NUR 116 - EXAM 3 - RENAL QUESTIONS WITH PASSED
ANSWERS.
The nurse is administering peritoneal dialysis to a patient with acute kidney
injury and notes the presence of a cloudy dialysate return. After notifying the
healthcare provider, which action by the nurse is best?
Answers:
a. Measure abdominal girth
b. Document the cloudy dialysate
c. Culture the dialysate return
d. Increase dialysate instillation Answer - c. Culture the dialysate return
Response Feedback:
Measurement of abdominal girth is performed before the dialysis procedure,
and although increased girth could indicate peritonitis, culturing the return is
more important.
Documenting the cloudy dialysate and nursing actions taken would be
necessary but is not the next-priority action.
The return should be clear. The presence of cloudy drainage might indicate
peritonitis, and the nurse should culture the return in order to help identify the
presence and type of organism that could be causing the infection.
The instillation part of the procedure is completed before the collection of the
dialysate return, and the rate of the instillation has no relationship to the
development of an infection.
,In preparing an educational presentation for nursing staff regarding care of
patient with renal calculi, the nurse explains that percutaneous
nephrolithotomy is the treatment of choice for which types of stone? Select all
that apply.
Answers:
a. Distal ureteral stones
b. Stones in the renal pelvis
c. Staghorn calculi
d. Mid-ureteral stones
e. Stones greater than 2 cm Answer - a. Distal ureteral stones
c. Staghorn calculi
e. Stones greater than 2 cm
Which statement by the patient diagnosed with benign prostatic hyperplasia
(BPH) indicates the need for further teaching about the management of this
disorder?
Answers:
a. "As my condition progresses, I may need to consider surgical management."
b. "Alpha blockers can be used to control my symptoms."
c. "There are nonsurgical treatment options available."
d. "Alpha blockers can be used to control my symptoms." Answer - b. "Alpha
blockers can be used to control my symptoms."
***
, The nurse is providing care to a patient who is experiencing symptoms of a
kidney stone. Which diagnostic tool does the nurse anticipate will be ordered
for this patient?
Answers:
a. Ultrasonic bladder scan
b. Urinalysis
c. Intravenous urography
d. Cystoscopy Answer - c. Intravenous urography
In administering an alpha-adrenergic blockers to a patient diagnosed with
urolithiasis, the nurse correlates the primary rationale for this medication to
which mechanism of action?
In administering an alpha-adrenergic blockers to a patient diagnosed with
urolithiasis, the nurse correlates the primary rationale for this medication to
which mechanism of action?
Answers:
a. Decrease nausea and vomiting
b. Decrease pain
c. Dilate lower ureter
d. Promote contraction of the ureter Answer - c. Dilate lower ureter
Response Feedback:
Antiemetics are given to decrease nausea and vomiting.
Although pain may be decreased secondary to ureteral dilation and passage of
the stone, the primary rationale for alpha blockers is to promote
relaxation/dilation of the ureter.
ANSWERS.
The nurse is administering peritoneal dialysis to a patient with acute kidney
injury and notes the presence of a cloudy dialysate return. After notifying the
healthcare provider, which action by the nurse is best?
Answers:
a. Measure abdominal girth
b. Document the cloudy dialysate
c. Culture the dialysate return
d. Increase dialysate instillation Answer - c. Culture the dialysate return
Response Feedback:
Measurement of abdominal girth is performed before the dialysis procedure,
and although increased girth could indicate peritonitis, culturing the return is
more important.
Documenting the cloudy dialysate and nursing actions taken would be
necessary but is not the next-priority action.
The return should be clear. The presence of cloudy drainage might indicate
peritonitis, and the nurse should culture the return in order to help identify the
presence and type of organism that could be causing the infection.
The instillation part of the procedure is completed before the collection of the
dialysate return, and the rate of the instillation has no relationship to the
development of an infection.
,In preparing an educational presentation for nursing staff regarding care of
patient with renal calculi, the nurse explains that percutaneous
nephrolithotomy is the treatment of choice for which types of stone? Select all
that apply.
Answers:
a. Distal ureteral stones
b. Stones in the renal pelvis
c. Staghorn calculi
d. Mid-ureteral stones
e. Stones greater than 2 cm Answer - a. Distal ureteral stones
c. Staghorn calculi
e. Stones greater than 2 cm
Which statement by the patient diagnosed with benign prostatic hyperplasia
(BPH) indicates the need for further teaching about the management of this
disorder?
Answers:
a. "As my condition progresses, I may need to consider surgical management."
b. "Alpha blockers can be used to control my symptoms."
c. "There are nonsurgical treatment options available."
d. "Alpha blockers can be used to control my symptoms." Answer - b. "Alpha
blockers can be used to control my symptoms."
***
, The nurse is providing care to a patient who is experiencing symptoms of a
kidney stone. Which diagnostic tool does the nurse anticipate will be ordered
for this patient?
Answers:
a. Ultrasonic bladder scan
b. Urinalysis
c. Intravenous urography
d. Cystoscopy Answer - c. Intravenous urography
In administering an alpha-adrenergic blockers to a patient diagnosed with
urolithiasis, the nurse correlates the primary rationale for this medication to
which mechanism of action?
In administering an alpha-adrenergic blockers to a patient diagnosed with
urolithiasis, the nurse correlates the primary rationale for this medication to
which mechanism of action?
Answers:
a. Decrease nausea and vomiting
b. Decrease pain
c. Dilate lower ureter
d. Promote contraction of the ureter Answer - c. Dilate lower ureter
Response Feedback:
Antiemetics are given to decrease nausea and vomiting.
Although pain may be decreased secondary to ureteral dilation and passage of
the stone, the primary rationale for alpha blockers is to promote
relaxation/dilation of the ureter.
