chapter 29 elseveir

30 terms by airrer 

Create a new folder

Advertisement Upgrade to remove ads

A 25-year-old female is diagnosed with urinary tract obstruction. While planning care, the nurse realizes that the patient is expected to have hydronephrosis and a decreased glomerular filtration rate caused by:

dilation of the renal pelvis and calyces proximal to a blockage

A 27-year-old male has severe kidney obstruction leading to removal of the affected kidney. Which of the following should the nurse expect to occur?

Compensatory hypertrophy of the remaining kidney

A 55-year-old male presents reporting urinary retention. Tests reveal that he has a lower urinary tract obstruction. Which of the following is of the most concern to the nurse?

Formation of renal calculi

When a patient asks what the most common type of renal stones is composed of, how should the nurse respond? The most common type of renal stone is composed of:

Calcium

While planning care for a patient with renal calculi, the nurse remembers the most important factor in renal calculus formation is:

Urine pH

A 24-year-old female is diagnosed with renal calculus that is causing obstruction. Which of the following symptoms would she most likely experience?

Flank plain

A 25-year-old female presents with burning urination. She was diagnosed with a urinary tract infection. When the nurse checks the culture results, which of the following organism is most likely infecting her urinary tract?

Escherichia coli

A 35-year-old male received a traumatic brain injury in a motor vehicle accident. CT scan revealed a lesion above the pontine micturition center. Which of the following would the nurse expect?

Detrusor hyperreflexia

A 75-year-old male reports to his primary care provider with loss of urine, cough, sneezing, and laughing. Which of the following is the most likely diagnosis the nurse will observe on the chart?

Stress incontinence

A 19-year-old female was involved in a motor vehicle accident during which she sustained a closed head injury. She is now experiencing detrusor sphincter dyssynergia. Which of the following is the most beneficial mediation treatment?

Alpha blocker

A nurse assesses a patient with a complicated urinary tract infection (UTI) for:

Other health problems

A 28-year-old female presents with fever, chills, and flank pain. She is diagnosed with pyelonephritis. A nurse recalls the patient's infection is located in the:

Renal pelvis

While planning care for a patient who has acute pyelonephritis. A nurse recalls the most common condition associated with the development of acute pyelonephritis is:

Urinary tract obstruction

A 29-year-old female presents with cloudy urine, flank pain, hematuria, and fever. Which of the following does the nurse suspect the patient is most likely experiencing?

Acute cystitis

A 15-year-old male was diagnosed with pharyngitis. Eight days later he developed acute glomerulonephritis. While reviewing the culture results, which of the following is the most likely cause of this disease?

Group A B-hemolytic streptococcus

A 25-year-old male was diagnosed with Goodpasture syndrome. While planning care for this patient, which of the following mechanisms would cause tissue injury?

Production of antibodies against the glomerular basement membrane

When a nurse observes poststreptococcal glomerulonephritis as a diagnosis on a patient, which principle will the nurse remember? Acute poststreptococcal glmerulonephritis is primary caused by:

Antigen-antibody complex deposition in the glomerular capillaries and inflammatory damage

A 30-year-old male is demonstrating hematuria with red blood cell casts and proteinuria exceeding 3 to 5 g/day, while albumin being the major protein. The most probable diagnosis the nurse will see documented on the chart is:

Acute glomerulonephritis

A 45-year-old male presents with oliguria. He is diagnosed with chronic glomerulonephritis. The nurse knows oliguria is related to:

Thickening of the glomerular membrane and decreased renal blood flow

A 54-year-old female is diagnosed with nephrotic syndrome. Which of the following is a common symptom of this disease?

Proteinuria

A 42-year-old male is involve in a motor vehicle accident during which he loses a lot of blood. The nurse realizes he is in acute renal failure caused by:

Inadequate renal blood flow

A 35-year-old female was severely burned and is hospitalized. She is now suffering from acute tubular necrosis (ATN). Which of the following is the most likely diagnosis the nurse will observe on the chart?

Intrarenal

A 56-year-old male presents with flank pain and polyuria. Tests reveal that he has an enlarged prostate. Which of the following types of renal failure should the nurse monitor for as it is the most likely to occur?

Postrenal

A 60-year-old male is diagnosed with renal failure. While the nurse is reviewing lab results, which of the following lab values would be most consistent with this diagnosis?

Elevated plasma creatinine level

A 25-year-old female presents with hypertension, anorexia, nausea and vomiting, and anemia. She is diagnosed with chronic renal failure. When the patient asks what caused this anemia, how should the nurse respond? Your anemia is cuased by:

Inadequate production of erythropoietin

A 42-year-old female is diagnosed with chronic renal failure, and the nurse is discussing dietary treatment. Which information indicates the nurse understands dietary regimen? Treatment includes restricting:

Proteins

While turning a patient with chronic renal failure, which principle should the nurse recall? Bone fractures are a risk factor in chronic renal failure because:

The kidneys fail to activate vitamin D.

Anemia accompanies chronic renal failure because of:

Inadequate production of erythropoietin

A patient with end-stage renal disease has pruritus. When the patient asks what causes this, what is the nurse's best response? Pruritus, seen in patients with end-stage renal disease, is caused by high levels of:

Calcium

When a nurse is teaching about urinary pathogens in men, which information should the nurse include? Mechanisms for defense against urinary pathogens in men include (select all that apply):

- The long length of the urethra
- Antimicrobial secretions from the prostate

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions above and try again

Example:

Reload the page to try again!

Reload

Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

NEW! Voice Recording

Create Set