Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams Paula D. Hopper
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Chapter 36. Urinary System Function, Assessment, and Therapeutic Measures
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. The nurse is reviewing the anatomy of the kidney with a patient scheduled for renal surgery. What should the nurse explain as being the structural and functional unit of the kidney?
| a. | Cortex |
| b. | Medulla |
| c. | Pyramid |
| d. | Nephron |
____ 2. The nurse is caring for a patient with a kidney infection. When providing prescribed medications, the nurse should recall that which structure is the capillary network in each nephron?
| a. | Corpuscles |
| b. | Glomerulus |
| c. | Renal tubules |
| d. | Bowman’s capsule |
____ 3. A patient has a glomerular filtration rate of 55%. What should this value indicate to the nurse?
| a. | This is a normal value. |
| b. | The patient is in renal failure. |
| c. | The patient needs to be on a fluid restriction. |
| d. | The patient’s other tests will be in the normal range. |
____ 4. The nurse is caring for a patient with an acid–base imbalance from kidney disease. How should the nurse explain the role of the kidneys to maintain acid–base balance in the body to the patient?
| a. | Promoting retention of proteins |
| b. | Promoting excretion of carbon dioxide |
| c. | Conserving or excreting potassium ions |
| d. | Conserving or excreting bicarbonate ions |
____ 5. The nurse is collecting data for a patient with kidney disease. When reviewing a urinalysis report, which range should the nurse recognize as normal specific gravity of urine?
| a. | 0.080 to 0.100 |
| b. | 1.002 to 1.035 |
| c. | 2.600 to 3.000 |
| d. | 4.612 to 5.030 |
MULTIPLE CHOICE
The nephron is the structural and functional unit of the kidney. Urine is formed in the approximately 1 million nephrons in each kidney. A. B. C. Cortex, medulla, and pyramid are different parts of the kidney.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
The glomerulus is a capillary network that arises from an afferent arteriole and empties into an efferent arteriole. A. C. D. These structures are not the capillary network with a nephron.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Physiological Adaptation | Cognitive Level: Analysis
Renal function test values may be within the normal range until the glomerular filtration rate is less than 50% of normal. A. This value is not normal. B. This value does not indicate that the patient is in renal failure. C. There is no reason to place this patient on fluid restriction.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis
The kidneys regulate the acid–base balance of the blood by the excretion or conservation of ions such as hydrogen or bicarbonate. A. Promoting retention of proteins will not maintain acid–base balance. B. C. Excretion of carbon dioxide or conserving or excreting potassium does not contribute to maintaining acid–base balance in the body.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Application
The usual range of specific gravity of urine is 1.002 to 1.035. A. C. D. These are not normal ranges for the urine specific gravity.
PTS: 1 DIF: Moderate
KEY: Client Need: Physiological Integrity—Reduction of Risk Potential | Cognitive Level: Analysis
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