PNVN 1631 Module 8 Exam Genitourinary System Questions With Answers 2023 (MED SURG). A client who has chronic glomerunephritis has deteriorated to the early stages of renal failure. When receiving shift report from the nurse, what information correlates with renal failure? Weight loss Anemia...
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PNVN 1631 Module 8 Exam #3
Genitourinary System
• Due No due date
• Points 100
• Questions 100
• Available Mar 22 at 8:15am - Mar 22 at 10am about 2 hours
• Time Limit 110 Minutes
Instructions
Identify the choice that best completes the statement or answers the question. You have 110
minutes to complete the test. Please be mindful of your time to avoid running out of time, when
done click submit. Good luck!
Attempt History
Attempt Time Score
LATEST Attempt 1 83 minutes 85.67 out of 100
Correct answers will be available Mar 22 at 10am - Mar 22 at 10:30am.
Score for this quiz: 85.67 out of 100
Submitted Mar 22 at 9:41am
This attempt took 83 minutes.
,Question 1
pts
The patient, age 30, has a history of renal calculi and is admitted to the hospital with gross
hematuria and severe colicky left flank pain that radiates to his left testicle. An intravenous
pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter. Physician
orders include morphine 1mg q4h prn, strain all urine, and encourage fluids to 4,000 mL/day. In
planning care for this patient, the nurse gives the highest priority to which nursing diagnosis?
Anxiety related to unclear outcome of condition
Risk for injury related to disorientation
Ineffective health maintenance related to lack of knowledge about prevention of stones
Pain related to irritation of a stone
Nursing diagnoses include, but are not limited to, patient pain related to mobility of renal
calculus.
Question 2
pts
A nurse is caring for a client who has been diagnosed as having a kidney mass. The client asks
the nurse the reason for a renal biopsy, when other tests such as computerized tomography (CT)
and ultrasound are available. In formulating a response, the nurse incorporates the knowledge
that a renal biopsy:
Provides an outline of the renal vascular system
Determines if the mass is growing rapidly or slowly
Gives specific cytological information, malignancy determination about the lesion
Helps differentiate between a solid mass and a fluid-filled cyst
, Rationale: Renal biopsy is a definitive test that gives specific information about whether the lesion is
benign or malignant. An ultrasound discriminates between a fluid-filled cyst and a solid mass. Renal
arteriography outlines the renal vascular system.
Question 3
pts
A nurse is assisting a client with cystitis to select foods that are appropriate for an acid-ash diet.
The nurse encourages the client to eat which of the following foods?
Strawberries
Garden peas
Cheese
Ice cream
Rationale: Foods that are allowed on an acid-ash diet include meat, fish, shellfish, cheese, eggs, poultry,
grains, cranberries, prunes, plums, corn, lentils, and foods with high amounts of chlorine,
phosphorus, and sulfur. Foods that are not included are milk and milk products such as ice
cream, all vegetables except corn and lentils, all fruits except cranberries, plums, and prunes,
and foods containing high amounts of sodium, potassium, calcium, and magnesium.
Question 4
pts
Mr. Jelly is undergoing peritoneal dialysis (CAPD). The dialysate dwell time is completed, and
the clamp is opened to allow the dialysate to drain. The nurse notes that drainage has stopped and
only 500ml has drained; the amount of dialysate instilled was 1500 ml. Which of the following
interventions would be done first?
Clamp the catheter and instill more dialysate at the next exchange time
Check the catheter for kinks or obstruction
Call the physician
Instruct the patient to take deep breaths
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