans: CT scan, MRI, ultrasound, urine cytology testing, renal
biopsy, radionuclide isotope scanning
Nursing interventions for kidney cancer
Ans: Biological immunotherapy, targeted medications,
nephrectomy, radiation therapy
Causes of bladder cancer
Ans: Cigarette smoking (#1); aromatic amine exposure from
rubber and chemical industries; polycyclic aromatic
hydrocarbon exposure from coal and aluminum industries;
chronic infection or inflammation; long -term indwelling urinary
catheters; women treated with radiation for cervical cancer;
patients receiving cyclophosphamide (Cytoxan)
Diagnostic tests for bladder cancer
Ans: H&P, urine specimen, blood and urine tests, urine C&S,
cytoscopy/biopsy, CT scan, MRI, PET scan, ultrasound
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Nursing interventions for bladder cancer
Ans: Topical chemotherapy, immunotherapy, targeted
therapy, intravesical therapy
Causes of acute kidney injury
Ans: Reduced renal blood flow, direct damage to the renal
parenchymal tissues, mechanical obstruction of the lower
urinary tract
Diagnostic tests for acute kidney injury
Ans: History, serum creatinine, urinalysis, kidney ultrasound,
renal scan, CT scan, renal biopsy
Nursing interventions for acute kidney injury
Ans: Monitor fluid status: strict I&O, daily weights, VS;
maintain renal perfusion while correcting fluid overload;
administer diuretics as ordered; monitor and manage
hyperkalemia; prepare for and support dialysis; provide
nutritional support with regulated sodium and potassium
Causes of chronic kidney disease
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Ans: Age > 60 years; obesity; cardiovascular diseases; diabetes;
ethnic minority; exposure to nephrotoxic drugs; family history
of CKD; hypertension; previous kidney diseases
Diagnostic tests for chronic kidney disease
Ans: Dipstick evaluation, blood and urine tests, renal
ultrasounds, kidney biopsy
Nursing interventions for chronic kidney disease
Ans: Preserve kidney function and prevent complications; early
recognition and nephrology referral; monitor/manage
hyperkalemia and hypertension; manage anemia, bone/mineral
disorder, and dyslipidemia; adjust medications to prevent
toxicity; provide renal diet management and dietitian referral;
promote patient comfort and education
Nursing interventions for dialysis
Ans: Monitor fluid status, electrolytes, BUN/creatinine, and
vital signs; monitor access patency (thrill, bruit) and signs of
infection; maintain aseptic technique; monitor I&Os/daily
weights;
Complications: hypotension, infection, bleeding, cramps
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