Which signs and symptoms would you expect to see in a patient diagnosed with acute nephritic syndrome?
Hematuria and azotemia
Which laboratory findings should you expect to see in a patient diagnosed with nephritic syndrome?
Elevated urine protein and hypoalbuminemia
Which of the following is a nonsurgical method of treatment for renal calculi (kidney stones)?
Extracorporeal shock wave lithotripsy (ESWL)
Which of the following client clinical manifestations most clearly suggests a need for diagnostic testing to rule out renal cell carcinoma?
Hematuria
Most common uncomplicated urinary tract infections are caused by ____ that enter through the urethra.
Escherichia coli
Which of the following patients is likely at the greatest risk of developing a urinary tract infection?
A 79-year-old patient with an indwelling catheter
The nurse is planning care for a patient with a urinary tract obstruction. The nurse includes assessment for which of the following possible complications?
Increased blood pressure
Which one of the following would the nurse see as being liable to cause the most serious long-term problems?
Polycystic kidney disease
Which of the following is the most common cancer of the kidney?
Renal cell carcinoma
Acute pyelonephritis is a result of which of the following?
Bacterial infection
The nurse suspects that a newborn infant who presents with bilateral flank masses, impaired lung development, and oliguria may be suffering from which of the following disorders?
Autosomal recessive polycystic kidney disease (ARPD)
Unilateral obstruction of the urinary tract may result in renin secretion, thereby leading to which of the following?
Increased blood pressure
A nurse observes that a patient's urine is cola colored and considers which of the following as a possible reason?
The patient's urine contains material from the degradation of red blood cells
A nurse is caring for a patient with systemic lupus erythematosis (SLE). The patient asks why a urinalysis is necessary. The best answer is that a urinalysis would determine whether which of the following factors was present in the urine?
Blood or protein
An adult female patient has been diagnosed with cystitis. The patient informs the nurse that this is has been occurring with some frequency and she recognized the symptoms. Which of the following symptoms reported by the patient does the nurse recognize a
Burning and pain with urination
Frequency of urination
Lower abdominal and back discomfort
A nurse is giving discharge instructions for a patient who was diagnosed with acute pyelonephritis 3 days previously. Which of the following is important for the nurse to discuss when instructing the patient?
It is important that the patient take the prescribed antibiotic for the duration of the prescription
Prior to undergoing diagnostic testing with contrast, it is recommended that older adult clients have their creatinine level checked. The rationale for this is to ensure the client:
Will not undergo an acute kidney injury by decreasing renal blood flow
A young woman presents with signs and symptoms of urinary tract infection (UTI). The nurse notes that this is the fifth UTI in as many months. What would this information lead the nurse to believe?
There is possible obstruction in the urinary tract
What is the most common cause of a lower urinary tract infection?
Escherichia coli
A child has been brought to an urgent care clinic. The parents state that the child is "not making water." When taking a history, the nurse learns the child had a sore throat about 1 week ago but seems to have gotten over it. "We [parents] only had to giv
acute postinfectious glomerulonephritis
The nurse is assessing a patient with diabetic nephropathy whose blood pressure is 124/80. The patient smokes two packs of cigarettes a day and consumes a diet high in saturated fats and sodium. The nurse's plan of care should focus on which of the follow
Smoking cessation program
The nurse is evaluating her patient's risk for an urinary tract infection. Which of the following patients has the highest risk?
Patient with obstructed urinary outflow from the kidney
The nurse should assess which of the following when assessing for the initial presence of edema in a patient with nephrotic syndrome?
Lower extremities
Hospitalized patients are at the greatest risk of developing septicemia related to which procedure?
Catheter-associated bacteriuria
One of the complications of asymptomatic urinary tract infection (UTI) during pregnancy is the risk of preterm birth.
True
The initiating event in the development of nephrotic syndrome is a derangement in the glomerular membrane that causes increased permeability to:
plasma proteins
The nurse reviews the lab results for a patient who has advanced autosomal dominant polycystic kidney disease (ADPKD). The patient 's hemoglobin is 8.8 g/dL. The nurse suspects this lab value is related to which of the following causes?
Reduced production of erythropoietin
A patient is to receive a radiocontrast media as part of a diagnostic scan. Which of the following is intended to reduce the nephrotoxic effects of the radiocontrast media?
Increasing the normal saline intravenous infusion rate to 125 mL/hour
Acute postinfectious glomerulonephritis, as its name implies, follows an acute infection somewhere else in the body. What is the most common cause of acute postinfectious glomerulonephritis?
Group A ?-hemolytic streptococci
The family members of a client who has been diagnosed with autosomal dominant polycystic kidney disease (ADPKD) asks the nurse what they should do to find out if they have this disease. The nurse will respond that they should visit with their healthcare p
Ultrasound of the kidney
The nurse recognizes the most common cause of acute postinfectious glomerulonephritis as:
A streptococcal infection 7 to 12 days prior to onset
Which of the following substances would not be found in glomerular filtrate?
Protein
A patient diagnosed with Goodpasture's syndrome would require which of the therapies to remove proteins and autoantibodies from the system?
Plasmapheresis
A nurse is caring for a patient with diabetic glomerulosclerosis. The analysis is reviewed for the presence of which of the following manifestations?
Albumin
A nurse is caring for a patient who has a recent history of passing calcium urinary stones. Which of the following is a priority nursing consideration for this patient?
Hydration
The nurse is caring for a patient with cystitis. Which of the following is most characteristic of the urine associated with cystitis?
Foul smell
A patient who has had an intestinal bypass has developed a kidney stone. Which of the following types of kidney stone does the nurse recognize that this patient will most likely be treated for?
Calcium
Which of the following statements about the use of angiotensin-converting enzyme inhibitor medications and autosomal recessive polycystic kidney disease (ARPKD) is accurate?
ACE inhibitors may interrupt the renin-angiotensin-aldosterone system to reduce renal vasoconstriction
A client has been given the diagnosis of diffuse glomerulonephritis. They ask the nurse what diffuse means. The nurse responds:
All glomeruli and all parts of the glomeruli are involved
A nurse advises a client with recurring UTIs to drink large amounts of water. What normal protective action is the nurse telling the client to utilize?
Increase washout of urine