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Chapter 49: Care of the Patient with a Urinar
Disorder
Chapter 49: Care of the Patient with a Urinary Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.What is the hormone from the posterior pituitary gland that influences the amount of water t
ed with the urine?
a. Pitocin
b. Renin hormone
c. Antidiuretic hormone (ADH)
d. ACTH
ANS: C
ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorptio
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1674
OBJ:3TOP:Urine production
,a. nitrogen.
b. uric acid.
c. nitrates.
d. creatinine.
ANS: D
As proteins break down, nitrogenous wastes—urea, ammonia, and creatinine—are produced.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1671
OBJ: 4 TOP: Physiology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3.Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, t
documentation is referred to as:
a. retroperitoneal.
b. diaphragm-vertebral.
c. costovertebral.
d. urachal-peritoneal.
ANS: A
The kidneys lie behind the parietal peritoneum (retroperitoneal).
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1672
OBJ:1TOP:Location of kidneys
, to 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 physician’s appointments.
ANS: B
Listen to the patient and allow time for discussion about concerns and the plan of care to retur
control. End-of-life discussions are premature.
PTS:1DIF:Cognitive Level: Analysis
REF: Page 1713, Nursing Care Plan OBJ: 12 TOP: ESRD
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
5.What 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
ANS: A
Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
PTS:1DIF:Cognitive Level: Application
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One Account Get all Test Banks
Chapter 49: Care of the Patient with a Urinar
Disorder
Chapter 49: Care of the Patient with a Urinary Disorder
Cooper and Gosnell: Foundations and Adult Health Nursing, 7th Edition
MULTIPLE CHOICE
1.What is the hormone from the posterior pituitary gland that influences the amount of water t
ed with the urine?
a. Pitocin
b. Renin hormone
c. Antidiuretic hormone (ADH)
d. ACTH
ANS: C
ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorptio
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1674
OBJ:3TOP:Urine production
,a. nitrogen.
b. uric acid.
c. nitrates.
d. creatinine.
ANS: D
As proteins break down, nitrogenous wastes—urea, ammonia, and creatinine—are produced.
PTS: 1 DIF: Cognitive Level: Analysis REF: Page 1671
OBJ: 4 TOP: Physiology KEY: Nursing Process Step: Assessment
MSC: NCLEX: Physiological Integrity
3.Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, t
documentation is referred to as:
a. retroperitoneal.
b. diaphragm-vertebral.
c. costovertebral.
d. urachal-peritoneal.
ANS: A
The kidneys lie behind the parietal peritoneum (retroperitoneal).
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 1672
OBJ:1TOP:Location of kidneys
, to 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 physician’s appointments.
ANS: B
Listen to the patient and allow time for discussion about concerns and the plan of care to retur
control. End-of-life discussions are premature.
PTS:1DIF:Cognitive Level: Analysis
REF: Page 1713, Nursing Care Plan OBJ: 12 TOP: ESRD
KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity
5.What 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
ANS: A
Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.
PTS:1DIF:Cognitive Level: Application
