Chapter 12. Renal Problems

Primary Care, Art and Science of Advanced Practice Nursing 4th Edition by Dunphy

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Chapter 12. Renal Problems

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   A patient is seen in the clinic with a chief complaint of hematuria. To make a differential diagnosis, which of the following questions should be asked?

a. “Do you have a history of liver disease?”
b. “What medications are you currently taking?”
c. “Have you noticed swelling in your ankles?”
d. All of the above

 

 

____     2.   The result of the patient’s 24-hour urine for protein was 4.2 g/day. The clinician should take which of the following actions?

a. Repeat the test.
b. Refer to a nephrologist.
c. Measure the serum protein.
d. Obtain a blood urea nitrogen (BUN) and creatinine.

 

 

____     3.   A patient is seen complaining of “leaking urine when I sneeze.” Which of the following actions should the clinician take first?

a. Order a cystometrogram.
b. Obtain a computed tomography scan.
c. Instruct the patient on Kegel exercises.
d. Prescribe imipramine.

 

 

____     4.   A patient is seen in the clinic with hematuria confirmed on microscopic examination. The clinician should inquire about the ingestion of which of these substances that might be the cause of hematuria?

a. NSAIDs
b. Beets
c. Vitamin A
d. Red meat

 

 

____     5.   A 27-year-old female presents with a chief complaint of burning and pain on urination. She has no previous history of urinary tract infection (UTI). What are some additional symptoms consistent with a diagnosis of lower UTI?

a. Back and abdominal pain
b. Fever, chills, costovertebral angle (CVA) tenderness
c. Blood in urine and frequency
d. Foul-smelling discharge, perineal itch

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B                    PTS:   1

 

  1. ANS:  B                    PTS:   1

 

  1. ANS:  C                    PTS:   1

 

  1. ANS:  A                    PTS:   1

 

  1. ANS:  C                    PTS:   1

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