NR 507 ACTUAL FINAL EXAM

NR 507 ACTUAL FINAL EXAM

LATEST EDITION -

QUESTIONS AND VERIFIED

CORRECT ANSWERS [ALREADY

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The most common stone found in the patient with gout is: - ANSWER-uric acid

stone

Hematuria can be seen with kidney stones because: - ANSWER-The stone injures

the urinary structures as it passes through them.

Renal colic is caused by the passing of the stone through the ureter. - ANSWER- true

At least half of individuals with renal stones will have a reoccurrence within 10 years of the prior stone. - ANSWER-true

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Which of the following actions will relax the detrusor muscle of the bladder? - ANSWER-Activation of Beta-2 receptors by the sympathetic nervous system.

Diuretic therapy is used in Stage IV kidney failures to stimulate kidney function. - ANSWER-false (diuretics used for stages 1-111 and dialysis for 4 and 5)

The major acid/base disturbance in renal failure is: - ANSWER-metabolic acidosis

Dietary management of a patient with CKD includes: - ANSWER-low potassium,

low sodium, and low phosphate

The relay station in the brain that plays a major role in regulating micturition is: - ANSWER-Pontine micturition center.

The location of the internal sphincter is under the urogenital diaphragm. - ANSWER-false (located in the bladder)

When the bladder is empty, the detrusor muscle relaxes, and the internal and external sphincters constrict. - ANSWER-true Which of the following is true regarding a complicated urinary tract infection? - ANSWER-Can be caused by a structural urinary tract disorder

Which of the following is a risk factor for the development of a urinary tract infection (UTI)? - ANSWER-Pregnancy

A symptom of a lower urinary tract infection includes: - ANSWER-urgency

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Women are at a higher risk for the development of a UTI because of having a shorter urethra. - ANSWER-true

Which of the following can help to prevent a UTI? - ANSWER-Increase water consumption

A 25 year- old female presents to the primary care office with urinary burning and frequency for the last 3 days. She denies any fever, chills, back pain. Her gynecological history is negative and reports no vaginal discharge. The only new information reported is that she recently had sexual intercourse with a new male partner.The NP obtains a urinalysis and determines that the urine contains leukocytes, RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation

and UA results, the patient can be diagnosed with: - ANSWER-cystitis

J.S. is an 80 -year-old patient who resides in a local nursing home. He recently became confused and then fell while ambulating to the bathroom three days ago.Because of his confusion and fall, he was transferred to the acute care facility for evaluation and treatment. Lab work revealed that the patient was very dehydrated with hypernatremia identified and appropriate intravenous fluids started. Cystitis was also identified from the urinalysis. He was also noted to have red and excoriated skin between the buttocks and inner thighs due to urinary frequency and dribbling. To help with skin healing and to prevent further urine leakage, an indwelling catheter was inserted. Two days after the catheter was placed, the patient spiked a fever of 102 degrees Fahrenheit associated with shaking chills. An intense, foul odor was noted in the urine. On examination of the flank area, the patient yelled out when touched. A urine c - ANSWER-pyelonephritis

Identify the major risk factor J.S. has that is associated with pyelonephritis: - ANSWER-indwelling foley catheter

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