Ch20 Urinary System
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- 1.A client has been diagnosed with a kidney stone, lodged within the medulla of the right kidney. Which of the following will this stone most affect?
- A.
The collection of urine
- B.
The filtration of blood
- C.
Lymphatic circulation in the kidney
- D.
The clearance of toxins
- 2.
- A.
The presence of an enlarged spermatic cord
- B.
The presence of stool in the sigmoid region
- C.
The client has a distended or full bladder
- D.
A blockage of the ureter
- 3.
- A.
Bladder inflammation
- B.
Inflammation of the inguinal region
- C.
Inflammation of the peritoneum
- D.
Inflammation of the kidneys
- 4.
- A.
This is a common and normal symptom after delivery.
- B.
Your bladder is stretched from pregnancy. These symptoms should soon resolve.
- C.
The symptoms that you are experiencing are often the result of sexually transmitted infections.
- D.
The symptoms are consistent with a urinary tract infection. After having a baby, the bladder may not empty completely, increasing susceptibility to urinary tract infections (UTIs).
- 5.
- A.
Benign prostatic hypertrophy
- B.
Nocturia
- C.
Oliguria
- D.
Polyuria
- 6.The nurse is assessing a client with urinary incontinence. The nurse knows that the client is at risk for which of the following?
- A.
Urinary tract infections
- B.
Dehydration
- C.
Constipation
- D.
Psychosocial problems
- 7.A 55-year-old female tells the nurse, "Since I stopped having menstrual periods a year or so ago, I have noticed a leakage of urine." Which of the following should the nurse explain to this client?
- A.
Changes in progesterone levels after menopause often cause urinary leakage.
- B.
After menopause, the uterus loses elasticity and enlarges, which can press on the bladder and cause leakage of urine.
- C.
There is a decrease in estrogen after menopause, which affects the strength of the pubic muscles and can lead to urine leakage.
- D.
The decrease in estrogen after menopause can cause spasm of the bladder and leakage of urine.
- 8.
- A.
Discuss that renal calculi are usually caused by bacteria.
- B.
Discuss the importance of taking all of the antibiotic medication, even when symptoms subside.
- C.
Drink enough fluid in a 24-hour period to produce 2 quarts of urine.
- D.
Recommend calling the health care provider if a fever develops.
- 9.
- A.
A distended bladder
- B.
The client appears fatigued
- C.
Peripheral edema
- D.
Indications of pruritis
- E.
Crackles at the bases of the lungs
- 10.The mother of a two-year-old child tells the nurse that the baby was born deaf. The most appropriate nursing action is to:
- A.
Assess the infant's sleep patterns
- B.
Assess the infant's bowel elimination patterns
- C.
Assess the infant's urinary elimination patterns
- D.
Assess the infant's dietary patterns
- 11.
- A.
Epigastric region
- B.
Extended midclavicular line
- C.
Hypogastric region
- D.
Costovertebral angle
- 12.
- A.
Urine screening
- B.
Early identification of people at risk
- C.
Control of diabetes and hypertension
- D.
Education related to diet and exercise
- E.
Routine glucose screening
- 13.When performing an assessment on an adult client, the nurse is unable to palpate the right or left kidney. What does this finding suggest to the nurse?
- A.
This is a normal, expected finding.
- B.
Ask the client about a previous history of renal problems.
- C.
The nurse should notify the health care provider.
- D.
Additional assessment of the abdomen is needed.
- 14.
- A.
Stress incontinence
- B.
Reflex incontinence
- C.
Urge incontinence
- D.
Functional incontinence
- 15.
- A.
"He is a little old to still be wetting the bed."
- B.
"Is he embarrassed about his bed wetting?"
- C.
"This is not unusual for children of his age."
- D.
"Bed wetting occurs more often in girls than in boys."
- 16.When the nurse collects Ms. Basset’s vital signs, which of the following should be reported to the physician as soon as possible?
- A.
Pulse rate of 68
- B.
Respirations 20
- C.
Blood pressure 106/82
- D.
Temperature of 101.2°F
- 17.When the nurse is obtaining the history from Ms. Basset, which statement made by the client indicates a need for further teaching?
- A.
“I am not going to drink much water because it burns so bad when I use the bathroom.”
- B.
“The nurse said that I need to cleanse my genital area from front to back.”
- C.
“I am not going to wear tight clothes anymore.”
- D.
“I need to urinate after I have intercourse with my boyfriend."
- 18.The nurse knows that diabetes does not increase the risk of urinary tract infections.
- A.
True
- B.
False
- 19.When the nurse observes the client’s urine, it is noted to be normal in appearance with a dark, cloudy color.
- A.
True
- B.
False
- 20.The nurse knows that urinary tract infections can occur at any age and that females are more susceptible to UTIs because of their short urethra.
- A.
True
- B.
False
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