Question 1

The nurse is performing a urinary system assessment and wishes to percuss at the right costovertebral angle.Draw an arrow to the spot where the nurse would find this.

Accepted Answer

The answer of The nurse is performing a urinary system...

Question 2

A client's blood pressure suddenly falls from 120/80 to 90/60.Which of the following is a major role of the kidney in this situation?

Accepted Answer

A) Increasing hydrostatic pressure 
B) Release of renin 
C) Increasing glomerular filtration rate 
D) Dilation of renal vessels 
A) Increasing hydrostatic pressure 
B) Release of renin 
C) Increasing glomerular filtration rate 
D) Dilation of renal vessels

Question 3

The nurse is assessing a client after a motor vehicle accident and notes the presence of ecchymosis in the left flank area.The nurse would interpret this finding as which of the following?

Accepted Answer

A) Positive Grey Turner's sign 
B) Costovertebral angle tenderness 
C) Possible clotting dysfunction 
D) A precursor to hematuria 
A) Positive Grey Turner's sign 
B) Costovertebral angle tenderness 
C) Possible clotting dysfunction 
D) A precursor to hematuria

Question 4

A client experienced blood loss from surgery.What is the impact of this blood loss on the kidney's functioning?

Accepted Answer

A) Altered filtering ability of the kidneys 
B) No impact on kidney function 
C) Absorption of calcium and phosphate decreased 
D) Stimulation of the kidneys to produce erythropoietin 
A) Altered filtering ability of the kidneys 
B) No impact on kidney function 
C) Absorption of calcium and phosphate decreased 
D) Stimulation of the kidneys to produce erythropoietin

Question 5

A client is admitted with possible renal calculi.The client asks,"Are there are any tests that can be performed to show the doctor if there are any kidney stones?" The nurse would be correct in responding:

Accepted Answer

A) "The intravenous pyelogram will allow the healthcare provider to visualize kidney stones." 
B) "A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones." 
C) "A routine urinalysis will allow the healthcare provider to visualize kidney stones." 
D) "A kidney biopsy will allow the healthcare provider to visualize kidney stones." 
A) "The intravenous pyelogram will allow the healthcare provider to visualize kidney stones." 
B) "A 24-hour urine specimen will allow the healthcare provider to visualize kidney stones." 
C) "A routine urinalysis will allow the healthcare provider to visualize kidney stones." 
D) "A kidney biopsy will allow the healthcare provider to visualize kidney stones."

Question 6

The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color.The nurse would suspect which of the following in this situation?

Accepted Answer

A) Kidney stones 
B) Urinary tract infection 
C) Prostate disease 
D) Liver disease 
A) Kidney stones 
B) Urinary tract infection 
C) Prostate disease 
D) Liver disease

Question 7

A client has a spinal cord injury with paralysis at C5 level.When completing discharge teaching,which of the following client statements would require further teaching?

Accepted Answer

A) "I need to perform self-catheterization three times daily." 
B) "I know I cannot look to see if my bladder is full." 
C) "I need to avoid bladder distention." 
D) "I'll drink adequate amounts of liquids." 
A) "I need to perform self-catheterization three times daily." 
B) "I know I cannot look to see if my bladder is full." 
C) "I need to avoid bladder distention." 
D) "I'll drink adequate amounts of liquids."

Question 8

The nurse is interviewing an elderly client in the clinic that reports incontinence.Numerous attempts in the recent past have been unsuccessful in helping to control the problem.A priority nursing diagnosis to consider for this client is which of the following?

Accepted Answer

A) Skin integrity impairment 
B) Self-care deficit 
C) Self-esteem,situational-low 
D) Infection 
A) Skin integrity impairment 
B) Self-care deficit 
C) Self-esteem,situational-low 
D) Infection

Question 9

The nurse is measuring the urinary output for a client and notes 450 ml of urine.The nurse would determine that this urine amounts is:

Accepted Answer

A) Decreased from normal. 
B) Concentrated from what is normal. 
C) Increased from normal. 
D) Normal amount. 
A) Decreased from normal. 
B) Concentrated from what is normal. 
C) Increased from normal. 
D) Normal amount.

Question 10

An elderly female comes into the clinic to be seen for urinary incontinence.The nurse recognizes that this problem:

Accepted Answer

A) Is common with aging. 
B) Often occurs as a secondary problem. 
C) Indicates decreased renal blood flow. 
D) Is related to medications. 
A) Is common with aging. 
B) Often occurs as a secondary problem. 
C) Indicates decreased renal blood flow. 
D) Is related to medications.

Question 11

The nurse is preparing an educational session on kidney health for a church group.Which of the following would the nurse include as the leading cause of end-stage renal disease?

Accepted Answer

A) Diabetes mellitus 
B) Alcoholism 
C) Hypertension 
D) Cardiovascular disease 
E) Obesity 
A) Diabetes mellitus 
B) Alcoholism 
C) Hypertension 
D) Cardiovascular disease 
E) Obesity

Question 12

A client presents with a medical diagnosis of uremia.The nurse expects to find which symptoms?

Accepted Answer

A) Itching 
B) Weight loss 
C) Altered mental status 
D) Fluid retention 
E) Insomnia 
A) Itching 
B) Weight loss 
C) Altered mental status 
D) Fluid retention 
E) Insomnia

Question 13

During the assessment of a client's renal system,the nurse is unable to palpate the kidneys.This nurse would consider this finding as:

Accepted Answer

A) An indication of an inflammatory condition of the kidneys. 
B) A sign of acute or chronic renal disease. 
C) Normal. 
D) A sign of polycystic kidney disease. 
A) An indication of an inflammatory condition of the kidneys. 
B) A sign of acute or chronic renal disease. 
C) Normal. 
D) A sign of polycystic kidney disease.

Exam 20: Urinary System

The nurse is performing a urinary system assessment and wishes to percuss at the right costovertebral angle.Draw an arrow to the spot where the nurse would find this.

A client's blood pressure suddenly falls from 120/80 to 90/60.Which of the following is a major role of the kidney in this situation?

The nurse is assessing a client after a motor vehicle accident and notes the presence of ecchymosis in the left flank area.The nurse would interpret this finding as which of the following?

A client experienced blood loss from surgery.What is the impact of this blood loss on the kidney's functioning?

A client is admitted with possible renal calculi.The client asks,"Are there are any tests that can be performed to show the doctor if there are any kidney stones?" The nurse would be correct in responding:

The nurse is collecting a urine specimen from a client and notes the urine is foamy and amber in color.The nurse would suspect which of the following in this situation?

A client has a spinal cord injury with paralysis at C5 level.When completing discharge teaching,which of the following client statements would require further teaching?

The nurse is interviewing an elderly client in the clinic that reports incontinence.Numerous attempts in the recent past have been unsuccessful in helping to control the problem.A priority nursing diagnosis to consider for this client is which of the following?

The nurse is measuring the urinary output for a client and notes 450 ml of urine.The nurse would determine that this urine amounts is:

An elderly female comes into the clinic to be seen for urinary incontinence.The nurse recognizes that this problem:

The nurse is preparing an educational session on kidney health for a church group.Which of the following would the nurse include as the leading cause of end-stage renal disease?

A client presents with a medical diagnosis of uremia.The nurse expects to find which symptoms?

During the assessment of a client's renal system,the nurse is unable to palpate the kidneys.This nurse would consider this finding as:

Health Assessment

Wellness Health Promotion

Health Assessment Across the Lifespan

Cultural Considerations

Psychosocial Assessment

Techniques Equipment

General Survey

Pain Assessment

Nutritional Assessment

The Health History

Skin, Hair Nails

Head, Neck Related Lymphatics

Eye

Ears, Nose, Mouth Throat

Respiratory System

Breasts and Axillae

Cardiovascular System

Peripheral Vascular System

Abdomen

Male Reproductive System

Female Reproductive System

Musculoskeletal System

Neurologic System

Assessment of Infants, Children Adolescents

The Pregnant Female

Assessing the Older Adult

Putting It All Together

Assessment of the Hospitalized Client

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