Test Bank Unit 9 : Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper ||Chapter 36 -37

Test Bank Unit 9: Understanding Medical-Surgical Nursing 6th Edition Linda S. Williams Paula D. Hopper Chapter 36. Urinary System Function, Asses and Therapeutic Measures Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures Multiple Choice Identify the choice that best completes the statement or answers the question. 1. The nurse is reviewing the anatomy of the kidney with a patient scheduled for renal sur should the nurse explain as being the structural and functional unit of the kidney? a. Cortex b. Medulla c. Pyramid d. Nephron 2. The nurse is caring for a patient with a kidney infection. When providing prescribed med nurse should recall that which structure is the capillary network in each nephron? a. Corpuscles b. Glomerulus c. Renal tubules d. Bowman’s capsule 3. A patient has a glomerular filtration rate of 55%. What should this value indicate to the n a. This is a normal value. b. The patient is in renal failure. c. The patient needs to be on a fluid restriction. d. The patient’s other tests will be in the normal range. 5. The nurse is collectiSa- ThfeoMraarkeptpalacteietonBtuywanidthSelkl yiodunr SetuydydMiasteeriaalse. When reviewing a urinalys range should the nurse recognize as normal specific gravity of urine? lOMoARcPSD| a. 0.080 to 0.100 b. 1.002 to 1.035 c. 2.600 to 3.000 d. 4.612 to 5.030 6. The nurse is reviewing a urinalysis report. What should the nurse recognize as the norm urine? a. 2 b. 4.2 c. 6 d. 7.4 7. The nurse needs to obtain a urine specimen from a female patient. What action should when obtaining this specimen? a. Obtain the first voided urine of the day. b. Direct the patient to wash her perineum before collecting the urine specimen. c. Have the patient urinate into a bedpan, then pour the urine into the specimen container. d. Have the patient void, throw that urine away, and then collect another specimen at least 1 h 8. A patient’s urinalysis results are: white blood cells (WBC) 100+/hpf; red blood cells (RBC) moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What should the nurse findings indicate? a. Dehydration b. Urinary tract infection c. Contamination from menstruation d. Contamination of the specimen from bacteria on the perineum 9. The nurse is reviewing a patient’s history and physical report. What term should the nur being used to describe waste products building up in the blood? a. Uremia b. Septicemia c. Nitrosemia d. Proteinemia 10. The nurse is to obtain orthostatic blood pressure measurements for a patient on dialys renal disease. What should the nurse do when measuring this patient’s blood pressure? a. Take blood pressure before and after dialysis treatments. b. Check blood pressure every minute three times for four readings. c. Obtain blood pressure while the patient is lying, sitting, and standing. d. Monitor blood pressure before and after an antihypertensive medication is given. lOMoARcPSD| 12. A patient is scheduled for an intravenous pyelogram (IVP). What care should the nurse the patient has this procedure? a. IV antibiotics b. Opioid pain medication c. Enema evening before the test d. Bedrest for 16 hours before the test 13. The nurse is caring for a patient who is scheduled for a cystoscopy (C&P) with basket e stone. What is the most important postoperative care for the nurse to provide? a. Limiting fluid intake b. Measuring urine output c. Monitoring daily weights d. Observing for acute kidney injury 14. The nurse contributes to the plan of care for a patient with edema. Which action shoul as the best indicator of this patient’s fluid volume status? a. Vital signs b. Skin turgor c. Daily weight d. Intake and output 15. The nurse is collecting data from a patient with stress incontinence. Which finding sho document? a. The patient is unable to tell when there is the need to urinate. b. The patient is unable to hold urine when under emotional stress. c. The patient is unable to reach the bathroom and urinates in underwear. d. The patient loses small amounts of urine when he or she coughs or sneezes. 16. The nurse is caring for a male patient with functional incontinence. What action should to help prevent incontinence? a. Teach the patient how to do Kegel exercises. b. Ensure that the patient has ready access to the urinal. c. Teach the patient to increase the time between voiding. d. Give the patient cranberry juice to keep the urine acidic. 17. A patient is being evaluated for renal dialysis. What creatinine clearance value should t this patient must have to live without needing dialysis treatments? a. 5 mL b. 10 mL c. 20 mL d. 50 mL lOMoARcPSD| 19. The nurse is caring for a patient with kidney disease. How should the nurse end a 24-h the end of the 24 hours? a. The final voiding before 24 hours is discarded. b. The patient voids at the end of 24 hours, adding it to the collection container. c. One hundred milliliters of collected urine is placed into a specimen cup and sent to the labor d. The patient voids, and the first and last specimens from 24 hours are sent to the laboratory. 20. The nurse is helping to prepare a patient for a renal biopsy. In which position should th the patient assume? a. Sims’ b. Prone c. Supine d. Fowler’s 21. The nurse is caring for a patient recovering from a renal biopsy. For which complicatio nurse monitor the patient during the 24 hours after the procedure? a. Polyuria b. Bleeding c. Infection d. Urinary obstruction 22. A patient recovering from radiological studies of the renal system has a nursing diagno Urinary Elimination. Which outcome indicates that the nursing interventions have been effectiv a. Patient voids 35 mL/hour of clear urine. b. Patient voids 30 mL/hour of cloudy urine. c. Patient voids 10 mL/hour of reddish urine. d. Patient voids an average of 15 mL/hour of dark-colored urine. 23. The nurse is instructing a patient on the use of Kegel exercises. How many times a day nurse recommend that these exercises be performed? a. 10 to 20 b. 15 to 30 c. 30 to 80 d. 85 to 100 lOMoARcPSD| 25. The nurse is catheterizing a patient after voiding to determine the amount of residual der. What should the nurse consider as being the normal amount of urine within the bladder a a. 50 mL b. 75 mL c. 100 mL d. 150 mL 26. The nurse learns that a patient has a urine pH of 7.9. What question should the nurse after learning of this laboratory value? a. “Are you a vegetarian?” b. “Are you lactose intolerant?” c. “How much protein do you eat each day?” d. “How much acetaminophen do you take each day?” 27. During an assessment, the nurse notes that a patient has crystals deposited on the ski this finding indicate to the nurse? a. Gout b. Uremic frost c. Poor hygiene d. Metabolic alkalosis 28. A female patient is embarrassed because of not being able to walk to the bathroom in come incontinent of urine. Which type of incontinence should the nurse plan care for this patie a. Urge b. Total c. Stress d. Functional 29. The nurse is making a visit to the home of a patient with functional incontinence. Whic indicates that teaching about the disorder has been effective? a. Patient wearing sweat pants b. Patient drinking a cup of coffee c. Patient sitting with the legs elevated d. Patient restricting fluid intake after 6 pm. Multiple Response Identify one or more choices that best complete the statement or answer the question. 30. The nurse is reviewing the results of a patient’s urinalysis. Which components should t as being abnormal in urine? (Select all that apply.) a. Urea b. Water lOMoARcPSD| l 31. The nurse is reviewing data for a patient with acute kidney injury. Which diagnostic tes the nurse recognize that indicate kidney injury? (Select all that apply.) a. Hematocrit 20% b. Uric acid 8 ng/dL c. Serum creatinine 4.2 mg/dL d. Blood urea nitrogen 40 mg/100 mL e. Urine output of 100 mL in 24 hours f. Fixed urine specific gravity of 1.010 32. The nurse reviews the process to obtain a midstream urine specimen for culture and s female patient. Which patient statements indicate understanding of this process? (Select all tha a. “A 24-hour urine specimen is needed.” b. “A second-voided specimen is preferred.” c. “I should wash from the back to the front.” d. “The labia should be kept separated while voiding.” e. “When urine starts to flow, collect it in the clean container provided.” f. “The genitalia should be thoroughly cleaned with the towelettes provided.” 33. The nurse is caring for a patient with an indwelling urinary catheter. Which instructions nurse provide to help prevent development of a urinary tract infection? (Select all that apply.) a. Limit fluid intake to decrease the flow of urine. b. Position the tubing to allow free flow of the urine. c. Use aseptic technique when emptying the drainage bag. d. Wash the perineum with an antibacterial soap every 8 hours. e. Keep the catheter securely taped to prevent catheter movement. f. Empty the urinary bag every 4 hours to prevent stagnation of urine. 34. A patient is recovering from a renal arteriogram. What actions should the nurse take w this patient? (Select all that apply.) a. Check vital signs twice daily. b. Raise the head of the bed to 90 degrees. c. Check distal pulses in leg every 30 to 60 minutes. d. Encourage the patient to ambulate as soon as possible. e. A pressure dressing and sandbag used to apply pressure. f. Implement bedrest for 12 hours, and instruct the patient not to bend leg. 35. The nurse is caring for a patient with an elevated uric acid level. Which health problem nurse consider as potentially causing this patient’s elevation? (Select all that apply.) a. Leukemia b. Steroid use c. Malnutrition lOMoARcPSD| 36. The nurse is collecS-tTahefMoarrkaetpplacaettioeBnuytawndiStehll ykouidr SntuedyyMdatiesriealase. Which information shoul tify as being normal urinalysis findings? (Select all that apply.) a. pH 3.5 b. Amber color c. Small amount of nitrite d. Red blood cells of 8/hpf e. Specific gravity of 1.010 f. Small quantities of enzymes 37. The nurse is collecting data for a patient who has suspected kidney disease. What heal should the nurse consider as being associated with a high urine specific gravity? (Select all that a. Nephrosis b. Dehydration c. Heart failure d. Diabetes mellitus e. Diabetes insipidus f. Fluid volume excess 38. The nurse is caring for a patient with an indwelling catheter. What should the nurse inc tient’s routine care? (Select all that apply.) a. Encourage fluid intake. b. Maintain a closed system. c. Secure the catheter to the patient’s leg. d. Clamp the catheter for 1 hour each shift. e. Remove the catheter as soon as possible. f. Use sterile technique when emptying the drainage bag. 39. The nurse is reviewing normal kidney function with a patient experiencing an acute kid Which hormones should the nurse include that affect kidney function? (Select all that apply.)