NUR 2063 Chapter 7 - 10

NUR 2063 Chapter 7 - 10

• Which of the following does NOT occur in Addison's disease?
• Increased skin pigmentation
• Exophthalmos
• High levels of ACTH in blood
• Low levels of cortisol in blood

B

• Acute glomerulonephritis and pyelonephritis may advance to

• Prerenal failure.
• Postrenal failure.
• Intrarenal failure.
• Acute tubular necrosis.

C

• The nurse would expect to see which common pathogen on the urine culture and

sensitivity (C & S) of a patient with a urinary tract infection?

• Staphylococcus.
• Streptococcus.
• Klebsiella.
• E. Coli.

D

• Anemia frequently found in persons with chronic renal failure can best be explained

in terms of 1 / 4

• Failure of the kidneys to activate or produce erythropoietin.
• Excess loss of vitamin B12 by the kidneys.
• Loss of hemoglobin in the urine.
• Insufficient retention of iron.

A

• Which one of the following age groups is most susceptible to renal damage caused by

medications?

• Small children.
• Young adults.
• Middle-aged adults.
• Older adults.

D

• End-stage renal disease is characterized by which of the following alterations?
• Increased glomerulus filtration rate.
• Increased serum blood urea nitrogen.
• Decreased serum creatinine.
• Decreased serum potassium.

B

• Glomerulonephritis is most accurately described as representing

• An injurious insult to the glomerular structures of the kidney.
• An infection involving the glomerular structures of the kidney.
• Cellular mutations involving the glomerular structures of the kidney. 2 / 4

• An inflammatory process involving the glomerular structures of the kidney.-

D

• A person with acute pyelonephritis would most typically have

• Fever.
• Edema.
• Oliguria.
• Hypertension.

A

• Stress incontinence is characterized by

• Involuntary loss of urine because of abnormal activity of the micturition centers in

the sacral cord.

• Involuntary loss of urine when intravesical pressure occurs in the absence of

detrusor activity.

• Involuntary loss of urine associated with activities such as coughing or squatting.

• Awareness of the need to urinate but failure to respond appropriately.

C

• A patient presents to the emergency department with generalized edema and dyspnea.

A history reveals multiple infections over the last six months. Diagnostic test reveals proteinuria, hyperlipidemia, hypoalbuminemia. The health care provider should realize that these findings are consistent with which of the following prob- lems?

• Nephritic syndrome. 3 / 4

• Nephrotic syndrome.
• Nephrolithiasis.

• Pyelonephritis.

B

• Etiologic factors in the development of urolithiasis include

• Urinary stasis.
• Osmotic diuresis.
• Low antidiuretic hormone levels.

• High levels of sodium in the urine.

A

• In the second stage of chronic renal failure, what percent of renal tissue is destroyed?
• 25 percent.
• 60 percent.
• 75 percent.

• 90 percent.

C

• A characteristic sign of polycystic kidney disease is

• Polyuria.
• Proteinuria.
• Hypertension.
• / 4