ATI LPN
Renal System Questions Quizlet Questions
Question 1 of 5
A 62-year-old asks the nurse for a perineal pad, stating that laughing or coughing causes leakage of urine. Which intervention is most appropriate to include in the care plan?
Correct Answer: D
Rationale: Stress incontinence from coughing/laughing improves with Kegel exercises (D) to strengthen pelvic muscles. Toileting (A) or commode (B) suits functional incontinence, and Credé (C) is for overflow, making D most appropriate.
Question 2 of 5
Which information from a patient's urinalysis requires that the nurse notify the health care provider?
Correct Answer: C
Rationale: The increased number of white blood cells (WBCs) indicates the presence of urinary tract infection or inflammation. The other findings are normal.
Question 3 of 5
The nurse is caring for a patient who is admitted with pneumonia. The nurse notes a blood urea nitrogen (BUN) of 32 mg/dL and creatinine of 0.8 mg/dL. What is the most probable explanation for this finding?
Correct Answer: C
Rationale: Elevated BUN (32 mg/dL) with normal creatinine (0.8 mg/dL) suggests dehydration (C), concentrating blood urea. Kidney damage (A) would raise creatinine, septicemia (B) isn't indicated, and malnutrition (D) lowers BUN, making C the likely cause.
Question 4 of 5
The nurse is reviewing the history and physical of a patient who has an infection. What term would the nurse understand describes an infection of the kidneys?
Correct Answer: C
Rationale: Pyelonephritis is infection of the renal pelvis tubules and interstitial tissue of one or both kidneys.
Question 5 of 5
The nurse is assessing a patients bladder by percussion. The nurse elicits dullness after the patient has voided. How should the nurse interpret this assessment finding?
Correct Answer: A
Rationale: Dullness post-voiding (A) indicates incomplete bladder emptying, as urine muffles sound. Kidney enlargement (B), obstruction (C), or dehydration (D) don't cause bladder dullness directly; they reduce urine flow, making A the interpretation.