Question 1

A public health nurse is performing teaching for a patient who will be obtaining a sample of urine for a urinalysis at home. Which of these patient comments will cause the nurse to provide clarifying information?

Accepted Answer

Urine samples for urinalysis are typically best collected as a first-morning specimen to ensure concentration and accuracy, not in the evening.

Question 2

When assessing a patient who is scheduled for a cystogram and at risk for complications directly related to the procedure, a nurse should alert the primary healthcare provider if the patient has which of these clinical manifestations? Select all that apply.  Select all that apply.

Accepted Answer

The answer of When assessing a patient who is scheduled...

Question 3

A nurse is advising a nursing student who is preparing a teaching presentation for fellow students regarding urinalysis. Which of these teaching points, if made by the student, requires intervention by the nurse?

Accepted Answer

The answer of A nurse is advising a nursing student...

Question 4

The nurse is reviewing the laboratory results for a patient who has a prescription for an estimated glomerular filtration rate (EGFR). The nurse knows that which of the following factors may be utilized to determine the estimated glomerular filtration rate?  Select all that apply.

Accepted Answer

Estimated glomerular filtration rate (EGFR) is determined by using serum creatinine levels, age of the patient, gender, and racial origin. Serum blood urea nitrogen is not utilized for determining EGFR. Therefore, choices A, B, C, and D are the best choices.

Question 5

A nurse is advising a nursing student who is preparing a teaching presentation for fellow students regarding urinalysis. Which of these teaching points, if made by the student, requires intervention by the nurse?

Accepted Answer

The correct teaching for female patients is to wipe from front to back, not back to front, to avoid contaminating the urethra with organisms from the anal area. This reduces the risk of urinary tract infections.

Question 6

A patient who has prescriptions for both an intravenous pyelogram and a barium enema tells the nurse, "I will schedule the intravenous pyelogram to be done before the barium enema." Which of these responses by the nurse is most appropriate?

Accepted Answer

The answer of A patient who has prescriptions for both...

Question 7

The nurse is providing preoperative teaching for a patient scheduled for a cystogram. The nurse knows follow-up is needed when the patient states, "After the procedure, I need to contact my primary healthcare provider if I experience

Accepted Answer

Bloody urine can be a common and expected finding after a cystogram due to irritation of the bladder lining. Therefore, it does not necessarily require contacting the healthcare provider unless it is excessive or persistent.

Question 8

A 12-year-old patient who is scheduled to have a renal angiogram asks why the nurse has touched the patient's feet and marked an "X" on the top of both feet. Which of these responses would be most appropriate for the nurse to make?

Accepted Answer

The nurse marked an "X" on the top of both feet to differentiate the feet and make sure the correct leg is accessed during the procedure. The nurse can explain to the patient that she is checking the blood flow to the legs and feet by feeling the pulses. This explanation provides reassurance to the patient and addresses the reason behind the markings.

Question 9

Which of these outcomes would be most appropriate for a nurse to establish with a patient who has just voided and who is scheduled to have a portable ultrasonic bladder scan immediatly? The scan will indicate which of the following?

Accepted Answer

Establishing the outcome of less than 100 mL of urine in the bladder would be the most appropriate goal because it would indicate that the patient has fully emptied their bladder, and there is no residual urine left behind that could lead to complications such as urinary tract infections. Any other outcome would require further intervention or monitoring.

Question 10

A nurse observes a colleague including all of these measures when providing care to a patient who recently had a percutaneous renal biopsy. Which would require the nurse to intervene? Select all that apply.  Select all that apply.

Accepted Answer

The answer of A nurse observes a colleague including all...

Question 11

Which of these explanations would be most appropriate for a nurse to give to a patient who is scheduled to have a portable ultrasonic bladder scan to measure residual urine? "

Accepted Answer

A portable ultrasonic bladder scan typically involves taking multiple readings to ensure accuracy in measuring residual urine.

Question 12

The nurse is reviewing teaching with a patient who has a prescription for an intravenous pyelogram. The nurse recognizes that further teaching is needed when the patient states, "I will

Accepted Answer

For an intravenous pyelogram (IVP), patients are typically advised to maintain adequate hydration before the procedure to help with the excretion of the contrast dye used during the imaging. Advising not to drink any fluids for at least 12 hours before the procedure is incorrect and could lead to dehydration, which is not recommended.

Question 13

A nurse on the postoperative unit should assign which of these staff members to perform a follow-up assessment for a patient who has returned home after having an intravenous pyelogram 24 hours ago?

Accepted Answer

An intravenous pyelogram (IVP) is an imaging test used to evaluate the kidneys, ureters, and bladder. The RN floating from the immunology unit would have the most experience and knowledge regarding renal function and would therefore be the best choice to perform a follow-up assessment for a patient who has had an IVP. The LPN floating from the nephrology unit may possess some knowledge of renal function, but may not have the expertise to identify potential complications following an IVP. The LPN floating from the pulmonology unit and RN floating from the orthopedic unit are not appropriate choices as their specialty areas do not provide the necessary knowledge and skills for a follow-up assessment after an IVP.

Question 14

Which of these findings, if identified in an adult patient who is scheduled for an intravenous pyelogram, should a nurse report to the primary healthcare provider immediately?

Accepted Answer

A serum osmolality of 1500 mOsm/kg/H2O is extremely high and indicates severe dehydration or other critical conditions, which could lead to complications during an intravenous pyelogram.

Question 15

A nurse is performing discharge teaching with a patient who had a cystogram. The nurse should instruct the patient to use which of the following techniques to promote comfort? Select all that apply.  Select all that apply.

Accepted Answer

A sitz bath can help soothe the area, increasing oral fluid intake can help flush the bladder and reduce discomfort, and taking acetaminophen can help manage minor pain after a cystogram.

Question 16

A patient with an allergy to iodine is scheduled to have the following diagnostic tests. Which requires immediate nursing intervention?

Accepted Answer

A renal angiogram involves the injection of iodine-based contrast dye, which can cause a severe allergic reaction in a patient with an iodine allergy. Immediate nursing intervention is necessary to prevent complications, including airway obstruction and shock. The other diagnostic tests do not involve the administration of iodine-based contrast dye, so there is no immediate risk for a severe allergic reaction.

Question 17

A nursing student asks all of the following questions when assessing a patient who is scheduled to have an MRI of the kidneys. Which of these questions would require the nurse to intervene?

Accepted Answer

The answer of A nursing student asks all of the...

Question 18

A patient who is scheduled to have a renal ultrasound tells a nurse, "I am afraid I will not be able to stand the pain of this test." Which of these outcomes would be most appropriate for the nurse to establish with this patient? The patient will

Accepted Answer

A renal ultrasound is a non-invasive, painless procedure. The most appropriate outcome is for the nurse to explain what a typical patient experiences during a renal ultrasound, which does not involve pain or the need for pain medication or sedation.

Question 19

Which of these laboratory results would be most important for a nurse to monitor for a patient who has lower abdominal pain and urinary urgency?

Accepted Answer

Urine culture showing 150,000 organisms/mL indicates a urinary tract infection (UTI), which could be the underlying cause of the patient's symptoms of lower abdominal pain and urinary urgency. This result would be the most important to monitor in order to initiate appropriate treatment for the UTI. The other lab results are not as specific to the patient's symptoms and may not be as clinically relevant in this scenario.

Question 20

In formulating the teaching plan for a patient who is taking metformin (Glucophage), the nurse should include which of these priority instructions? Notify your healthcare provider if

Accepted Answer

Metformin can cause an increased risk of lactic acidosis when used with certain imaging tests that use contrast dye, such as a CT scan or an angiogram. It is important to notify the healthcare provider if such a test is needed so that they can temporarily stop the medication before the test. Options B, C, and D are not priority instructions when taking metformin.

Quiz 26: Assessing the Renal System

A public health nurse is performing teaching for a patient who will be obtaining a sample of urine for a urinalysis at home. Which of these patient comments will cause the nurse to provide clarifying information?

When assessing a patient who is scheduled for a cystogram and at risk for complications directly related to the procedure, a nurse should alert the primary healthcare provider if the patient has which of these clinical manifestations? Select all that apply. Select all that apply.

A nurse is advising a nursing student who is preparing a teaching presentation for fellow students regarding urinalysis. Which of these teaching points, if made by the student, requires intervention by the nurse?

The nurse is reviewing the laboratory results for a patient who has a prescription for an estimated glomerular filtration rate (EGFR) . The nurse knows that which of the following factors may be utilized to determine the estimated glomerular filtration rate? Select all that apply.

A nurse is advising a nursing student who is preparing a teaching presentation for fellow students regarding urinalysis. Which of these teaching points, if made by the student, requires intervention by the nurse?

A patient who has prescriptions for both an intravenous pyelogram and a barium enema tells the nurse, "I will schedule the intravenous pyelogram to be done before the barium enema." Which of these responses by the nurse is most appropriate?

The nurse is providing preoperative teaching for a patient scheduled for a cystogram. The nurse knows follow-up is needed when the patient states, "After the procedure, I need to contact my primary healthcare provider if I experience

A 12-year-old patient who is scheduled to have a renal angiogram asks why the nurse has touched the patient's feet and marked an "X" on the top of both feet. Which of these responses would be most appropriate for the nurse to make?

Which of these outcomes would be most appropriate for a nurse to establish with a patient who has just voided and who is scheduled to have a portable ultrasonic bladder scan immediatly? The scan will indicate which of the following?

A nurse observes a colleague including all of these measures when providing care to a patient who recently had a percutaneous renal biopsy. Which would require the nurse to intervene? Select all that apply. Select all that apply.

Which of these explanations would be most appropriate for a nurse to give to a patient who is scheduled to have a portable ultrasonic bladder scan to measure residual urine? "

The nurse is reviewing teaching with a patient who has a prescription for an intravenous pyelogram. The nurse recognizes that further teaching is needed when the patient states, "I will

A nurse on the postoperative unit should assign which of these staff members to perform a follow-up assessment for a patient who has returned home after having an intravenous pyelogram 24 hours ago?

Which of these findings, if identified in an adult patient who is scheduled for an intravenous pyelogram, should a nurse report to the primary healthcare provider immediately?

A nurse is performing discharge teaching with a patient who had a cystogram. The nurse should instruct the patient to use which of the following techniques to promote comfort? Select all that apply. Select all that apply.

A patient with an allergy to iodine is scheduled to have the following diagnostic tests. Which requires immediate nursing intervention?

A nursing student asks all of the following questions when assessing a patient who is scheduled to have an MRI of the kidneys. Which of these questions would require the nurse to intervene?

A patient who is scheduled to have a renal ultrasound tells a nurse, "I am afraid I will not be able to stand the pain of this test." Which of these outcomes would be most appropriate for the nurse to establish with this patient? The patient will

Which of these laboratory results would be most important for a nurse to monitor for a patient who has lower abdominal pain and urinary urgency?

In formulating the teaching plan for a patient who is taking metformin (Glucophage) , the nurse should include which of these priority instructions? Notify your healthcare provider if