The nurse preceptor asks the newly graduated nurse why it is essential for providers to employ a multifaceted approach when assessing and recognizing cues for impaired urinary elimination. What statement made by the newly graduated nurse demonstrates an accurate understanding of impaired urinary elimination?

Correct Answer: D

Rationale: A multifaceted approach to impaired urinary elimination (e.g., history, symptoms, exams) provides comprehensive insights (D), enabling tailored interventions (e.g., catheterization, medication) for effective management. It doesn't simplify diagnosis (A), isn't history-only (B), and goes beyond streamlining (C), making D the accurate understanding.

Correct Answer: B

Rationale: The kidneys filter ~180 liters of glomerular filtrate daily (B) in adults, based on a GFR of 125 mL/min (180 L/day), far exceeding urine output due to reabsorption. 1,000 L (A) is excessive, 110 L (C) underestimates, and 7.5 L (D) is too low, making B the correct physiological value.

Correct Answer: C

Rationale: High ADH increases collecting duct permeability to water (C) via aquaporin-2, concentrating urine. They remain impermeable to water without ADH (A), proteins (B) are not filtered, and sodium/chloride (D) are regulated elsewhere, making C the effect of ADH.

Correct Answer: A

Rationale: Interlobar veins collect blood from arcuate veins and drain into the renal vein (A), a true venous pathway in kidney anatomy. False (B) would deny this standard flow, making A the correct statement.

Correct Answer: D

Rationale: The kidney's coverings are the renal capsule (A), adipose capsule (B), and renal fascia (C). Renal adventitia (D) is not a standard term for kidney layers, making D the incorrect option.