MVU NURS 620 () Exam WITH 130 Questions AND ANSWERS

MVU NURS 620 () Exam WITH 130 Questions AND ANSWERS Which of the following is defined as a pathophysiological process that occurs when there is a primary excess in the extracellular fluid of bicarbonate as a result of a loss of acid or the addition of excess bicarbonate? - ANSWER-metabolic alkalosis Which type of bloody urine is characteristic of bleeding from the upper urinary tract? - ANSWER-brown, smoky, or tea colored urine Which of the following diagnostic studies for the evaluation of renal function assesses for the lack of erythropoietin? - ANSWER serum hemoglobin and hematocrit A factor contributing to stress incontinence is - ANSWER-a decreased estrogen level 2 | P a g e Samuel wants his son circumcised, but it is noted that the baby has hypospadias. What do you tell Samuel? - ANSWER-Your son should not be circumcised The most frequent complication during hemodialysis is - ANSWER-hypotension Eric, age 5, has enuresis. The probable cause of this is - ANSWER-maturational delay Sara, age 82, was unable to breathe for several minutes after choking on a piece of meat. A successful Heimlich maneuver was done and her ABG is pH 7.39, CO2 48, HCO3 24, PaO2 92. What do you suspect? - ANSWER-respiratory acidosis Which is the least expensive method for evaluating renal mass size? - ANSWER-US Which class of antihypertensive drugs is contraindicated in clients with renal artery stenosis? - ANSWER-ACEI 3 | P a g e Martha, age 42, states that she has intercourse only about once a month, but immediately afterward she usually gets a UTI. She is frustrated with having to come to the office frequently to have an examination with a urine test .She says that she is ready to kick her husband out of bed. How do you respond? - ANSWER-take 200 mg of ofloxacin with a large glass of water after intercourse Which of the following is associated with an elevated risk of renal cell carcinoma RCC? - ANSWER-high levels of lead exposure Joyce is being treated conservatively for her low back pain with NSAIDs, muscle relaxants, and physical therapy. She has recently been diagnosed with chronic kidney disease. Which of the following statements is true? - ANSWER-She could try acetaminophen 650mg three times a day Which diagnostic findings may lead to a diagnosis of nephrolithiasis? - ANSWER-urinary calcium output of greater than 300mg in 24 hours 4 | P a g e After a renal biopsy, the client should be instructed - ANSWER-to avoid strenuous activities for at least 2 weeks Which statement is true regarding acute tubular necrosis? - ANSWER-the removal of the offending agent may allow renal function to return gradually to normal The increased presence of which of the following in a UA indicates the presence of bacterial or protein, which is seen in severe renal disease and could also indicate urinary calculi? - ANSWER-casts The most frequent reason why a person would come to your office complaining of burning urination is - ANSWER-UTI Transient urinary incontinence in women may be caused by - ANSWER-use of anticholinergic agents