Nokea
The nurse is aware that as a person ages there is a loss of which mechanism of the kidney due to a decrease in blood supply to the kidneys and loss of nephrons?
- A. filtering
- B. reabsorption
- C. sterile water
- D. concentrating
Correct Answer: A
Rationale: The filtering mechanism is most affected with aging.
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___ is a term for severe generalized edema.
- A. Anasarca
Correct Answer: Anasarca
Rationale: The patient with nephrotic syndrome has severe generalized edema (anasarca), anorexia, fatigue, and impaired renal function.
It is 2 days after a 42-year-old male patient's urinary diversion surgery. He continues to be critical of the hospital and the nursing care, even though the staff has spent time explaining the care to him. Which explanation is most likely for his behavior?
- A. He is angry about hospital policy.
- B. He is feeling neglected by the nursing staff.
- C. He is in denial of the effects of the surgery.
- D. He is reacting to the loss of self-esteem and altered body image.
Correct Answer: D
Rationale: Persons with altered body image may react to the loss of self-esteem by behaving in a critical or derogatory manner.
The patient is on postoperative day 1 after having undergone a Transurethral resection of the prostate (TURP) procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation in which manner?
- A. measuring and recording all fluid output in the drainage bag.
- B. measuring the total output and deducting the total of the irrigating and intravenous solutions.
- C. adding the total of the intravenous and irrigating solutions and then deducting the amount of output.
- D. measuring total output and deducting the amount of irrigating solution used.
Correct Answer: D
Rationale: To determine urine output, the nurse will subtract the amount of irrigation fluid used with the Foley catheter output to calculate urine output.
Which step is the second step of blood flow in order of flow through the nephron?
- A. Reabsorption in loop of Henle
- B. Efferent arteriole
- C. Filtration in the glomerulus
- D. Reabsorption in proximal convoluted tubule
- E. Afferent arteriole
- F. Secretion in the distal convoluted tubule
Correct Answer: C
Rationale: The blood enters the nephron via the afferent arteriole, is filtered through the glomerulus, reabsorption occurs in the proximal convoluted tubule, then the loop of Henle, then the distal convoluted tubule, and then out the efferent arteriole.
The patient, age 43, has cancer of the urinary bladder. The patient has received a cystectomy with an ileal conduit. Which characteristics would be considered normal for the patient's urine?
- A. Hematuria
- B. Clear amber with mucus
- C. Dark bile-colored
- D. Dark amber
Correct Answer: B
Rationale: There will be mucus present in the urine from the intestinal secretions.