Quiz: Kidney Jeaporady


Kidney JeaporadyOnline version Kidney by Kay 1 Which pathophysiological changes occurring in the kidney should the LPN explain as the cause of decrease of GFR in a patient with AKI caused by acute tubular necrosis? a GFR decreases because there is injury to the renal tubular cells b GFR decreases because of blood flow to the kidney c GFR decreases because of obstruction of the ureters d GFR decreases because of increased production of erythropoietin 2 Which statement by the LPN is the best explanation for the increase in the abdominal girth with renal calculi? a Kidneys continue to enlarge due to the cyst growing, which increase the girth of the abdomen b Kidney infection has cause narrowing of the ureters and your abdomen has filled with fluid c The kidneys become enlarged because urine is unable to leave the bladder d The bladder expands because the kidneys are producing excessive amounts of urine 3 When describing why patients who have vaginas have higher rates of UTIs than patients who don't have vaginas, which explanations should the LPN use? a Patients who have vaginas have a shorter urethra allowing bacteria to invade the bladder easier b Patients who have vaginas have a decreased bladder capacity c Patients who have vaginas produce less urine than patients who don't have vaginas d Patients who have vaginas have a higher concentration of bacteria normally found in the kidneys 4 Which of the following areas of the renal system does most renal calculi begin forming? a Renal Papilla b Ureter c Bladder d Urethra 5 Patient has newly diagnosed polycystic kidney disease (PKD). The patient asks. "Did I do something to my body to get this disease?". Which of the statements from the LPN is the most accurate? a It is a genetic disorder and could not have been prevented b It might have occurred because of your Hypertension and Diabetes c It is usually caused by repeated urinary tract infections d It develops when the kidneys are exposed to excessive amounts of calcium 6 A female patient states, "I bet I have a UTI. Why do I tend to get urinary tract infections?". Which of the following statements should the nurse include in the explanation? a Your urethra is shorter and creates a easier way for bacteria b Because you have sex c You have more E. Coli than males d Your bladder is located closer to the kidneys, making infection more likely 7 Which of the following should the LPN tell the patient to prevent a recurrence of renal calculi? a Drink plenty of fluids during the day b Eat a diet high in purine-rich foods c Eat a diet high in calcium oxalate-rich foods d Decrease fluid intake to prevent overworking the kidneys 8 LPN is gathering medical history from a patient admitted for pyelonephritis. Which should the LPN expect the patient to report when asked about their medical history? a Reports that they has two UTI's in the past 10 months b Patient reports that they took a lot of ibuprofen for arthritis for many years c Reports having increased their daily fluid intake during the past year d Reports having no previous urinary symptoms or infections 9 While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include? a Blood pressure control b Pain management c Blood glucose control d Fluid restriction 10 Which of the following statements by the patient indicates that they are suffering for a psychosocial effect from frequent UTIs? a When I have one of these infections, I can't go to my grandkids school activities like I normally do. b I get such back pain with these urine infections. It hurts so bad c I have burning when I urinate during these infections. d My urine has a strong odor when I have an infection. 11 Progressing chronic kidney disease (CKD) Which of the following laboratory results would the LPN expect to find in the patient's electronic health record? a Urine albumin increasing b Proteinuria decreasing or decreased protein in the urine c Creatinine decreasing d GFR increasing 12 Which of the following data gathered by the nurse leads them to suspect renal calculi? a The patient admitted to the hospital who has clinical findings of severe flank pain, nausea and vomiting b Clinical findings of polyuria, nocturia, proteinuria and a palpable kidney mass, hematuria c The patient reports painless urination with increased urinary frequency d The patient reports generalized edema with frothy urine and fatigue 13 Which of the following should the nurse identify as the most common complication of PKD? a End-stage kidney disease b Hypertension c Liver cysts d Kidney stones 14 The impact of overactive bladder (OAB) on a patient's quality of life. Which of the following effects should the nurse include? SATA Choose one or more answers a Decrease work productivity b Increased risk of UTIs c Increased risk of falls d Enlargement of the prostate gland e Inability to maintain an erection 15 A patient in a clinic has foul-smelling urine, a low-grade fever of 37.7C (100F) and pain with urination. Which of the following should the LPN expect the doctor to order? SATA Choose one or more answers a Antibiotics b Normal Saline at 100ML/HR c A clean-catch urinalysis and urine culture d WBC count e Blood cultures 16 Which of the following instructions should the LPN include in the teaching related to the prevention of pyelonephritis? SATA Choose one or more answers a Completing all antibiotics prescribed b Wiping the perineal area from front to back after voiding c Consuming adequate fluid intake d Bathing at least twice a day 17 Which of the following underlying conditions place these clients at risk for urinary retention? SATA Choose one or more answers a Constipation b Parkinson's Disease c Pelvic organ prolapse d Multiple Sclerosis e Streptococcal Infection 18 Which restrictions should the LPN discuss with the patient who is starting hemodialysis that may impact their quality of life? SATA Choose one or more answers a Time constraints b Restricting foods high in potassium, high in sodium and high in phosphorus c Restricting fluid intake d Limiting social activities to twice a week 19 Which of the following instructions should the nurse include in the teaching related to the prevention of pyelonephritis? SATA Choose one or more answers a Completing all antibiotics as prescribed b Wiping the perinatal area from front to back after voiding c Consuming adequate fluid intake d Taking a bath twice a day 20 Which of the following underlying conditions place these clients at risk for urinary retention? SATA Choose one or more answers a Pelvic organ prolapse b Parkinson's Disease c Multiple sclerosis d Constipation e Streptococcal Infection 21 Which of the following assessments should the nurse consider when monitoring clients for urinary retention? SATA Choose one or more answers a Dribbling of urine b Voiding pattern c Bladder distension d Proteinuria e Color of urine 22 Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? SATA Choose one or more answers a Bladder scan b Positive urine residual measurement c A kidney, Ureter, bladder (KUB) x-ray d Cystourethrogram e Blood urea nitrogen (BUN) f Creatinine 23 Which of the following medications should the nurse anticipate being prescribed to decrease the size of the prostate? a Finasteride b Ciprofloxacin c Sildenafil d Tamsulosin 24 Patient is prescribed phenazopyridine for the symptomatic relief of a UTI. Which of the statements by the patient indicates an understanding of the teaching? a I understand that phenazopyridine will help with the pain. b I should take the medication on an empty stomach c I should take it prior to bed d I understand that this medication will eliminate the bacteria causing my UTI 25 Which of the following actions should the nurse reinforce in the teaching about how Sildenafil works in the body? a Inhibits the enzyme PDE-5 which relaxes smooth muscles b Activates beta-3 adrenergic receptors c Mimics the neurotransmitter acetylcholine d Inhibits the enzyme 5-alpha reductase 26 A LPN is planning to reinforce education for a patient about Tolvaptan. Which information should the nurse plan to include? a Avoid grapefruit juice with this medication b If you miss a dose of your medication, take double the amount with your next dose c You should only take one dose of the medication daily d You should stop drinking fluids while taking this medication 27 Which of the following information should the nurse plan to include in the teaching about taking Bethanechol? SATA Choose one or more answers a The medication should be most effective after about one hour b Change positions slowly c This medication may cause your urine to turn orange d Report difficulty breathing or wheezing while taking the medication e Take this medication with alcohol to increase its effectiveness 28 A patient is experiencing difficulty starting urination and a weak urine stream. Which of the following medications should the nurse anticipate being prescribed? a Finasteride b Tamsulosin c Sildenafil d Mirabegron 29 A patient who has polycystic kidney disease (PKD). What should the nurse recognize as a cause of PKD? a Genetic mutations b Renal failure c Hypertension d Pancreatitis 30 Patient treatment of a UTI. Which of the following types of medications should the nurse plan to include? SATA Choose one or more answers a Urinary tract analgesics b Antibiotics c Phosphodiesterase type-5 (PDE-5) inhibitors d 5-Alpha reductase inhibitors e Anticholinergics

1

Which pathophysiological changes occurring in the kidney should the LPN explain as the cause of decrease of GFR in a patient with AKI caused by acute tubular necrosis?

a

GFR decreases because there is injury to the renal tubular cells

b

GFR decreases because of blood flow to the kidney

c

GFR decreases because of obstruction of the ureters

d

GFR decreases because of increased production of erythropoietin

2

Which statement by the LPN is the best explanation for the increase in the abdominal girth with renal calculi?

a

Kidneys continue to enlarge due to the cyst growing, which increase the girth of the abdomen

b

Kidney infection has cause narrowing of the ureters and your abdomen has filled with fluid

c

The kidneys become enlarged because urine is unable to leave the bladder

d

The bladder expands because the kidneys are producing excessive amounts of urine

3

When describing why patients who have vaginas have higher rates of UTIs than patients who don't have vaginas, which explanations should the LPN use?

a

Patients who have vaginas have a shorter urethra allowing bacteria to invade the bladder easier

b

Patients who have vaginas have a decreased bladder capacity

c

Patients who have vaginas produce less urine than patients who don't have vaginas

d

Patients who have vaginas have a higher concentration of bacteria normally found in the kidneys

4

Which of the following areas of the renal system does most renal calculi begin forming?

a

Renal Papilla

b

Ureter

c

Bladder

d

Urethra

5

Patient has newly diagnosed polycystic kidney disease (PKD). The patient asks. "Did I do something to my body to get this disease?". Which of the statements from the LPN is the most accurate?

a

It is a genetic disorder and could not have been prevented

b

It might have occurred because of your Hypertension and Diabetes

c

It is usually caused by repeated urinary tract infections

d

It develops when the kidneys are exposed to excessive amounts of calcium

6

A female patient states, "I bet I have a UTI. Why do I tend to get urinary tract infections?". Which of the following statements should the nurse include in the explanation?

a

Your urethra is shorter and creates a easier way for bacteria

b

Because you have sex

c

You have more E. Coli than males

d

Your bladder is located closer to the kidneys, making infection more likely

7

Which of the following should the LPN tell the patient to prevent a recurrence of renal calculi?

a

Drink plenty of fluids during the day

b

Eat a diet high in purine-rich foods

c

Eat a diet high in calcium oxalate-rich foods

d

Decrease fluid intake to prevent overworking the kidneys

8

LPN is gathering medical history from a patient admitted for pyelonephritis. Which should the LPN expect the patient to report when asked about their medical history?

a

Reports that they has two UTI's in the past 10 months

b

Patient reports that they took a lot of ibuprofen for arthritis for many years

c

Reports having increased their daily fluid intake during the past year

d

Reports having no previous urinary symptoms or infections

9

While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

a

Blood pressure control

b

Pain management

c

Blood glucose control

d

Fluid restriction

10

Which of the following statements by the patient indicates that they are suffering for a psychosocial effect from frequent UTIs?

a

When I have one of these infections, I can't go to my grandkids school activities like I normally do.

b

I get such back pain with these urine infections. It hurts so bad

c

I have burning when I urinate during these infections.

d

My urine has a strong odor when I have an infection.

11

Progressing chronic kidney disease (CKD) Which of the following laboratory results would the LPN expect to find in the patient's electronic health record?

a

Urine albumin increasing

b

Proteinuria decreasing or decreased protein in the urine

c

Creatinine decreasing

d

GFR increasing

12

Which of the following data gathered by the nurse leads them to suspect renal calculi?

a

The patient admitted to the hospital who has clinical findings of severe flank pain, nausea and vomiting

b

Clinical findings of polyuria, nocturia, proteinuria and a palpable kidney mass, hematuria

c

The patient reports painless urination with increased urinary frequency

d

The patient reports generalized edema with frothy urine and fatigue

13

Which of the following should the nurse identify as the most common complication of PKD?

a

End-stage kidney disease

b

Hypertension

c

Liver cysts

d

Kidney stones

14

The impact of overactive bladder (OAB) on a patient's quality of life. Which of the following effects should the nurse include? SATA

Choose one or more answers

a

b

Positive urine residual measurement

c

A kidney, Ureter, bladder (KUB) x-ray

d

Cystourethrogram

e

Blood urea nitrogen (BUN)

f

Creatinine

23

Which of the following medications should the nurse anticipate being prescribed to decrease the size of the prostate?

a

Finasteride

b

Ciprofloxacin

c

Sildenafil

d

Tamsulosin

24

Patient is prescribed phenazopyridine for the symptomatic relief of a UTI. Which of the statements by the patient indicates an understanding of the teaching?

a

I understand that phenazopyridine will help with the pain.

b

I should take the medication on an empty stomach

c

I should take it prior to bed

d

I understand that this medication will eliminate the bacteria causing my UTI

25

Which of the following actions should the nurse reinforce in the teaching about how Sildenafil works in the body?

a

Inhibits the enzyme PDE-5 which relaxes smooth muscles

b

Activates beta-3 adrenergic receptors

c

Mimics the neurotransmitter acetylcholine

d

Inhibits the enzyme 5-alpha reductase

26

A LPN is planning to reinforce education for a patient about Tolvaptan. Which information should the nurse plan to include?

a

Avoid grapefruit juice with this medication

b

If you miss a dose of your medication, take double the amount with your next dose

c

You should only take one dose of the medication daily

d

You should stop drinking fluids while taking this medication

27

Which of the following information should the nurse plan to include in the teaching about taking Bethanechol? SATA

Choose one or more answers

a

The medication should be most effective after about one hour

b

Change positions slowly

c

This medication may cause your urine to turn orange

d

Report difficulty breathing or wheezing while taking the medication

e

Take this medication with alcohol to increase its effectiveness

28

A patient is experiencing difficulty starting urination and a weak urine stream. Which of the following medications should the nurse anticipate being prescribed?

a

Finasteride

b

Tamsulosin

c

Sildenafil

d

Mirabegron

29

A patient who has polycystic kidney disease (PKD). What should the nurse recognize as a cause of PKD?

a

Genetic mutations

b

Renal failure

c

Hypertension

d

Pancreatitis

30

Patient treatment of a UTI. Which of the following types of medications should the nurse plan to include? SATA

Choose one or more answers

a

Urinary tract analgesics

b

Antibiotics

c

Phosphodiesterase type-5 (PDE-5) inhibitors

d

5-Alpha reductase inhibitors

e

Anticholinergics

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Kidney Jeaporady

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Kidney JeaporadyOnline version

by Kay

Which pathophysiological changes occurring in the kidney should the LPN explain as the cause of decrease of GFR in a patient with AKI caused by acute tubular necrosis?

Which statement by the LPN is the best explanation for the increase in the abdominal girth with renal calculi?

When describing why patients who have vaginas have higher rates of UTIs than patients who don't have vaginas, which explanations should the LPN use?

Which of the following areas of the renal system does most renal calculi begin forming?

Patient has newly diagnosed polycystic kidney disease (PKD). The patient asks. "Did I do something to my body to get this disease?". Which of the statements from the LPN is the most accurate?

A female patient states, "I bet I have a UTI. Why do I tend to get urinary tract infections?". Which of the following statements should the nurse include in the explanation?

Which of the following should the LPN tell the patient to prevent a recurrence of renal calculi?

LPN is gathering medical history from a patient admitted for pyelonephritis. Which should the LPN expect the patient to report when asked about their medical history?

While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?

Which of the following statements by the patient indicates that they are suffering for a psychosocial effect from frequent UTIs?

Progressing chronic kidney disease (CKD) Which of the following laboratory results would the LPN expect to find in the patient's electronic health record?

Which of the following data gathered by the nurse leads them to suspect renal calculi?

Which of the following should the nurse identify as the most common complication of PKD?

The impact of overactive bladder (OAB) on a patient's quality of life. Which of the following effects should the nurse include? SATA

A patient in a clinic has foul-smelling urine, a low-grade fever of 37.7C (100F) and pain with urination. Which of the following should the LPN expect the doctor to order? SATA

Which of the following instructions should the LPN include in the teaching related to the prevention of pyelonephritis? SATA

Which of the following underlying conditions place these clients at risk for urinary retention? SATA

Which restrictions should the LPN discuss with the patient who is starting hemodialysis that may impact their quality of life? SATA

Which of the following instructions should the nurse include in the teaching related to the prevention of pyelonephritis? SATA

Which of the following underlying conditions place these clients at risk for urinary retention? SATA

Which of the following assessments should the nurse consider when monitoring clients for urinary retention? SATA

Which of the following tests should the nurse expect the health care provider to order to determine if the client has urinary retention? SATA

Which of the following medications should the nurse anticipate being prescribed to decrease the size of the prostate?

Patient is prescribed phenazopyridine for the symptomatic relief of a UTI. Which of the statements by the patient indicates an understanding of the teaching?

Which of the following actions should the nurse reinforce in the teaching about how Sildenafil works in the body?

A LPN is planning to reinforce education for a patient about Tolvaptan. Which information should the nurse plan to include?

Which of the following information should the nurse plan to include in the teaching about taking Bethanechol? SATA

A patient is experiencing difficulty starting urination and a weak urine stream. Which of the following medications should the nurse anticipate being prescribed?

A patient who has polycystic kidney disease (PKD). What should the nurse recognize as a cause of PKD?

Patient treatment of a UTI. Which of the following types of medications should the nurse plan to include? SATA