問題一覧
1
The nephrologist told you that your patient has decreased GFR upon testing. Which statement accurately describes glomerular filtration rate (GFR)?
The GFR is primarily dependent on adequate blood flow and adequate hydrostatic pressure.
2
Your patient in the ward with an obstruction of the renal artery causing renal ischemia exhibits a BP of 180/110mmhg. What is one factor that may contribute to the hypertension?
Increased renin release
3
Knowing the functions of the kidney, in which clinical situation would the increased release of erythropoietin be expected?
Hypoxemia
4
Mrs. Officer complains of suprapubic discomfort and is unable to void. Which volume of urine in the bladder would cause discomfort and require urinary catheterization?
1100mL
5
As a nurse you are aware that elderly women are less prone to UTI compared to men but what is a factor that contributes to an increased incidence of urinary tract infections (UTIs) in older
Relaxation of pelvic floor and bladder muscles
6
A 78-year-old man asks the nurse why he has to urinate so much at night. The nurse should explain to the patient that as an older adult, what may contribute to his nocturia?
Decreased ability to concentrate urine
7
Your patient comes into the ER with manifestations of a urinary problem. What action accurately describes the physical assessment of the urinary system by the nurse?
Percusses the kidney with a firm blow at the posterior costovertebral angle
8
Mrs. Clean complains of “wetting when she sneezes.” How should the nurse document this information?
Stress incontinence
9
Your patient’s nephrologist documented that your patient has urinary retention. How should you explain this when your clinical instructor asks what it is?
Inability to void
10
Your patient is admitted with a diagnosis of benign prostatic hyperplasia (BPH). What urination characteristics should the nurse expect to assess in this patient?
Oliguria
11
The mother of an 8-year-old girl has brought her child to the clinic because she is wetting the bed at night. What terminology should you use when documenting this situation?
Enuresis
12
Mr. Boombastic is admitted showing symptoms of renal impairment. Which test is most specific for renal function?
Creatinine clearance
13
Which classification of urinary tract infection (UTI) is described as infection of the renal parenchyma, renal pelvis, and ureters?
Upper UTI
14
While you are caring for a 77-yr-old woman who has a urinary catheter, you monitor the patient for the development of a UTI. What clinical manifestations is the patient likely to experience?
Vague abdominal discomfort and disorientation
15
Ms. Binibini has no history of UTI is experiencing urgency, frequency, and dysuria comes to the clinic, where a dipstick and microscopic urinalysis indicate bacteriuria. What should you anticipate for this patient?
Treatment with trimethoprim-sulfamethoxazole (Bactrim) for 3 days
16
Your patient in the female ward, weighing 180 pounds, with a UTI has a nursing diagnosis of risk for infection related to lack of knowledge regarding prevention of recurrence. What should youinclude in the teaching plan instructions for this patient?
Drink at least 1.5 – 2 Liters of water every day.
17
Your patient for your case presentation had acute pyelonephritis. What is the common cause of acute pyelonephritis resulting from an ascending infection from the lower urinary tract?
There is a preexisting abnormality of the urinary tract.
18
Which characteristic is more likely with acute pyelonephritis than with a lower UTI?
Fever
19
Your patient has a definitive diagnosis of pyelonephritis. Which test is required for a diagnosis of pyelonephritis?
Urine for culture and sensitivity
20
Glomerulonephritis is characterized by glomerular damage caused by?
accumulation of immune complexes in the glomeruli.
21
Ms. Beautypul, a renal case patient, is edematous upon assessment. What results in the edema associated with nephrotic syndrome?
Decreased plasma oncotic pressure
22
Your patient expressed fear of developing kidney stones. What can patients at risk for nephrolithiasis do to prevent the stones in many cases?
Drink enough fluids to produce dilute urine
23
Acute tubular necrosis (ATN) is the common cause of intrarenal AKI. Which patient is likely to develop ATN?
Patient with major surgery who required a blood transfusion
24
A dehydrated patient is in the Injury stage of AKI. What would the nurse first anticipate in the treatment of this patient?
IV administration of fluid and furosemide (Lasix)
25
Your patient in the ward is experiencing AKI. In a patient with AKI, which laboratory urinalysis result indicates tubular damage?
Specific gravity fixed at 1.010
26
Your patient’s ABG shows Metabolic Acidosis. It occurs in the oliguric phase of AKI as a result of impairment of.
excretion of hydrogen ions.
27
What indicates to the nurse that a patient with AKI is in the recovery phase?
Decreasing blood urea nitrogen (BUN) and creatinine levels
28
While caring for the patient in the oliguric phase of AKI, the nursemonitors the patient for associated collaborative problems. When should the nurse notify the nephrologist?
The patient experiences increasing muscle weakness and abdominal cramping.
29
A patient on a medical unit has a potassium level of 6.8 mEq/L. What is the priority action that the nurse should take?
Place the patient on a cardiac monitor.
30
A patient with CKD is brought to the ER with Kussmaul respirations. What do you know about CKD that could cause this patient's Kussmaul respirations?
They are caused by respiratory compensation for metabolic acidosis.