The nurse assesses an adult client 24 hours after a bowel exploration and formation of a sigmoid colostomy. Which assessment finding should be reported to the surgeon immediately?
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Question 2 of 45
The nurse is caring for a patient who describes changes in his voiding patterns... What would the nurse expect this patients physical assessment to reveal?
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Question 3 of 45
A nurse teaches a client with a history of calcium phosphate urinary stones. Which statements should the nurse include in this client's dietary teaching? (Select all that apply.)
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Question 4 of 45
The nurse is reviewing a patient's urinalysis results: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What would the nurse recognize these findings as indicating?
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Question 5 of 45
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving a psoralen and ultraviolet light (PUVA) treatment. Which assessment finding indicates that the client has been exposed to the treatment?
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Question 6 of 45
What type of epithelium forms the lining of the proximal convoluted tubule? A) stratified squamous, B) transitional, C) simple ciliated columnar, D) simple cuboidal
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Question 7 of 45
A nurse cares for a client with an increased blood urea nitrogen (BUN)/creatinine ratio. Which action should the nurse take first?
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Question 8 of 45
Asymptomatic bacteriuria is never treated except when?
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Question 9 of 45
What is the role of aldosterone?
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Question 10 of 45
Which hormone primarily regulates water reabsorption in the collecting duct?
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Question 11 of 45
Is a series of tubules and ducts that physically connects nephron to minor calyx?
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Question 12 of 45
Describe the sensation from the urinary bladder at 150-300 ml urine volume.
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Question 13 of 45
Renal failure can have prerenal, renal, or postrenal causes. A patient with acute kidney injury is being assessed to determine where, physiologically, the cause is. If the cause is found to be prerenal, which condition most likely caused it?
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Question 14 of 45
Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place?
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Question 15 of 45
The nurse is caring for a patient who takes low-dose erythromycin as a prophylactic medication. The patient will begin taking cefaclor for treatment of an acute infection. The nurse should discuss this with the provider because taking both of these medications simultaneously can cause which effect?
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Question 16 of 45
Urethra is characterized by:
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Question 17 of 45
The nurse is caring for a patient with chronic kidney disease who is weak due to low hemoglobin. What is the best explanation?
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Question 18 of 45
A patient with autism spectrum disorder (ASD) struggles with social interactions. The nurse understands that the core feature of ASD is:
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Question 19 of 45
The nurse is providing discharge teaching for a patient who will receive oral levofloxacin (Levaquin) to treat pneumonia. The patient takes an oral hypoglycemic medication and uses over-the-counter (OTC) antacids to treat occasional heartburn. The patient reports frequent arthritis pain and takes acetaminophen when needed. Which statement by the nurse is correct when teaching this patient?
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Question 20 of 45
What is renin?
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Question 21 of 45
The nurse is collecting data for a patient with kidney disease. Which of the following would indicate a normal urinalysis finding?
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Question 22 of 45
A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first?
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Question 23 of 45
Which finding by the nurse for a patient admitted with glomerulonephritis indicates that treatment has been effective?
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Question 24 of 45
A 70-kg adult with chronic renal failure is on a 40-g protein diet. The client has a reduced glomerular filtration rate and is not undergoing dialysis. Which result would give the nurse the most concern?
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Question 25 of 45
What portion of the nephron extends into the medulla?
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Question 26 of 45
The only part in nephron which is permeable to water and impermeable to ions:
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Question 27 of 45
A patient with a history of incontinence will undergo urodynamic testing in the physicians office. Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action?
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Question 28 of 45
Within each kidney, the interlobar veins empty their blood into the renal vein
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Question 29 of 45
Which statement about kidney anatomy is correct? Renal pyramids are in the:
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Question 30 of 45
What statement by a nursing student demonstrates a correct understanding of how pathological factors affect urinary elimination?
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Question 31 of 45
A climber attempts an assault on a high mountain in the Andes and reaches an altitude of 5000 meters (16,400 ft) above sea level. What will happen to his arterial PCO2 and pH?
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Question 32 of 45
How will the nurse assess for flank tenderness in a 30-year-old female patient with suspected pyelonephritis?
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Question 33 of 45
A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?
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Question 34 of 45
Concerning angiotensin II:
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Question 35 of 45
In what part of the kidney are the glomeruli located?
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Question 36 of 45
The nurse is examining an adult patient. For what purpose would the nurse use palpation?
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Question 37 of 45
Which of the following is not one of the 3 external coverings of the kidney?
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Question 38 of 45
A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?
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Question 39 of 45
Which assessment finding for a patient who has just been admitted with acute pyelonephritis is most important for the nurse to report to the health care provider?
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Question 40 of 45
The nurse is caring for a patient who has metabolic alkalosis and is experiencing fluid overload. The provider orders acetazolamide (Diamox). The patient reports right-sided flank pain after taking this medication. The nurse suspects that this patient has developed which condition?
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Question 41 of 45
When the urinary becomes stretched, there's an increase in the frequency of action potentials traveling from?
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Question 42 of 45
It is hospital policy to assess and record a patient's heart rate before administering digoxin (Lanoxin). By auditing the nursing records to determine the frequency of compliance with this policy, the quality assessment and improvement committee is conducting:
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Question 43 of 45
Aldosterone causes:
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Question 44 of 45
What effect is achieved by having an arteriole that supplies blood and another that drains blood from the glomerulus?
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Question 45 of 45
When ADH levels in the blood are high, the collecting ducts are:
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