a. stones in the kidney
b.formation of a urinary tract stone in the ureter.
c. a Kidney infection
d. A complete resection of the entire kidney - ANS a. stones in the kidney
When documenting history on a patient diagnosed with suspected kidney stones why is it
important to ask about their diet?
a. excess liquids can lead to stones
b. excessive protein intake can lead to stones
c. excessive sugary drinks such as soda can lead to stones
d. excessive sodium intake can lead to stones - ANS d. excessive sodium intake can lead to
stones
A patient claims that they have passed a stone but does not present stone fragments, why
would the doctor order diagnostic testing?
a. retained stones can lead to gross blood loss
b. retained stones can cause more stones
c. retained stones can lead to loss of liver function
d. retained stones can lead to loss of kidney function - ANS d. retained stones can lead to loss
of kidney function
A retained, asymptomatic ureteral stone can insidiously obstruct the flow of urine, resulting in
potential loss of kidney function.
(select all that apply)
When performing a Nursing Assessment on a patient with Urolithiasis ; How will the vital signs
differ from the norm?
a. Heart rate will increase
b. respiratory rate will decrease
c. Temperature will increase
d. blood pressure will decrease - ANS a. Heart rate will increase
c. Temperature will increase
d. blood pressure will decrease
The nurse recognizes which patient is at greatest risk for a UTI?
, A. A 35-year-old sexually active male
B. A 23-year-old sexually active female
C. A 50-year-old sexually active female
D. An 18-year-old sexually active male - ANS B. 23 year old sexually active female
The nurse understands which population is at increased risk for developing urinary stones?
A. Black females living in Florida
B. White males living in Georgia
C. Black males living in New York
D. White females living in Oregon - ANS
Which statement by the patient indicates teaching about tamsulosin (Flomax) has been
effective?
A. "Will this medicine help my nausea?"
B. "So this medicine will help me pass the stone by relaxing the muscles?"
C. "I need to take this medicine so I don't get an infection."
D. "This medicine is for my pain." - ANS B. Medication works by relaxing the muscles in
bladder& prostate
The patient with stress incontinence is prescribed Kegel exercises. The nurse tells the patient
that Kegel exercises will help:
A. Strengthen the detrusor muscle
B. The posterior urethral valves
C. Strengthen the internal sphincter
D. Strengthen the external sphincter - ANS A. Strengthen detrusor muscle
The nurse understands that superficial cancers affect only:
A. Muscle and surrounding fat
B. The urothelium, or inner lining of the bladder
C. Structures adjacent to the bladder
D. The lobes of the prostate - ANS B. Started in the lining of the bladder and has not spread.
Which statement by Heather regarding new flank pain indicates teaching has been effective?
A. "I'll call the doctor for pain medicine if the flank pain comes back."
B. "Does new flank pain mean I might have an infection in my kidneys?"
C. "New flank pain means the infection has spread to my gallbladder."
D. "This pain may mean the infection could involve my reproductive system. - ANS B.
2. Which action by Heather indicates the need for further teaching about her prescribed
medicines?
A. Heather calls in a panic because her urine is an orange color.
B. Heather is scheduling her follow-up appointment even though her dysuria resolved with
phenazopyridine (Pyridium).
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