Chapter 57: Introduction to the Urinary System Terms in this set (64)A client has been asked to provide a clean-catch midstream urine specimen. It is important that the instructions are clear and that things are done in the proper order. Select the proper sequence of events for obtaining a specimen from a
client. Students also viewedSets found in the same folderOther sets by this creatorOther Quizlet setsA client in a short-procedure unit is recovering from renal angiography in which a femoral puncture site was used. When providing postprocedure care, the nurse should: remove the dressing on the puncture site after vital signs stabilize. Correct
response: Explanation: The term used to describe total urine output less than 0.5 mL/kg/hr is oliguria. Correct response: Explanation: Retention of which electrolyte is the most life-threatening effect of renal failure? Potassium Correct response: Explanation: Following a voiding cystogram, the client has a nursing diagnosis of risk for infection related to the introduction of bacterial following manipulation of the urinary tract. An appropriate nursing intervention for the client is to: Monitor for hematuria. Correct response: Explanation: An appropriate nursing intervention for the client following a nuclear scan of the kidney is to: Apply moist heat to the flank area. Correct response: Explanation: The nurse is admitting a client who is to undergo an open renal biopsy. About which of the following comments by the client should the nurse be most concerned? "I took my usual
dose of Coumadin last night." Correct response: Explanation: A client is scheduled for a renal ultrasound. Which of the following would the nurse include when explaining this procedure to the client? "You'll have a pressure dressing on your groin after the test." Correct response: Explanation: A client has undergone diagnostic testing that involved the insertion of a lighted tube with a telescopic lens. The nurse identifies this test as which of the following? Excretory urogram Correct response: Explanation: A nurse is reviewing the laboratory test results of a client with renal disease. Which of the following would the nurse expect to find? Decreased blood urea nitrogen (BUN) Correct response: Explanation: The wall of the bladder has four layers. Which of the following layers contains a membrane that prevents reabsorption of urine stored in the bladder? Detrusor Correct response: Explanation: A client is experiencing some secretion abnormalities, for which diagnostics are being performed. Which substance is typically reabsorbed and not secreted in urine? glucose
Correct response: Explanation: A client is scheduled for a renal angiography. Which of the following would be appropriate before the test? Evaluate the client for periorbital edema. Correct response: Explanation: A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify which of the following as part of the upper urinary tract? Pelvic floor
muscles Correct response: Explanation: The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of which of the following? Dehydration Correct response: Explanation: The nurse is completing a full exam of the renal system. Which assessment finding best documents the need to offer the use of the bathroom? Tenderness over the kidneys Correct response: Explanation: The nurse is caring for a client who has presented to the walk-in clinic. The client verbalizes pain on urination, feelings of fatigue, and diffuse back pain. When completing a head-to-toe assessment, at which specific location would the nurse assess the client's kidneys for tenderness? The costovertebral angle Correct response: Explanation: When fluid intake is normal, the specific gravity of urine should be: 1.000 Correct response: Explanation: A female client presents to the health clinic for a routine physical examination. The nurse observes that the client's urine is bright yellow. Which question is most appropriate for the nurse to ask the client? "Have you had a recent urinary tract infection?" Correct response: Explanation: When the bladder contains 400 to 500 mL of urine, this is referred to as anuria. Correct response: Explanation: A patient is being seen in the clinic for possible kidney disease. What major sensitive indicator of kidney disease does the nurse anticipate the patient will be tested for? Uric acid level Correct response: Explanation: A client presents to the emergency department complaining of a dull, constant ache along the right costovertebral angle along with nausea and vomiting. The most likely cause of the client's symptoms is: an overdistended bladder. Correct response: Explanation: A client is prescribed flavoxate (Urispas) following cystoscopy. Which of the following instructions would the nurse give the client? "This medication
will relieve your pain." Correct response: Explanation: Which nursing assessment finding indicates the client has not met expected outcomes? The client has blood-tinged urine following brush biopsy. Correct response: Explanation: The client is admitted to the hospital with a diagnosis of acute pyelonephritis. Which clinical manifestations would the nurse expect to find? Costovertebal
angle tenderness Correct response: Explanation: A client presents at the testing center for an intravenous pyelogram. What question should the nurse ask to ensure the safety of the client? "Do you have a pacemaker?" Correct response: Explanation: Which of the following diagnostic tests would the nurse expect to be ordered to determine the details of the arterial supply to the kidneys? Computed tomography (CT scan) Correct response: Explanation: A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect? Nephrotic syndrome Correct response: Explanation: A client has a full bladder. Which sound would the nurse expect to hear on percussion? Resonance Correct response: Explanation: The nurse is providing care to a client who has had a kidney biopsy. The nurse would need to be alert for signs and symptoms of which of the following? Bleeding Correct response: Explanation: A nurse is assisting the physician conducting a cystogram. The client has an intravenous (IV) infusion of D5W at 40 ml/hr. The physician inserts a urinary catheter into the bladder and instills a total of 350 ml of a contrast agent. The nurse empties 500 ml from the urinary catheter drainage bag at the conclusion of the procedure. How many milliliters does the nurse record as urine? Correct response: Explanation: A patient has undergone a renal biopsy. After the test, while the patient is resting, the patient complains of severe pain in the back, arms, and shoulders. Which of the following appropriate nursing interventions should be offered by the nurse? Asses the patient's back and shoulder areas for signs of internal bleeding. Correct
response: Explanation: The most frequent reason for admission to skilled care facilities includes which of the following? Myocardial infarction Correct response: Explanation: The nurse is caring for a client who is describing urinary symptoms of needing to go to the bathroom with little notice. When the nurse is documenting these symptoms, which medical term will the nurse document? Urinary incontinence Correct response:
Explanation: While reviewing a client's chart, the nurse notes the client has been experiencing enuresis. To assess whether this remains an ongoing problem for the client, the nurse asks which question? "Does it burn when you urinate?" Correct response: Explanation: The nurse is completing a routine urinalysis using a dipstick. The test reveals an increased specific gravity. The nurse should suspect which condition? Decreased fluid intake Correct response: Explanation: A 24-hour urine collection is scheduled to begin at 8:00 am. When should the nurse initiate the procedure? At 8:00 am, with or without a specimen Correct response: Explanation: A 24-year-old patient was admitted to the emergency room after a water skiing accident. The X-rays revealed two fractured vertebrae, T-12 and L1. Based on this information, the nurse would know to perform which of the following actions? Check the patient's urine for hematuria. Correct response: Explanation: The nurse is aware, when caring for patients with renal disease, that which substance made in the glomeruli directly controls blood pressure? Vasopressin Correct response: Explanation: The health care provider ordered four tests of renal function for a patient suspected of having renal disease. Which of the four is the most sensitive indicator? Uric acid level Correct response: Explanation: An older adult's most recent laboratory findings indicate a decrease in creatinine clearance. When performing an assessment related to potential causes, the nurse should: assess the client's usual intake of
sodium. Correct response: Explanation: A client with a genitourinary problem is being examined in the emergency department. When palpating the client's kidneys, the nurse should keep in mind which anatomic fact? The kidneys lie between the 10th and 12th thoracic vertebrae. Correct response: Explanation: The nurse observes that the client's urine is orange. Which additional assessment would be important for this client? Intake of multiple vitamin preparations Correct response: Explanation: Which hormone causes the kidneys to reabsorb sodium? Growth hormone Correct response: Explanation: Which of the following is the priority nursing diagnosis for the client preparing for a voiding cystourethrography? Acute pain Correct response: Explanation: Which nursing assessment finding indicates the client with renal dysfunction has not met expected outcomes?
Client denies frequency and urgency. Correct response: Explanation: The nurse is reviewing the client's urinalysis results. The finding that is most suggestive of dehydration of the client is: Bright yellow urine Correct response: Explanation: The nurse is preparing the client for magnetic resonance imaging (MRI) of the kidney. Which statement by the client requires action by the nurse? "I do not have a pacemaker, artificial heart valve, or artificial joints." Correct response: Explanation: A nurse is describing the renal system to a client with a kidney disorder. Which structure would the nurse identify as emptying into the ureters? Nephron Correct response: Explanation: Which of the following is an age-related change associated with the renal system? Increased bladder capacity Correct response: Explanation: Although the primary function of the urinary system is the transport of urine, the kidneys perform several functions. Which is NOT a function of the kidneys? excreting nitrogen waste products Correct response: Explanation: The nurse is caring for a client who reports orange urine. The nurse suspects which factor as the cause of the urine discoloration? Phenytoin Correct
response: Explanation: Which is an effect of aging on upper and lower urinary tract function? Increased glomerular filtration rate Correct response: Explanation: The nurse is preparing a client for a nuclear scan of the kidneys. Following the procedure, the nurse instructs the client to drink liberal amounts of fluids. Correct response: Explanation: Which value does the nurse recognize as the best clinical measure of renal function? Creatinine clearance Correct
response: Explanation: A creatinine clearance test is ordered for a client with possible renal insufficiency. The nurse must collect which serum concentration midway through the 24-hour urine collection? Hemoglobin Correct response: Explanation: A client presents to the ED reporting left flank pain and lower abdominal pain. The pain is severe, sharp, stabbing, and colicky in nature. The client has also experienced nausea and emesis. The nurse suspects the client is experiencing: cystitis. Correct response: Explanation: The nurse is caring for a client scheduled for urodynamic testing. Following the procedure, which information does the nurse provide to the client? "You will be sent home with a urinary catheter." Correct response: Explanation: The nurse is assigned to care for a patient in the oliguric phase of kidney failure. When does the nurse understand that oliguria is said to be present? When the urine output is between 300 and 500 mL/h Correct response: Explanation: The nephrons are the functional units of the kidney, responsible for the initial formation of urine. The nurse knows that damage to the area of the kidney where the nephrons are located will affect urine formation. Identify that area. Renal cortex Correct response: Explanation: The wall of the bladder is comprised of four layers. Which of the following is the layer responsible for micturition? Submucosal layer of connective tissue Correct response: Explanation: What is an effect of aging on upper and lower urinary tract function?Aging increases the risk of kidney and bladder problems such as: Bladder control issues, such as leakage or urinary incontinence (not being able to hold your urine), or urinary retention (not being able to completely empty your bladder) Bladder and other urinary tract infections (UTIs)
How is the urinary system affected by aging quizlet?How is the urinary system affected by aging? the kidneys shrink. A decrease in blood flow to the kidneys diminishes its ability to cleanse the blood stream of waste. People may experience a loss of muscle control in the bladder and sphincters, which leads to incontinence and nocturia.
How does the urinary system change with age?The elastic tissue becomes stiffer and the bladder becomes less stretchy. The bladder cannot hold as much urine as before. The bladder muscles weaken. The urethra can become partially or totally blocked.
How does aging affect the function of the kidneys?Age-associated loss of kidney function has been recognized for decades. With aging, many subjects exhibit progressive decreases in glomerular filtration rate (GFR) and renal blood flow (RBF), with wide variability among individuals.
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