SHADOW HEALTH RENAL SYSTEM
HOURLY ROUNDS EXAM SCRIPT VERIFIED
QUESTIONS WITH ACCURATE ANSWERS
●● A client with a history of excessive alcohol use develops hepatic
portal hypertension and an elevated serum aldosterone level. For which
complications should the nurse assess this client?
Chloride depletion and hypovolemia
Potassium retention and dysrhythmias
Sodium retention and fluid accumulation
Calcium depletion and pathologic fractures
Answer: Sodium retention and fluid accumulation
●● A nurse is caring for a client who is experiencing urinary
incontinence. The client has an involuntary loss of small amounts (25 to
35 mL) of urine from an overdistended bladder. How should this be
documented in the client's medical record?
Urge incontinence
,Stress incontinence
Overflow incontinence
Functional incontinence
Answer: Overflow incontinence
●● After reviewing the 24-hour urine collection reports of a client with
kidney dysfunction, the nurse suspects diabetes mellitus. Which finding
supports this suspicion?
Calcium level: 500 mg/24 hr
Sodium level: 300 mEq/24 hr
Urea nitrogen level: 30 g/24 hr
Creatinine level: 40 mg/kg/24 hr
Answer: Creatinine level: 40 mg/kg/24 hr
,●● The laboratory values of a client with renal calculi reveal a serum
calcium within expected limits and an elevated serum purine. How
should the nurse interpret these findings about the stone's composition?
It contains cystine.
It contains uric acid.
It contains calcium oxalate.
It contains magnesium ammonium phosphate.
Answer: It contains uric acid.
●● Which natural physiologic process helps prevent bacterial infections
within the client's bladder containing urine?
The secretions of the urothelium
The relaxation of the detrusor muscle
The contraction of the external sphincter
The muscle tone of the internal sphincter
, Answer: The secretions of the urothelium
●● A nurse is caring for a client during the early postoperative period
after a prostatectomy. Which action is the priority?
Have the client stand to void.
Discourage straining for a bowel movement.
Use a bulb syringe to aspirate urine from the retention catheter.
Notify the primary healthcare provider if the client does not void by
bedtime.
Answer: Discourage straining for a bowel movement.
●● A residual urine test is prescribed for a client with benign prostatic
hyperplasia. What should the nurse instruct the client to do?
Void after a urinary catheter is removed.
Collect a specimen of urine during midstream.
Attempt to void when a urinary catheter is in place.
HOURLY ROUNDS EXAM SCRIPT VERIFIED
QUESTIONS WITH ACCURATE ANSWERS
●● A client with a history of excessive alcohol use develops hepatic
portal hypertension and an elevated serum aldosterone level. For which
complications should the nurse assess this client?
Chloride depletion and hypovolemia
Potassium retention and dysrhythmias
Sodium retention and fluid accumulation
Calcium depletion and pathologic fractures
Answer: Sodium retention and fluid accumulation
●● A nurse is caring for a client who is experiencing urinary
incontinence. The client has an involuntary loss of small amounts (25 to
35 mL) of urine from an overdistended bladder. How should this be
documented in the client's medical record?
Urge incontinence
,Stress incontinence
Overflow incontinence
Functional incontinence
Answer: Overflow incontinence
●● After reviewing the 24-hour urine collection reports of a client with
kidney dysfunction, the nurse suspects diabetes mellitus. Which finding
supports this suspicion?
Calcium level: 500 mg/24 hr
Sodium level: 300 mEq/24 hr
Urea nitrogen level: 30 g/24 hr
Creatinine level: 40 mg/kg/24 hr
Answer: Creatinine level: 40 mg/kg/24 hr
,●● The laboratory values of a client with renal calculi reveal a serum
calcium within expected limits and an elevated serum purine. How
should the nurse interpret these findings about the stone's composition?
It contains cystine.
It contains uric acid.
It contains calcium oxalate.
It contains magnesium ammonium phosphate.
Answer: It contains uric acid.
●● Which natural physiologic process helps prevent bacterial infections
within the client's bladder containing urine?
The secretions of the urothelium
The relaxation of the detrusor muscle
The contraction of the external sphincter
The muscle tone of the internal sphincter
, Answer: The secretions of the urothelium
●● A nurse is caring for a client during the early postoperative period
after a prostatectomy. Which action is the priority?
Have the client stand to void.
Discourage straining for a bowel movement.
Use a bulb syringe to aspirate urine from the retention catheter.
Notify the primary healthcare provider if the client does not void by
bedtime.
Answer: Discourage straining for a bowel movement.
●● A residual urine test is prescribed for a client with benign prostatic
hyperplasia. What should the nurse instruct the client to do?
Void after a urinary catheter is removed.
Collect a specimen of urine during midstream.
Attempt to void when a urinary catheter is in place.
