MS2.URINARY.AP.CH36.WB

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pprocko
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185267
Filename:
MS2.URINARY.AP.CH36.WB
Updated:
2012-11-25 14:32:07
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MEDSURG2 URINARY CHAPTER36 WORKBOOK
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MEDSURG2 URINARY A&P CHAPTER36 WORKBOOK
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  1. Which of the following is secreted when the blood level of O2 decreases?
    A. Erythropoietin
    B. Angiotensin II
    C. Vitamin D
    D. Renin
    A. Erythropoietin
    (this multiple choice question has been scrambled)
  2. Urea is a nitrogenous waste product from the metabolism of which of the following?
    A. Nucleic acids
    B. Amino acids
    C. Muscle tissue
    D. Carbohydrates
    B. Amino acids
    (this multiple choice question has been scrambled)
  3. The kidneys are located behind which of the following structures?
    A. Inferior vena cava
    B. Peritoneum
    C. Spinal column
    D. Diaphram
    B. Peritoneum
    (this multiple choice question has been scrambled)
  4. The renal pyramids make up which kidney structure?
    A. Renal cortex
    B. Renal medulla
    C. Renal pelvis
    D. Renal fascia
    B. Renal medulla
    (this multiple choice question has been scrambled)
  5. The process of tubular resorption takes place in which of the following parts of the kidney?
    A. From the peritubular capillaries to the glomerulus
    B. From glomerulus to Bowman's capsule
    C. From the afferent arteriole to the efferent arteriole
    D. From the renal tubule to the peritubular capillaries
    D. From the renal tubule to the peritubular capillaries
    (this multiple choice question has been scrambled)
  6. When collecting a urine specimen on a newly admitted female patient, the nurse should take which of the following actions?
    A. Have the patient void, throw away that urine, and then collect another specimen
    B. Direct the patient to drink at least 3 glasses of water
    C. Direct the patient to wash perineum before collectging the urine specimen
    D. Obtain the last voided urine of the day
    C. Direct the patient to wash perineum before collectging the urine specimen

    To decrease contamination
    (this multiple choice question has been scrambled)
  7. A patient's urinalysis results show the following findings: urine, dark amber; bacteria, small amount; nitrate, negative; specific gravity, 1.035. Which of the following is the best explanation for these results?
    A. Contamination of the specimen from bacteria on the perineum
    B. Dehydration
    C. UTI
    D. Contamination from menstruation
    B. Dehydration

    The elevated specific gravity and dark amber color is seen w/dehydration because the urine is more concentrated. A small amount of bacteria is normally found in the urinalysis
    (this multiple choice question has been scrambled)
  8. Which of the following diagnostic test results would the nurse evaluate as being related to renal disease? (select all that apply)
    a. Hematocrit: 39%
    b. Potassium: 4.0 mEq/L
    c. Uric acid: 2 ng/dL
    d. Creatinine: 3 mg/dL
    e. BUN: 35 mg/dL
    f. Urine specific gravity: 1.020
    • d. Creatinine: 3 mg/dL
    • e. BUN: 35 mg/dL
  9. A patient is scheduled for an intravenous pyelogram. When giving care, the nurse should recognize that restriction of which of the following is part of the preparation for an intravenous pyelogram?
    A. Use of tobacco
    B. Salt intake
    C. Fluid intake
    D. Physical activities
    C. Fluid intake

    The patient should be NPO before undergoing an intravenous pyelogram (IVP) so the dye is more concentrated for better visualization of renal structures. After the IVP, the nurse should force fluids to clear the dye from the kidneys.
    (this multiple choice question has been scrambled)
  10. The patient is scheduled for a cystoscopy. Which of the following is the most important nursing care after this kind of surgery?
    A. Measuring of urine output
    B. Monitoring daily weights
    C. Limiting fluid intake
    D. Observing for symptoms of acute kidney injury
    A. Measuring of urine output

    It is important that the nurse determine whether the patient is able to urinate. There may be edema of the urethra after a cystoscopy, which can result in urinary retention.
    (this multiple choice question has been scrambled)
  11. A patient, age 48, has urge incontinence. When assessing the patient, the nurse would expect to find which of the following symptoms?
    A. Patient is incontinent because unable to tell when needs to urinate and unabe to control urination.
    B. Patient is incontinent of urine when has many responsibilities and becomes overloaded.
    C. Patient is unable to reach the bathroom in time and ends up urinating in underwear.
    D. Patient is incontinent of small amounts of urine when coughs, sneezes, or bears down.
    C. Patient is unable to reach the bathroom in time and ends up urinating in underwear.

    Urge incontinence is associated w/difficulty retaining urine once the urge to urinate is sensed.
    b = stress incontinence
    c = lazy
    d = tota incontinence
    (this multiple choice question has been scrambled)
  12. Which of the following actions should the nurse take to prevent development of a UTI in a patient who has a urinary catheter inserted?
    A. Empty the urinary catheter bag only when needed to prevent contamination of the exit spout.
    B. Keep catheter securely taped to the patient, preventing back-forth motion of catheter.
    C. Wash the perineum w/an antibacterial soap 3x/24hrs.
    D. Limit fluid intake to 2000 mL per 24 hours to decrease the flow of urine, which can result in increased contamination.
    B. Keep catheter securely taped to the patient, preventing back-forth motion of catheter.

    Movement of the catheter increases the chance of introducting bacteria into the urine and trauma to the urethra.
    (this multiple choice question has been scrambled)
  13. Which of the following actions should the nurse take for a patient who has total urinary incontinence?
    A. Give patient cranberry juice to keep the urine acidic.
    B. Teach patient how to do Kegel's exercises to increase perineal tone.
    C. Apply an adult incontinence brief to catch urine and change when necessary.
    D. Ensure that patient has ready access to the urinal.
    C. Apply an adult incontinence brief to catch urine and change when necessary.
    (this multiple choice question has been scrambled)

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