Chapter 26 Assessing The Renal System Test Bank Answers - Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff by LeMone, Burke, Gerene Bauldoff. DOCX document preview.
LeMone & Burke's Medical-Surgical Nursing, 7e (Bauldoff/Gubrud/Carno)
Chapter 26 Assessing the Renal System
1) A patient has urine that is cloudy and foul-smelling. Which diagnostic test should the nurse anticipate being prescribed for this patient?
1. Urine culture
2. Blood urea nitrogen (BUN)
3. Creatinine clearance
4. Residual urine
Page Ref: 866
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Practice-Know-How; Apply evidence to support decision making in situations characterized by ambiguity and uncertainty | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
2) When preparing a patient for an intravenous pyelogram (IVP), the nurse reviews diagnostic data. Which finding should the nurse report to the healthcare provider before sending the patient for the test?
1. Blood urea nitrogen (BUN) 55 mg/dL
2. Serum creatinine 1.3 mg/dL
3. Urine culture <10,000 organisms/mL
4. Residual urine of 80 mL
Page Ref: 863
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
3) A patient recovering from surgery is prescribed a postvoiding residual urine test. What supplies should the nurse gather to complete this test?
1. A urine collecting device and a straight urinary catheter
2. A urine collecting device and a voiding diary
3. An indwelling urinary catheter and an insertion kit
4. A peripheral IV insertion kit and a urine collecting device
Page Ref: 866
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
4) An older patient is being evaluated for a renal health problem. Which serum creatinine level should the nurse expect for this patient?
1. 0.3 mg/dL
2. 2.4 mg/dL
3. 4.8 mg/dL
4. 6.4 mg/dL
Page Ref: 867
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.3 Differentiate considerations for assessing the renal systems of older adults, veterans, individuals in the LGBTQI population, and adults with sequelae of childhood/congenital conditions.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
5) The nurse is assessing a patient scheduled for a CT scan of the kidneys. Which finding should the nurse report to the primary healthcare provider?
1. Allergy to iodine and seafood
2. Urinary output of 1200 mL in 24 hours
3. Last bowel movement one day ago
4. Height 5'8" and weight 160 pounds
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Assessment/Communication and Documentation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
6) An older female patient is experiencing episodes of urinary incontinence. What should this indicate to the nurse?
1. An abnormal finding requiring further testing
2. The presence of a urinary infection
3. A normal outcome of the aging process
4. The result of having several children
Page Ref: 867
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Aging Process
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.3 Differentiate considerations for assessing the renal systems of older adults, veterans, individuals in the LGBTQI population, and adults with sequelae of childhood/congenital conditions.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
7) A patient being treated for peritonitis from a ruptured appendix is concerned about developing a kidney infection. How should the nurse respond to this patient?
1. "Your kidneys are located outside the peritoneum, the sack that encloses the appendix."
2. "Good thinking. Infections in the abdomen can spread to other organs."
3. "You need to speak with your primary healthcare provider about your concern."
4. "We can check your urine daily to make sure the infection is not spreading."
Page Ref: 855
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
8) A patient with an altered myogenic mechanism of the renal blood vessels asks why blood pressure control is important. How should the nurse respond to the patient?
1. "Your kidneys may have difficulty protecting themselves from high blood pressure."
2. "Your blood pressure medication is toxic to your kidneys in high doses."
3. "If not controlled, the condition will require an indwelling urinary catheter."
4. "High blood pressure increases your risk for kidney stones."
Page Ref: 857
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
9) The nurse is reviewing the reabsorption of glucose and amino acids with a patient newly diagnosed with kidney disease. Which patient comment indicates that teaching has been effective?
1. "The nutrients move from blood to filtrate, then back to the blood."
2. "The nutrients move from filtrate to blood, then back to the filtrate."
3. "The nutrients remain in the kidneys at all times."
4. "The nutrients are large molecules and remain in the blood at all times."
Page Ref: 858
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
10) A patient who is a healthcare provider at another facility states the need to micturate. How should the nurse respond to this patient?
1. "There is a restroom at the end of the hallway."
2. "Have you been taking your medication on a daily basis?"
3. "Do you have a supply of sterile catheters?"
4. "Do you have someone who can drive you home?"
Page Ref: 859
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
11) The nurse is reviewing risk factors for bladder infections with a female patient. Which patient statement indicates that teaching has been effective?
1. The urinary meatus in females is closer to the bladder than in most males.
2. The urinary meatus in females is farther from the anus than most males.
3. The pH of the female urethra is more conducive to infection.
4. Females urinate more frequently than males, increasing risk.
Page Ref: 859
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
12) The parent of a child with a urinary tract infection is concerned that the child may develop a genetic kidney problem in the future. What information provided by the parent should the nurse use to determine the child's risk for a genetic kidney disorder?
1. "My mother had lots of cysts on her kidneys."
2. "I have a bladder infection at least once a year."
3. "The child's father has Parkinson disease."
4. "My father had kidney cancer."
Page Ref: 861
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.2. Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
13) The nurse suspects a patient is experiencing a distended bladder. Which patient statement did the nurse use to make this determination?
1. "I am in pain, and it is worse when I press on my abdomen."
2. "My back is killing me."
3. "It feels like someone is stabbing me in the abdomen with a knife."
4. "It hurts constantly with spasms once in a while."
Page Ref: 860
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
14) A patient injured in the home and unable to receive help or healthcare for 48 hours has a blood urea nitrogen level of 50 mg/dL and serum creatinine level of 1.0 mg/dL. For which problem should the nurse plan care for first for this patient?
1. Dehydration
2. Anxiety
3. Pain
4. Poor nutrition
Page Ref: 863
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
15) The nurse is reviewing the serum creatinine laboratory results for a group of patients. Which patient should the nurse identify as being at risk for having falsely altered serum creatinine levels? Select all that apply.
1. Patient with rhinovirus taking 10,000 mg of vitamin C daily
2. Patient with Parkinson disease and a prescription for methyldopa
3. Patient with bipolar disorder and a prescription for lithium carbonate
4. Patient with acne vulgaris and a prescription for tetracycline
5. Patient with insomnia taking over-the-counter melatonin
Page Ref: 863
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
16) The nurse is reviewing laboratory data for a patient who had a voiding cystogram that revealed an urge to void at 100 mL. For which potential problem should the nurse plan care for this patient?
1. Urinary incontinence
2. Alteration in integumentary status
3. Inability to provide self-care
4. Urinary retention
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.3. Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
17) The nurse is teaching a patient about a voiding cystogram. Which patient statement indicates that teaching has been effective? Select all that apply.
1. "A urinary catheter will be placed in my bladder."
2. "My bladder will be filled with fluid."
3. "I will tell you when my bladder feels full."
4. "A peripheral IV will be inserted in my arm."
5. "I will be sedated for the procedure."
Page Ref: 864
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
18) A patient is scheduled for a cystogram. What information in the patient's history should the nurse bring to the healthcare provider's attention as potentially causing a problem with the patient? Select all that apply.
1. Cystitis
2. Prostatitis
3. Hypersensitivity to anesthetics
4. Right-sided hemiplegia
5. Chronic pain
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
19) The nurse is providing preoperative teaching for a patient recovering from a cystogram. For which reason should the patient be instructed to contact the healthcare provider?
1. Bloody urine
2. Thirst
3. Muscle cramps
4. Hunger
Page Ref: 864
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
20) The nurse is providing discharge teaching to a patient recovering from a cystogram. What should the nurse include in this teaching? Select all that apply.
1. Take a sitz bath.
2. Increase oral fluid intake.
3. Take acetaminophen for minor pain.
4. Apply heat to the lower back.
5. Drink one ounce of brandy or rum with warm water.
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
21) The nurse is reviewing the laboratory results for a patient. Which information should the nurse identify as being used to determine the patient's estimated glomerular filtration rate? Select all that apply.
1. Serum creatinine
2. Patient's age
3. Patient's gender
4. Patient's racial origin
5. Serum blood urea nitrogen
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
22) The nurse is creating a teaching plan for a patient who is taking the oral hypoglycemic agent metformin (Glucophage). For which reason should the nurse instruct the patient to contact the healthcare provider?
1. Need a diagnostic test that uses iodinated contrast.
2. Urine becomes orange or red-tinted.
3. Urine becomes more concentrated.
4. Need an intermittent or indwelling urinary catheterization.
Page Ref: 864, 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
23) A patient who has prescriptions for renal tests plans to have an intravenous pyelogram before a barium enema. Which response should the nurse make to the patient?
1. "Please make your appointments as you have indicated."
2. "Please clarify with your primary healthcare provider which should be completed first."
3. "Please reverse the order of your planned appointments."
4. "The order of the tests is irrelevant. You may change the order to meet your needs."
Page Ref: 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
24) The nurse is reviewing teaching with a patient who is scheduled for an intravenous pyelogram. Which patient statement indicates that additional teaching is required?
1. "I will not drink any fluids for at least 12 hours before the procedure."
2. "I will start the bowel prep with a suppository the night before the procedure."
3. "I will take the prescribed laxative the morning of the procedure."
4. "I will not eat solid food for at least 8 hours before the procedure."
Page Ref: 865
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
25) A patient is scheduled for an MRI of the kidneys. Which question should the nurse avoid when preparing the patient for this test?
1. "When did you last have anything to eat or drink?"
2. "Have you ever been treated for chest pain?"
3. "Do you have any tattoos?"
4. "Is there any possibility you could be pregnant?"
Page Ref: 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
26) A patient has a portable ultrasonic bladder scan. Which finding should the nurse identify as being within normal limits?
1. Less than 100 mL of urine in the bladder.
2. Between 100 and 150 mL of urine in the bladder.
3. Between 150 and 200 mL of urine in the bladder.
4. More than 200 mL of urine in the bladder.
Page Ref: 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
27) A patient who is scheduled to have a renal angiogram asks why pulses are being checked in the feet. What should the nurse respond to this patient?
1. "I feel your pulses there. I can check that the blood is flowing properly to your legs and feet."
2. "Why do you ask?"
3. "It is a nursing thing."
4. "A needle is inserted in your femoral artery so the circulation to your extremity could be compromised during this test."
Page Ref: 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
28) A patient is recovering from a renal biopsy. Which action should the nurse complete while caring for this patient?
1. Apply pressure to site for 15 minutes after procedure.
2. Instruct the patient to avoid eating for 8 to 12 hours.
3. Teach the patient to restrict oral fluid intake.
4. Direct the patient to expect to have decreased urination.
Page Ref: 866
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
29) A patient with an allergy to iodine is scheduled to have diagnostic tests. For which test should the nurse notify the healthcare provider?
1. Renal angiogram
2. Renal scan
3. Voiding cystogram
4. Portable ultrasonic bladder scan
Page Ref: 865
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.4. Communicate effectively with all members of the healthcare team, including the patient and the patient's support network | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Communication and Documentation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
30) A patient scheduled for a renal ultrasound asks if the procedure is going to be painful. What should the nurse do to help the patient prepare for this diagnostic test?
1. Describe the typical experience of a patient having a renal ultrasound.
2. Discuss feelings associated with painful experiences.
3. Explain pain medications available during this procedure.
4. Describe the typical experience of a patient using conscious sedation.
Page Ref: 866
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
31) During a home visit the nurse asks the patient for a specimen for a urinalysis. Which patient statement indicates that the nurse needs to provide additional teaching about the specimen?
1. "I will get the specimen the next time I void."
2. "I won't touch the inside of the cup or lid."
3. "I will refrigerate the specimen until it is picked up tomorrow."
4. "I will give the laboratory a list of the medications I am taking."
Page Ref: 866
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
32) A patient is experiencing burning with urination and urgency. Which laboratory test result should the nurse monitor for this patient's manifestations?
1. Serum creatinine
2. Urine osmolality
3. BUN
4. Urine culture
Page Ref: 866
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
33) The nurse is reviewing the results of a patient's urinalysis. Which finding indicates that a pathological process might be occurring with this patient?
1. Appearance: cloudy
2. Odor: aromatic
3. pH: 5.2
4. Glucose: negative
Page Ref: 857
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
34) The nurse is reviewing teaching materials prepared to obtain midstream clean catch urine for culture. Which information within this plan needs to be corrected by the nurse?
1. Male patients should retract the foreskin and cleanse the glans with three cotton sponges saturated with cleansing solution, using a circular motion.
2. Female patients should separate the labia with one hand and clean the labia with the other, using sterile cotton swabs saturated with a cleansing solution, wiping back to front.
3. After cleansing, patients should start voiding and then begin to collect the specimen.
4. Patients should start taking prescribed antibiotics only after the specimen is collected.
Page Ref: 866
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
35) The nurse instructs a patient about adult polycystic kidney disease (APKD). Which patient statement indicates that teaching has been effective? Select all that apply.
1. "This disorder can be cured if I take my medication carefully."
2. "APKD is inherited from parent to child."
3. "The problem that causes this disease is in the cell chromosomes."
4. "Many fluid-filled sacs are found in the kidneys."
5. "This disorder can cause my kidneys to work poorly."
Page Ref: 861
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Physiological Adaptation
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Evaluation/Teaching/Learning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
36) During a health history the nurse learns that a newly married female patient has a family history of both type 1 and type 2 diabetes mellitus. Which type of referral should the nurse consider for this patient?
1. A genetic counselor
2. A home health nurse
3. An obstetrician
4. A physical therapist
Page Ref: 861
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.2. Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
37) An 80-year-old patient has decreased renal cortexes, atherosclerosis of the renal arteries, and hypo-osmolality of urine. What should the nurse consider first as an explanation for this patient's renal status?
1. These are typical changes associated with aging.
2. These are signs of chronic renal failure.
3. These are signs of acute renal failure.
4. These are signs of a genetic renal disorder.
Page Ref: 867
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Aging Process
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.3 Differentiate considerations for assessing the renal systems of older adults, veterans, individuals in the LGBTQI population, and adults with sequelae of childhood/congenital conditions.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
38) The nurse completes an assessment of renal and urinary function with an older male patient. Which finding should the nurse report to the healthcare provider?
1. Urinary incontinence
2. Urinary frequency
3. Urinary urgency
4. Nocturia
Page Ref: 867
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Aging Process
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Implementation/Communication and Documentation
Learning Outcome: 26.3 Differentiate considerations for assessing the renal systems of older adults, veterans, individuals in the LGBTQI population, and adults with sequelae of childhood/congenital conditions.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
39) A patient is prescribed diagnostic tests to determine renal functioning. What test should the nurse review to determine the patient's glomerular filtration rate (GFR)?
1. Creatinine clearance
2. Blood urea nitrogen (BUN)
3. Intravenous pyelogram (IVP)
4. Renal ultrasound
Page Ref: 864
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 4. Recognize the purpose of and related nursing interventions for patients undergoing diagnostic tests for assessment of the renal system.
40) A patient is concerned because the urine has changed to red-brown in color since starting a new medication. Which medication should the nurse suspect is causing this patient's change in urine color?
1. Phenytoin (Dilantin)
2. Amitriptyline (Elavil)
3. Injectable iron
4. Phenazopyridine (Pyridium)
Page Ref: 857
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Pharmacological and Parenteral Therapies
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
41) The nurse is preparing to indirectly percuss a patient's kidneys. In which order should the nurse perform this assessment? Place in order the steps of the process.
Choice 1. Stand behind the patient.
Choice 2. Curl the dominant hand into a fist.
Choice 3. Assist the patient to a sitting position.
Choice 4. Place nondominant hand over the costovertebral angle.
Choice 5. Strike the back of the nondominant hand with the dominant hand.
Page Ref: 861
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Techniques of Physical Assessment
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
42) While conducting a physical assessment, the nurse suspects that a male patient has a urinary tract or sexually transmitted infection. What did the nurse assess to make this clinical decision? Select all that apply.
1. Redness of the urinary meatus
2. Swelling from the urinary meatus
3. Discharge from the urinary meatus
4. Urinary meatus on the dorsal surface
5. Urinary meatus on the ventral surface
Page Ref: 862
Cognitive Level: Analyzing
Client Need & Sub: Safe and Effective Care Environment: Safety and Infection Control
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
43) While reviewing the results of a patient's urinalysis, the nurse suspects that a patient has kidney disease. Which finding caused the nurse to come to this conclusion? Select all that apply.
1. pH 6.2
2. +3 ketones
3. Colorless urine
4. Protein 7 mg/dL
5. Specific gravity 1.001
Page Ref: 857
Cognitive Level: Analyzing
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.1 Describe the anatomy, physiology, and functions of the kidneys and urinary tract, and identify abnormal findings that may indicate impairments of the renal system.
MNL Learning Outcome: 3. Interpret abnormal findings of the renal system collected during assessment.
44) During a health history the nurse is concerned that a male patient is at risk for developing bladder cancer. Which information from the history caused the nurse to have this concern? Select all that apply.
1. Plays tennis twice a week
2. Smokes 1 ppd of cigarettes
3. Sleeps 7 to 8 hours each night
4. Eats a salad several times a week
5. Works in a steel manufacturing plant
Page Ref: 861
Cognitive Level: Analyzing
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
45) A male patient is admitted for renal colic. When conducting this patient's physical assessment, on which area should the nurse focus to determine the type and amount of pain? Select all that apply.
1. Flank
2. Testes
3. Urethra
4. Bladder
5. Umbilicus
Page Ref: 860
Cognitive Level: Applying
Client Need & Sub: Physiological Integrity: Reduction of Risk Potential
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.1. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches | NLN Competencies: Context and Environment; Knowledge; transcultural approaches to health | Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 26.2 Outline the components of the assessment of the renal system, including topics for the health assessment interview, techniques for physical assessment, and the diagnostic tests used in the assessment.
MNL Learning Outcome: 1. Utilize appropriate techniques to perform a health history and physical assessment of the renal system.
46) The nurse is preparing a teaching tool on bladder health for a community fair. Which disease process should the nurse identify as the focus of bladder health promotion? Select all that apply.
1. Kidney stones
2. Bladder cancer
3. Prostate cancer
4. Urinary incontinence
5. Urinary tract infections (UTIs)
Page Ref: 868
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Planning/Teaching/Learning
Learning Outcome: 26.4 Summarize topics that nurses teach to promote healthy tissue integrity across the lifespan.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
47) A patient has a history of urinary tract infections (UTIs). What should the nurse instruct this patient to help maintain acid urine? Select all that apply.
1. Reduce the intake of water.
2. Avoid drinking fruit juices.
3. Take vitamin C supplements.
4. Avoid excess milk consumption.
5. Drink two glasses of low sugar cranberry juice each day.
Page Ref: 868
Cognitive Level: Applying
Client Need & Sub: Health Promotion and Maintenance: Health Promotion/Disease Prevention
Standards: QSEN Competencies: I.A.1. Integrate understanding of multiple dimensions of patient-centered care | AACN Essentials Competencies: IX.7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care | NLN Competencies: Relationship-Centered Care; Practice-Know-How; Communicate information effectively | Nursing/Integrated Concepts: Nursing Process: Implementation/Teaching/Learning
Learning Outcome: 26.4 Summarize topics that nurses teach to promote healthy tissue integrity across the lifespan.
MNL Learning Outcome: 2. Recognize normal findings of the renal system collected during assessment and health promotion activities to support the health of this body system.
Document Information
Connected Book
Medical Surgical Nursing 7e | Test Bank by LeMone, Burke, Bauldoff
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Chapter 26 Assessing The Renal System
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