1. A patient admitted with severe dehydration has a urine output of 380 milliliters over the next 24 hours and elevated blood vessels urea nitrogen (BUN) and creatinine levels. A finding that the doctor would expect once reviewing the patient's urinalysis is 
a. proteinuria.

b. bacteriuria. 

c. high certain gravity. 

d. tube casts.

10. A patient with renal insufficiency is timetabled for an intravenous pyelogram (IVP). Which in turn of the pursuing orders for the patient does the nurse issue? 
 a. Ibuprofen (Advil) 400 mg PO PRN for pain

b. Dulcolax suppository four hours before IVP procedure

c. Normal saline 500 milliliters IV ahead of procedure

deb. NPO for 6 several hours before IVP procedure

14. A diabetic patient is admitted to get evaluation of renal function because of latest fatigue, weak spot, and enhanced BUN and serum creatinine levels. Although obtaining a nursing history, the nurse pinpoints an early symptom of renal insufficiency when the individual states, 
 a. " I get up several times every evening to urinate. " 

b. " I arise in the nighttime feeling in short supply of breath. " 

c. " My personal memory is not as good as it utilized to be. " 

d. " My personal mouth and throat are always dry and sore. "

When determining the patient who has a lower urinary tract contamination (UTI), the nurse can initially enquire about 
a. flank pain.

b. discomfort with peeing. 

c. poor urine output.

d. nausea.

Flank pain and nausea are associated with a great upper UTI.

The doctor determines that instruction relating to prevention of future UTIs for a affected person with cystitis has been successful when the patient states, 
a. " I will empty my bladder just about every 3 to 4 several hours during the day. " 
b. " I can use vaginal canisters to reduce bacteria. " 

c. " I will wash with soap and water before intercourse. " 
 d. " I will drink a two pints of normal water or additional fluids daily. "

To relieve the the signs of a lower UTI for which the individual is acquiring prescribed antibiotics, the health professional suggests that the individual use the OVER-THE-COUNTER urinary analgesic phenazopyridine (Pyridium) but warnings the patient that the preparation 
a. contains methylene blue, which turns the urine blue or green. 
 n. should be considered on an clear stomach to get maximum effect. 
 c. causes the urine to turn reddish fruit and can discolor underclothing. 
 d. frequently causes allergy symptoms and should be stopped if the rash occurs.

A 34-year-old patient with diabetes mellitus is in the hospital with fever, anorexia, and confusion. The health care service provider suspects serious pyelonephritis if the urinalysis reveals bacteriuria. A proper collaborative problem identified by the nurse for the patient is definitely potential complication
 a. hydronephrosis. 

m. urosepsis. 

c. acute renal failure. 

m. chronic pyelonephritis.

6. A 72-year-old individual with harmless prostatic hyperplasia and a brief history of regular UTIs is usually admitted to the hospital with chills, fever, and nausea and throwing up. To determine perhaps the patient has an upper UTI, the nurse will assess for
 a. suprapubic discomfort. 

n. foul-smelling urine. 

c. bladder distension. 

m. costovertebral angle (CVA) pain.

Rationale: CVA tenderness is characteristic of pyelonephritis. The other symptoms are attribute of decrease UTI and are also likely to be present if the affected person also has an upper UTI.

8. When ever admitting someone with severe glomerulonephritis, the nurse will ask the person about
 a. history of heart disease. 

n. frequency of UTIs. 

c. recent sore throat and fever. 

d. genealogy of kidney disease.

Reason: Acute glomerulonephritis frequently occurs after a streptococcal infection just like strep can range f.

The nurse creates a medical diagnosis of extra fluid amount related to swelling at the glomerular basement membrane layer in a individual with severe glomerulonephritis. To best evaluate whether the difficulty identified in the nursing analysis has settled, the registered nurse will keep an eye on for
 a. proteinuria. 

b. elevated creatinine. 

c. periorbital edema. 

d. hematuria.

Reason: Resolution...


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