1. Which of the following is secreted when the blood level of O2 decreases?

    A. Erythropoietin
  2. Urea is a nitrogenous waste product from the metabolism of which of the following?

    B. Amino acids
  3. The kidneys are located behind which of the following structures?

    C. Peritoneum
  4. The renal pyramids make up which kidney structure?

    D. Renal medulla
  5. The process of tubular resorption takes place in which of the following parts of the kidney?

    D. From the renal tubule to the peritubular capillaries
  6. When collecting a urine specimen on a newly admitted female patient, the nurse should take which of the following actions?

    A. Direct the patient to wash perineum before collectging the urine specimen

    To decrease contamination
  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?

    C. 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
  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?

    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.
  10. The patient is scheduled for a cystoscopy. Which of the following is the most important nursing care after this kind of surgery?

    C. 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.
  11. A patient, age 48, has urge incontinence. When assessing the patient, the nurse would expect to find which of the following symptoms?

    B. 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
  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?

    D. 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.
  13. Which of the following actions should the nurse take for a patient who has total urinary incontinence?

    C. Apply an adult incontinence brief to catch urine and change when necessary.
Card Set