ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 57 : Introduction to the Urinary System Questions
Question 1 of 5
During the physical examination of a client, the nurse monitors for signs that may indicate a urinary tract disorder. Which of the following would suggest that the client may have a urinary tract disorder?
Correct Answer: C
Rationale: Periorbital edema, among other signs, such as edema of the extremities, cardiac failure, and mental changes may indicate a urinary tract disorder. Light-headedness and flank pain may suggest urinary bleeding. Malaise is a sign of systemic infection. Flank pain and malaise could occur after a biopsy, and if they occur, the physician is to be notified immediately.
Question 2 of 5
A client is scheduled for a renal angiography. What would be appropriate for the nurse to do before the test?
Correct Answer: B
Rationale: A renal angiography procedure will be contraindicated if the client is allergic to iodine contrast material.
Therefore, it is important for the nurse to monitor the client for an allergy to iodine contrast material. The nurse monitors the client for the signs of electrolyte and water imbalance, mental changes, and periorbital edema at any time regardless of the test being done.
Question 3 of 5
A client who is suspected of urinary tract infection is asked to collect a 24-hour urine specimen for culture. Which measure can the nurse suggest to the client that may help prevent the entire urine specimen from becoming contaminated?
Correct Answer: B
Rationale:
To prevent the entire urine specimen from becoming contaminated, the urine specimen should be refrigerated until it can be taken to the laboratory. The nurse should ask the client to use separate receptacles for voiding and defecation to prevent any part of the specimen from being lost or contaminated. Urinating and collecting the urine sample only before 5 AM and collecting and storing the urine away from sunlight will not help prevent the urine specimen from becoming contaminated.
Question 4 of 5
A group of students is reviewing for a test on the urinary and renal system. The students demonstrate understanding of the information when they identify what as part of the upper urinary tract?
Correct Answer: C
Rationale: The upper urinary tract is composed of the kidneys, renal pelvis, and ureters. The lower urinary tract consists of the bladder, urethra, and pelvic floor muscles.
Question 5 of 5
The nurse reviews a client's history and notes that the client has a history of hyperparathyroidism. The nurse would identify that this client most likely would be at risk for which of the following?
Correct Answer: A
Rationale: A client with hyperparathyroidism is at risk for kidney stones. The client with diabetes mellitus is a risk factor for developing chronic renal failure and neurogenic bladder. A client with radiation to the pelvis is at risk for urinary tract fistula.