N372 EXAM 4 QUESTIONS WITH ANSWERS
100% SOLVED
When taking a nursing history of a patient undergoing a renal evaluation, which of the
following would be contraindicated if the patient has an allergy to shellfish? - ANSWER
Intravenous urography
A 62 year old patient comes to the clinic with complaints of anorexia, lethargy, and
headaches. He/ she will be evaluated through a series of diagnostic tests. Which of the
following is the best indicator of renal function? - ANSWER Creatinine clearance
A patient who is scheduled for a renal biopsy routinely takes each of the following
medications. The nurse anticipates that which one of these medications may impact the
ability of the patient to undergo the renal biopsy? - ANSWER Aspirin
The nurse explains to the patient who is receiving oxybutynin (Ditropan) for control of
urinary incontinence that the drug's effect is to - ANSWER increase bladder capacity
before a contraction occurs
The patient with no known metabolic disorders has passed a renal calculus and is
concerned about a recurrence. What preventative measure do you teach this patient? -
ANSWER "Drink at least 3 liters of fluid per day."
A patient is admitted to the Emergency Department with severe colicky pain that
radiates to his bladder and scrotum. The nurse assesses that these symptoms are
indicative of - ANSWER Nephrolithiasis
The patient with a renal calculi has just returned from having an extracorporeal shock
wave lithotripsy procedure, and the nurse finds an ecchymotic area on the patient's
right lower back. What is your first action? - ANSWER Apply ice to the area
A 54 year old male patient is being treated with allopurinol (Zyloprim) for renal calculi.
, At the clinic, 6 weeks after discharge, the nurse knows that the drug therapy is effective
by which of the following changes in his lab values? - ANSWER Decreased uric acid
levels
A nurse is caring for an 85 year old patient experiencing urinary incontinence. The
nurse is aware that - ANSWER Urinary incontinence is not a consequence of aging
You are admitting a patient diagnosed with urinary retention. What question should be
included as part of your assessment? - ANSWER Do you have dribbling urine
The nurse is caring for a patient with a history of Systemic Lupus Erythematosus who
has been recently diagnoses with ESRD. The patient has an elevated phosphorous level
and has been prescribed calcium acetate to bind the phosphorous. What information
should the nurse include in her teaching about taking this phosphorus binding
medication? - ANSWER With each meal
After a transurethral prostate resection (TURP), a patient has a catheter with a
continuous bladder irrigation of normal saline infusing at 300 mL/hour. The urine has
been pink for the last 12 hours. The nurse ambulates the patient and now assesses that
his urine has changed from pink to dark red. The nurse puts the patient back to bed,
empties the Foley catheter bag and increases the rate of the GU irrigant to 500 mL/hour.
The nurse returns to assess him one hour later and there is 650 mL of bright red urine in
the drainage bag. What is the nurse's best action at this time? - ANSWER notify the
physician
The nurse is obtaining a health history from a patient admitted with acute
glomerulonephritis. Which of the following information would the nurse expect the
health history to contain? - ANSWER the patient had a sore throat 2 weeks ago
Which of the following should the nurse monitor in a patient with chronic renal failure as
the most accurate assessment of fluid retention? - ANSWER weight and blood pressure
What would be the best action when the nurse observes tall, peaked t waves on the ECG
of a patient with end-stage renal disease (ESRD)? - ANSWER Check the patient's serum
potassium level
100% SOLVED
When taking a nursing history of a patient undergoing a renal evaluation, which of the
following would be contraindicated if the patient has an allergy to shellfish? - ANSWER
Intravenous urography
A 62 year old patient comes to the clinic with complaints of anorexia, lethargy, and
headaches. He/ she will be evaluated through a series of diagnostic tests. Which of the
following is the best indicator of renal function? - ANSWER Creatinine clearance
A patient who is scheduled for a renal biopsy routinely takes each of the following
medications. The nurse anticipates that which one of these medications may impact the
ability of the patient to undergo the renal biopsy? - ANSWER Aspirin
The nurse explains to the patient who is receiving oxybutynin (Ditropan) for control of
urinary incontinence that the drug's effect is to - ANSWER increase bladder capacity
before a contraction occurs
The patient with no known metabolic disorders has passed a renal calculus and is
concerned about a recurrence. What preventative measure do you teach this patient? -
ANSWER "Drink at least 3 liters of fluid per day."
A patient is admitted to the Emergency Department with severe colicky pain that
radiates to his bladder and scrotum. The nurse assesses that these symptoms are
indicative of - ANSWER Nephrolithiasis
The patient with a renal calculi has just returned from having an extracorporeal shock
wave lithotripsy procedure, and the nurse finds an ecchymotic area on the patient's
right lower back. What is your first action? - ANSWER Apply ice to the area
A 54 year old male patient is being treated with allopurinol (Zyloprim) for renal calculi.
, At the clinic, 6 weeks after discharge, the nurse knows that the drug therapy is effective
by which of the following changes in his lab values? - ANSWER Decreased uric acid
levels
A nurse is caring for an 85 year old patient experiencing urinary incontinence. The
nurse is aware that - ANSWER Urinary incontinence is not a consequence of aging
You are admitting a patient diagnosed with urinary retention. What question should be
included as part of your assessment? - ANSWER Do you have dribbling urine
The nurse is caring for a patient with a history of Systemic Lupus Erythematosus who
has been recently diagnoses with ESRD. The patient has an elevated phosphorous level
and has been prescribed calcium acetate to bind the phosphorous. What information
should the nurse include in her teaching about taking this phosphorus binding
medication? - ANSWER With each meal
After a transurethral prostate resection (TURP), a patient has a catheter with a
continuous bladder irrigation of normal saline infusing at 300 mL/hour. The urine has
been pink for the last 12 hours. The nurse ambulates the patient and now assesses that
his urine has changed from pink to dark red. The nurse puts the patient back to bed,
empties the Foley catheter bag and increases the rate of the GU irrigant to 500 mL/hour.
The nurse returns to assess him one hour later and there is 650 mL of bright red urine in
the drainage bag. What is the nurse's best action at this time? - ANSWER notify the
physician
The nurse is obtaining a health history from a patient admitted with acute
glomerulonephritis. Which of the following information would the nurse expect the
health history to contain? - ANSWER the patient had a sore throat 2 weeks ago
Which of the following should the nurse monitor in a patient with chronic renal failure as
the most accurate assessment of fluid retention? - ANSWER weight and blood pressure
What would be the best action when the nurse observes tall, peaked t waves on the ECG
of a patient with end-stage renal disease (ESRD)? - ANSWER Check the patient's serum
potassium level
