Urinary elimination exam| 101 questions fully solved & updated 2023.

What is the hormone from the posterior pituitary gland that influences the amount of water that is eliminated with the urine? ADH .As the body breaks down protein, nitrogen wastes are broken down into urea, ammonia, and: creatine Because the kidneys are located in proximity to the vertebrae and are protected by the ribs, their location in documentation is referred to as: retroperitoneal A home health patient with end-stage renal disease (ESRD) has a nursing diagnosis of powerlessness related to life-altering disease. Which nursing intervention would be most helpful? include the pt in making the plan of care .What portion of the nephron is involved with filtration? glomerulus of the bowman capsule When the home health patient is started on dialysis, the home health nurse refers the patient to a community support group that assists with the adjustments necessary to living with dialysis. Which group offers this service? American Association of Kidney Patients The nurse is aware that as a person ages there is a loss of the __________mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons. filtering A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of spasm-like pain over his lower abdomen. What should the initial intervention be by the nurse? check the cath and drainage system for obstruction .A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit? maintaining skin integrity It is 2 days after a 42-year-old male patients urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him. What is the most likely explanation for his behavior? He is reacting to the loss of self-esteem and altered body image. What should the nurse encourage, barring any other contraindication, when teaching a patient how to decrease the chance of further problems with urolithiasis? increase his fluid intake The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using Standard Precautions, what should be the nurses next action? strain the urine The nurse assessing a patient who is taking furosemide (Lasix) finds an irregular pulse. This is likely a sign of: hypokalemia The patient with nephrosis complains about the need for bed rest. How would the nurse explain the benefit of bed rest? The recumbent position may initiate diuresis What should the nurse instruct the patient to do before obtaining the urine specimen for a urine culture? obtain a clean catch specimen The patient is scheduled for a transurethral resection of the prostate. During preoperative teaching, what should the nurse emphasize about what the patient can expect after the procedure? Red drainage from the catheter A male patient, age 71, has benign prostatic hypertrophy. He is recovering from a trans-urethral prostatic resection. The physician orders removal of the indwelling catheter 2 days after the TURP procedure. What might the patient experience after the catheter is removed? dribbling of urine A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20-lb weight loss during the last 3 months. The physician suspects renal cancer. In obtaining a nursing history from this patient, the nurse recognizes which of the following as a significant risk factor for renal cancer? cigarette smoking As the nurse and the dietitian review a female patients diet plan with her, she shouts that with her diabetes and now the kidney failure, there is just nothing she can eat. She says she might as well eat what she wants, because there is nothing she can do to help herself. Based on the patients response, which nursing diagnosis does the nurse identify? Ineffective coping, related to sense of powerlessness The patient is on postoperative day 1 after having undergone a TURP procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation is calculated by: measuring total output and deducting the amount of irrigating solution used. A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications? I will need to increase protein and decrease sodium intake. .What should the patient be encouraged to eat during the active phase of acute renal failure? a diet high in potassium .The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL. An excessive elevation of BUN could result from: disorientation An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day. What should be the nurses highest priority when planning care for this patient? Pain related to irritation of a stone A patient is receiving chlorothiazide (Diuril), a thiazide diuretic for hypertension. What nursing action is most important for prevention of complications? assess for hypokalemia A patient with cystitis is receiving phenazopyridine (Pyridium) for pain and is voiding a bright red-orange urine. What should the nurse do? explain to the pt that this is normal The patient, age 43, has cancer of the urinary bladder. He has received a cystectomy with an ileal conduit. Which characteristics would be considered normal for his urine? clear amber with mucus shreds A patient, age 78, has been admitted to the hospital with dehydration and electrolyte imbalance. She is confused and incontinent of urine on admission. Which nursing intervention does the nurse include in developing a plan of care? apply absorbent incontinence pads The home health nurse suggests the use of complementary and alternative therapies to prevent and/or treat urinary tract infections (UTIs). Which of the following is an example of such therapies? cranberry juice Which action can reduce the risk of skin impairment secondary to urinary incontinence? Frequent toileting and meticulous skin care Why are pediatric patients, especially girls, susceptible to urinary tract infections? Females have a short and proximal urethra in relation to the vagina .Which foods should the home health nurse counsel hypokalemic patients to include in their diet? Bananas, oranges, cantaloupe .To help a patient control incontinence, what should the nurse recommend the patient avoid? spicy foods What should the nurse counsel the young man with chronic prostatitis to avoid? cessation of intercourse The nurse reassures the patient recovering from acute glomerulonephritis that after all other signs and symptoms of the disease subside, it is normal to have some residual (select all that apply): -proteinuria -hematuria Why are urinary tract infections (UTI) common in older adults? (Select all that apply.) -Older adults have weakened musculature in the bladder and urethra. -Older adults have urinary stasis. -Older adults have diminished neurologic sensation. -The effects of medications such as diuretics that many older adults take. Which of the following are signs of fluid overload in the patient with nephrosis? (Select all that apply.) -increase in pulse rate -increase in daily weight -edema -labored respirations The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal? (Select all that apply.) -turbidity clear -glucose negative