Chapter 42: Urologic Disorders
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A family member of a patient who has returned to the special unit after renal
transplantation is alarmed by blood in the urine of the patient: What is the nurse’s best
explanation when explaining the reason for hematuria in this patient?
a. “It is related to the immunosuppressant drugs taken before transplantation:”
b. “It is a normal postoperative expectation:”
c. “It is caused by dye injected during surgery:”
d. “It is caused by a small vessel that may be bleeding but will coagulate as urine
flow increases:”
ANS: B
Blood in the urine is an expected postoperative expectation and will gradually clear
up:
DIF: Cognitive Level: Comprehension REF: p: 823 OBJ: 1
TOP: Postoperative Care for Transplant Recipients
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather: How
many years of age should the nurse explain that kidney donors must be?
a. At least 14 years old
b. At least 16 years old
c. At least 18 years old
d. At least 21 years old
ANS: C
The donor must be at least 18 years old, have no systemic disease, and have normal
renal function:
, DIF: Cognitive Level: Knowledge REF: p: 839 OBJ: 1
TOP: Kidney Donor KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient with chronic renal failure is to begin renal dialysis treatment and asks for advice
about which type of dialysis would be best: the patient is considering peritoneal dialysis
because it is less expensive and has fewer dietary and fluid restrictions: What is the most
accurate information for the nurse to provide about peritoneal dialysis?
a. It has literally no drawbacks:
b. It gives more independence and more closely resembles normal kidney function:
c. It is a lot more work than hemodialysis, in which the health care staff takes care of
everything:
d. It usually does not work very well and has many complications, such as a high
blood sugar level:
ANS: B
Peritoneal dialysis increases independence and resembles normal kidney function: It
can be performed in any hospital or at home:
DIF: Cognitive Level: Comprehension REF: p: 834 OBJ: 1
TOP: Peritoneal Dialysis KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?
a. Bone demineralization and peripheral neuropathy
b. Fatigue and drug side effects
c. Impaired immune response and malnutrition
d. Multiple life changes and hormone deficiencies
ANS: A
Loss of calcium from the bones leaves them weak, and the lack of sensation in the
hands and feet leaves patients with a lack of proprioception: Realizing these factors,
the nurse can draw up implementations to help prevent injuries:
DIF: Cognitive Level: Knowledge REF: p: 831 OBJ: 2
TOP: Chronic Renal Failure KEY: Nursing Process Step: Nursing Diagnosis
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. A family member of a patient who has returned to the special unit after renal
transplantation is alarmed by blood in the urine of the patient: What is the nurse’s best
explanation when explaining the reason for hematuria in this patient?
a. “It is related to the immunosuppressant drugs taken before transplantation:”
b. “It is a normal postoperative expectation:”
c. “It is caused by dye injected during surgery:”
d. “It is caused by a small vessel that may be bleeding but will coagulate as urine
flow increases:”
ANS: B
Blood in the urine is an expected postoperative expectation and will gradually clear
up:
DIF: Cognitive Level: Comprehension REF: p: 823 OBJ: 1
TOP: Postoperative Care for Transplant Recipients
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. A 10-year-old boy tells a nurse that he wants to give his kidney to his grandfather: How
many years of age should the nurse explain that kidney donors must be?
a. At least 14 years old
b. At least 16 years old
c. At least 18 years old
d. At least 21 years old
ANS: C
The donor must be at least 18 years old, have no systemic disease, and have normal
renal function:
, DIF: Cognitive Level: Knowledge REF: p: 839 OBJ: 1
TOP: Kidney Donor KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
3. A patient with chronic renal failure is to begin renal dialysis treatment and asks for advice
about which type of dialysis would be best: the patient is considering peritoneal dialysis
because it is less expensive and has fewer dietary and fluid restrictions: What is the most
accurate information for the nurse to provide about peritoneal dialysis?
a. It has literally no drawbacks:
b. It gives more independence and more closely resembles normal kidney function:
c. It is a lot more work than hemodialysis, in which the health care staff takes care of
everything:
d. It usually does not work very well and has many complications, such as a high
blood sugar level:
ANS: B
Peritoneal dialysis increases independence and resembles normal kidney function: It
can be performed in any hospital or at home:
DIF: Cognitive Level: Comprehension REF: p: 834 OBJ: 1
TOP: Peritoneal Dialysis KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. Why are patients diagnosed with chronic renal failure and on dialysis prone to injury?
a. Bone demineralization and peripheral neuropathy
b. Fatigue and drug side effects
c. Impaired immune response and malnutrition
d. Multiple life changes and hormone deficiencies
ANS: A
Loss of calcium from the bones leaves them weak, and the lack of sensation in the
hands and feet leaves patients with a lack of proprioception: Realizing these factors,
the nurse can draw up implementations to help prevent injuries:
DIF: Cognitive Level: Knowledge REF: p: 831 OBJ: 2
TOP: Chronic Renal Failure KEY: Nursing Process Step: Nursing Diagnosis
