Chapter 10: Care of the Patient with a Urinary Disorder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The amount of water that is eliminated with the urine is regulated by a complex mechanism within the nephron and influenced by a hormone from the posterior pituitary gland called

a.	pitocin.
b.	rennin hormone.
c.	antidiuretic hormone.
d.	ACTH.

 

 

ANS:   C

ADH causes the cells of the distal convoluted tubules to increase their rate of water reabsorption.

 

DIF:    Cognitive Level: Knowledge             REF:    Page 438         OBJ:    4

TOP:    Urine production                                KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

2. As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and

a.	nitrogen.
b.	uric acid.
c.	nitrates.
d.	creatinine.

 

 

ANS:   D

As proteins break down, nitrogenous wastes—urea, ammonia, and creatinine—are produced.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 434         OBJ:    4

TOP:    Physiology      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

3. Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location in documentation is referred to as

a.	retroperitoneal.
b.	diaphragm-vertebral.
c.	costovertebral.
d.	urachal-peritoneal.

 

 

ANS:   A

The kidneys lie behind the parietal peritoneum (retroperitoneal).

 

DIF:    Cognitive Level: Knowledge             REF:    Page 434         OBJ:    1

TOP:    Location of kidneys                           KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Physiological Integrity

 

4. A patient with chronic renal failure (CRF) has a nursing diagnosis of Disturbed sensory perceptions related to central nervous system changes induced by uremic toxins. Which nursing intervention is appropriate for this problem?

a.	Ensure restricted protein intake to prevent nitrogenous product accumulation.
b.	Provide an opportunity for the patient to discuss concerns about his condition.
c.	Convey a caring attitude and foster the nurse-patient relationship.
d.	Discourage eating fruits and vegetables as sources of high potassium in the diet.

 

 

ANS:   C

Listen to the patient. Restricted protein intake will benefit acute renal failure but may not help CRF.

 

DIF:    Cognitive Level: Analysis                  REF:    Page 472, Health Promotion box

OBJ:    7                      TOP:    Chronic renal failure (CRF)

KEY:   Nursing Process Step: Planning         MSC:   NCLEX: Physiological Integrity

 

5. Chronic renal failure (CRF) affects both patients and their families because of the financial predicament and facing the death of a loved one. Which would be an appropriate nursing intervention to address these concerns?

a.	Encourage open discussion with social services.
b.	Allow family privacy to resolve their issues.
c.	Refer the family to a support group.
d.	Have the physician speak to the family.

 

 

ANS:   A

Encourage verbalization of financial concerns and long term care options with representative from social services.  Support groups are not designed to assist with financial concerns.

 

DIF:    Cognitive Level: Application             REF:    Page 472, Health Promotion box

OBJ:    12                    TOP:    Coping            KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity