Chapter 10: Care of the Patient with a Urinary Disorder

Chapter 10: Care of the Patient with a Urinary Disorder

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. What is the hormone from the posterior pituitary gland that influences the amount of water that is eliminated with the urine?

ANS:  C

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

DIF:    Cognitive Level: Knowledge            REF:   Page 449        OBJ:   3

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:

ANS:  D

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

DIF:    Cognitive Level: Analysis                REF:   Page 446        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:

ANS:  A

The kidneys lie behind the parietal peritoneum (retroperitoneal).

DIF:    Cognitive Level: Knowledge            REF:   Page 447        OBJ:   1

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

MSC:  NCLEX: Physiological Integrity

4. A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful?

ANS:  B

Listen to the patient and allow time for discussion about concerns and the plan of care to return some sense of control. End-of-life discussions are premature.

DIF:    Cognitive Level: Analysis                REF:   Page 488, NCP 10-1

OBJ:   12                  TOP:   ESRD             KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity

5. What portion of the nephron is involved with filtration?

ANS:  A

Filtration of water and blood products occurs in the glomerulus of the Bowman capsule.

DIF:    Cognitive Level: Application           REF:   Page 448, Health Promotion Considerations

OBJ:   8                    TOP:   Coping           KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Psychosocial Integrity