Question 1

While reviewing a patient's medications,the nurse notes that a patient has been prescribed liquid nitrofurantoin (Furadantin).Which intervention should the nurse add to the nursing care plan?

Accepted Answer

A)  Administer nitrofurantoin on an empty stomach. 
B)  Provide a straw and instruct the patient to rinse the mouth after taking nitrofurantoin. 
C)  Administer nitrofurantoin early in the morning to avoid insomnia. 
D)  Assess the urine for hematuria.

Question 2

The nurse is caring for a patient with glomerulonephritis.Which finding best leads the nurse to suspect that the patient is developing nephrotic syndrome?

Accepted Answer

A)  Ascites 
B)  Anorexia 
C)  Pruritis 
D)  Lethargy

Question 3

As chronic glomerulonephritis progresses,how is the kidney usually affected?

Accepted Answer

A)  The kidney swells. 
B)  The kidney atrophies. 
C)  The kidney develops "skip lesions." 
D)  The kidney develops multiple cysts.

Question 4

The nurse associates the types of acute renal failure with their probable cause to enhance the patient's understanding.Match the type of acute renal failure (ARF) with its probable cause: (The options can be used once, more than once, or not at all.)

-Ureteral obstruction

Accepted Answer

A) Prerenal ARF 
B) Intrarenal ARF 
C) Postrenal ARF

Question 5

The nurse is caring for a patient diagnosed with glomerulonephritis.The patient reports feeling "bored and caged," and asks when he can resume normal activities.Which finding indicates that bed rest may be discontinued?

Accepted Answer

A)  The patient has been compliant with medication for 2 weeks. 
B)  The serum sodium level is 140 mEq/L. 
C)  The patient's weight returns to preillness baseline. 
D)  The patient's blood pressure is 110/74.

Question 6

A patient has been admitted to the acute care facility to rule out glomerulonephritis.Which assessment finding(s)is/are supportive of the potential diagnosis?

Accepted Answer

A)  Flank pain 
B)  Hematuria 
C)  Periorbital edema 
D)  Decrease in blood urea nitrogen (BUN) and creatinine 
E)  Hypertension

Question 7

The nurse associates the types of acute renal failure with their probable cause to enhance the patient's understanding.Match the type of acute renal failure (ARF) with its probable cause: (The options can be used once, more than once, or not at all.)

-Vascular changes related to diabetes mellitus

Accepted Answer

A) Prerenal ARF 
B) Intrarenal ARF 
C) Postrenal ARF

Question 8

The nurse is collecting the health history of a patient who has had multiple episodes of renal calculi formation.Which finding(s)increase(s)the patient's risk for the development of renal calculi?

Accepted Answer

A)  Uric acid crystals in urine 
B)  Frequent bacterial urinary infections 
C)  Excessive fluid intake 
D)  Prolonged bed rest 
E)  Parathyroid gland tumor
F)None of above

Question 9

The nurse is discussing alternative therapies with a patient who has cystitis.The patient asks the nurse if there are any dietary changes that might help.What response is most appropriate?

Accepted Answer

A)  "Drinking lots of water is the only dietary change that would help." 
B)  "Many rumors exist about dietary prevention of UTIs but none are proven at this time." 
C)  "Vitamin C may help decrease the frequency of cystitis." 
D)  "Increase the amount of leafy green vegetables in your daily diet."

Question 10

The nurse is caring for a patient who is undergoing plasmapheresis.The nurse should carefully monitor the patient for which potential complication(s)?

Accepted Answer

A)  An allergic reaction 
B)  Bleeding at the puncture site 
C)  A bruit at the shunt site 
D)  Decreasing blood pressure 
E)  Signs of hyperkalemia

Question 11

The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable.What should the nurse do next?

Accepted Answer

A)  Request an order for a urinalysis. 
B)  Hold the patient's antihypertensive medications. 
C)  Assess the patient for fecal impaction. 
D)  Notify the charge nurse.

Question 12

Which statement best indicates that the patient understands teaching about dietary restrictions in glomerulonephritis?

Accepted Answer

A)  "I should avoid canned soups and hot dogs." 
B)  "I should drink more water." 
C)  "I should eat more meat and cheeses." 
D)  "I should not eat fresh produce."

Question 13

A 25-year-old woman comes to the emergency department with nonspecific urethritis.Which information is most important for the nurse to obtain?

Accepted Answer

A)  "How many servings of green vegetables do eat each day?" 
B)  "How often, if any, do you consume alcohol?" 
C)  "How often do you use bath salts or take bubble baths?" 
D)  "Do you take a daily multivitamin?"

Exam 34: Care of Patients with Disorders of the Urinary System

While reviewing a patient's medications,the nurse notes that a patient has been prescribed liquid nitrofurantoin (Furadantin) .Which intervention should the nurse add to the nursing care plan?

The nurse is caring for a patient with glomerulonephritis.Which finding best leads the nurse to suspect that the patient is developing nephrotic syndrome?

As chronic glomerulonephritis progresses,how is the kidney usually affected?

The nurse associates the types of acute renal failure with their probable cause to enhance the patient's understanding.Match the type of acute renal failure (ARF) with its probable cause: (The options can be used once, more than once, or not at all.) -Ureteral obstruction

The nurse is caring for a patient diagnosed with glomerulonephritis.The patient reports feeling "bored and caged," and asks when he can resume normal activities.Which finding indicates that bed rest may be discontinued?

A patient has been admitted to the acute care facility to rule out glomerulonephritis.Which assessment finding(s) is/are supportive of the potential diagnosis?

The nurse associates the types of acute renal failure with their probable cause to enhance the patient's understanding.Match the type of acute renal failure (ARF) with its probable cause: (The options can be used once, more than once, or not at all.) -Vascular changes related to diabetes mellitus

The nurse is collecting the health history of a patient who has had multiple episodes of renal calculi formation.Which finding(s) increase(s) the patient's risk for the development of renal calculi?

The nurse is discussing alternative therapies with a patient who has cystitis.The patient asks the nurse if there are any dietary changes that might help.What response is most appropriate?

The nurse is caring for a patient who is undergoing plasmapheresis.The nurse should carefully monitor the patient for which potential complication(s) ?

The nurse is caring for a 90-year-old resident in a long-term care facility who is becoming progressively confused and irritable.What should the nurse do next?

Which statement best indicates that the patient understands teaching about dietary restrictions in glomerulonephritis?

A 25-year-old woman comes to the emergency department with nonspecific urethritis.Which information is most important for the nurse to obtain?