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MED SURG 4
Renal & Urinary #4
| Question | Answer |
|---|---|
| The nurse recognizes that the patient with blood loss is at risk of renal damage because the kidney receives what percentage of the total cardiac output? | 20% to 25% |
| In providing care to a patient with hyperglycemia and normal renal function, the nurse correlates the renal threshold for glucose to which value? | Greater than 220 mg/dL |
| n monitoring a patient’s renal function, the nurse recognizes that aldosterone is released in response to which physiological factor? | Serum sodium 130 mEq/L |
| In the patient with metabolic acidosis, what is the role of the kidneys in acid–base balance? | Reabsorbs bicarbonate ions |
| What term does the nurse use when documenting that the patient has less than 100 mL of urine output in a 24-hour period? | Anuria |
| What term does the nurse use to document a patient’s complaints of painful urination? | Dysuria |
| What term does the nurse use to document a patient’s complaints of involuntary urination at night? | Enuresis |
| What term does the nurse use to document a patient’s complaints of blood in the urine? | Hematuria |
| The nurse is providing care to a patient who states, “My doctor says I am experiencing renal colic. What does that mean?” Which response by the nurse is best? | “It means you have pain radiating to your groin.” |
| In observing a new graduate nurse palpating a patient’s kidneys during a physical examination, which observation requires an intervention by the nurse? | Positioning the other hand over the abdomen, just above the rib cage. |
| The nurse monitors for which assessment data in the patient diagnosed with a kidney infection? | Costovertebral angle tenderness is present. |
| The nurse correlates which laboratory result as the most reliable indicator of impaired renal function? | Serum creatinine 2.4 mg/dL |
| The nurse is providing care to a patient at a local clinic. The nurse suspects that the patient is experiencing a urinary tract infection. Which urinalysis result supports the nurse’s suspicions? | WBC 10-15 |
| The nurse prepares the patient with complaints of burning on urination for which diagnostic study? | Urinalysis |
| Which statement by the female patient about the collection of a clean-catch urine sample indicates the need for further teaching? | “I will spread my labia and wipe from back to front with the towelette.” |
| In providing care to a patient with suspected urinary retention, the nurse prepares the patient for which diagnostic study? | Ultrasonic bladder scan |
| 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? | Intravenous urography |
| The nurse includes which statement in teaching a patient scheduled for intravenous urography? | “You will need to increase fluid intake after this test.” |
| The nurse is providing care to a patient who requires the removal of a kidney stone. Which procedure does the nurse anticipate will be ordered for this patient? | Cystoscopy |
| Which finding in the patient four hours after cystoscopy requires an intervention by the nurse? | Dark-red urine |
| n planning an educational presentation about age-related changes of the renal system, the nurse includes which information? | Glomerular filtration rate decreases with age. |
| Which statement by the 65-year-old female patient about age-related changes to urinary function indicates the need for further teaching? | “My risk of urinary infections decreases as I age because of the changes in vaginal pH.” |
| 10) The nurse is providing care to a patient who states, “My doctor says I am experiencing urinary urgency. What does that mean?” Which response by the nurse is best? | “It means you have the sudden urge to void immediately.” |
Created by:
Kristi.bohannon2