Chapter 36 Urinary system function, data collection
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Chapter 36 Urinary system function, data collection

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Questions and Answers

The major function of the kidneys is to remove waste products from the blood. What additional functions does the kidney have?

  • Regulate blood pressure(BP) through the conservation of fluids
  • Regulate minerals to maintain nutrition balance
  • Manage hydrogen or bicarbonate for acid-base balance (correct)
  • Mange red blood cell(RBC) production in the nephrons
  • The nurse is providing care for a patient admitted for a suspected kidney disease. Which area of the body will the patient to identify as the location of pain?

  • Lower abdomen
  • Bilateral flanks (correct)
  • Mid-epigastric
  • Pelvic floor
  • A patient's urinalysis results are white blood cells(WBCs)100+/hpf; RBCs 4/hpf; bacteria moderate amount; nitrite, positve ; specific gravity,1.025; and urine, cloudy. How will the nurse report these findings to the health-care provider(HCP)

  • Dehydration
  • Urinary tract infection (correct)
  • Contamination from menstruation
  • Presence of bacteria from the perineum
  • The nurse is collecting data on a patient who experienced a blunt in jury to the lower back area. Which finding is most concerning?

    <p>Flank edema and bloody urine</p> Signup and view all the answers

    The formation of urine is a critical physiological function. The nurse is aware that multiple processes are involved. Which process does the nurse recognize as a part of the formation of urine?

    <p>Glomerular filtration</p> Signup and view all the answers

    The nurse is providing care for a patient with a diagnosis of kidney disease. The patient's last laboratory result indicates metabolic acidosis. Which kidney activity is causing this condition?

    <p>The kidneys are unable to excrete hydrogen ions</p> Signup and view all the answers

    The nurse is providing care for a patient with a thoracic spinal cord injury. Which urinary concern does the nurse have for this patient?

    <p>Overflow incontinence</p> Signup and view all the answers

    The nurse is testing the urine pH for a patient in the HCP's office. The test indicates a pH of 8.0 Which question does the nurse ask the client?

    <p>Do you have pain when you urinate?</p> Signup and view all the answers

    The nurse is reviewing the laboratory results for a patient who has an elevated creatinine level. What information should the nurse collect as a result?

    <p>Urine output</p> Signup and view all the answers

    A patient with pneumonia has a blood urea nitrogen(BUN) level of 32 mg/dL and creatinine level of 0.8 mg/dL What should the nurse realize is the most probable explanation for this finding?

    <p>The patient is dehydrated</p> Signup and view all the answers

    The nurse is collecting information from an older adult patient in the HCP's office. The patient reports frequent urination. Which effect of aging does the nurse recognize?

    <p>Decreased bladder size and muscle tone</p> Signup and view all the answers

    The nurse is providing care for a patient who is in renal failure. Which is the best indicator of fluid balance?

    <p>Daily morning weight</p> Signup and view all the answers

    The nurse is providing care for a patient scheduled for cystogram. What should the nurse report to the HCP prior to the exam?

    <p>The patient has an elevated creatinine level</p> Signup and view all the answers

    The nurse is catheterizing a patient after voiding to determine the amount of residual urine in the bladder. What should the nurse consider as being the normal amount of urine within the bladder after urination?

    <p>25 mL</p> Signup and view all the answers

    An older male patient expresses frustration at the need to urinate often, dribbling of urine, and feelings of an inability to empty his bladder. Which suggestion by the nurse is most helpful to the patient?

    <p>Encourage an appointment with a urologist</p> Signup and view all the answers

    The nurse is reinforcing teaching to a client who is preparing to perform intermittent self-catheterization at home. Which comment by the patient requires additional instruction?

    <p>If I go out, I'll wear a urinary incontinence pad</p> Signup and view all the answers

    The nurse is making a visit to the home of a patient with a new concern of urinary incontinence. What should the nurse plan to include with the visit?

    <p>Encourage the patient to keep a daily diary of voiding</p> Signup and view all the answers

    The nurse is providing care for a patient who has undergone placement of a suprapubic catheter. Which post-procedure nursing care is anticipated

    <p>Apply a skin barrier to prevent skin breakdown</p> Signup and view all the answers

    A patient shares a long-standing problem of urinary incontinence with the nurse. Which intervention does the nurse recognize as taking priority?

    <p>Providing caring support to the patient</p> Signup and view all the answers

    The nurse is reviewing the results of a patient's urinalysis. Which components does the nurse identify as being abnormal in urine?(Select all that apply.)

    <p>Protein</p> Signup and view all the answers

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