Question 1

The nurse examines a newborn male and notes the urethral opening on the dorsal surface of the penis. Which condition does the nurse suspect?

Accepted Answer

Epispadias is a condition where the urethral opening is located on the dorsal (upper) surface of the penis.

Question 2

A client is diagnosed with primary glomerulonephritis. Which conditions does the nurse recognize that are classified as primary glomerulonephritis? Select all that apply.

Accepted Answer

A, B, C

Question 3

The nurse cares for a client with a glomerular disorder. Which typical assessment findings does the nurse anticipate in the client? Select all that apply.

Accepted Answer

A, C, E

Question 4

The nurse cares for a client with diabetes recently diagnosed with diabetic nephropathy. Which findings does the nurse recognize are the result of the client's diagnosis of diabetic nephropathy? Select all that apply.

Accepted Answer

The answer of The nurse cares for a client with...

Question 5

The nurse examines the urinalysis results of a client suspected of having nephritis. Which finding will the nurse expect if the client has a glomerular injury?

Accepted Answer

Albuminuria is a sign of glomerular injury because the glomerulus is responsible for filtering albumin from the blood.

Question 6

An older adult client with type 2 diabetes and hypertension asks the nurse, "What should my blood pressure goal be?" How should the nurse respond?

Accepted Answer

The answer of An older adult client with type 2...

Question 7

A client with diabetes and hypertension is placed on lisinopril for treatment of hypertension. Which laboratory results does the nurse recognize may result from the client's medications? Select all that apply.

Accepted Answer

Lisinopril is an ACE inhibitor, which can cause hyperkalemia (increased potassium levels) and increased creatinine levels.

Question 8

The nurse is caring for a client with end-stage renal disease (ESRD) on hemodialysis. Which factor does the nurse recognize is the leading cause of this disease?

Accepted Answer

Diabetes is the leading cause of end-stage renal disease (ESRD) as it can lead to diabetic nephropathy, which damages the kidneys over time.

Question 9

The nurse cares for four clients with cystitis. Which client represents a complicated cystitis case?

Accepted Answer

Pregnancy is a condition that can complicate cystitis due to the increased risk of kidney infection and potential impact on the pregnancy, making it a complicated case.

Question 10

A nurse manager plans training for staff nurses on early recognition of urinary tract infections (UTIs) in older adults. What will the nurse say is a frequent manifesting symptom of UTI in the older adult?

Accepted Answer

Confusion is a common symptom of UTIs in older adults due to changes in mental status, which can occur even in the absence of typical symptoms like fever or dysuria.

Question 11

The nurse cares for a client with chronic pyelonephritis. What is the nurse's understanding of the most frequent cause of this condition?

Accepted Answer

Chronic pyelonephritis is most frequently caused by vesicoureteral reflux, which is the backward flow of urine from the bladder into the ureters and kidneys, leading to recurrent kidney infections and scarring.

Question 12

A client is admitted to a medical unit with the primary diagnosis of acute pyelonephritis. Which assessment findings does the nurse anticipate? Select all that apply.

Accepted Answer

Fever, chills, and costovertebral angle pain are common assessment findings in acute pyelonephritis, which is an infection of the kidney and renal pelvis.

Question 13

A client is suspected of having renal cell carcinoma (RCC). Which manifestation will the nurse likely assess? Select all that apply.

Accepted Answer

Renal cell carcinoma commonly presents with hematuria, an abdominal mass, and weight loss. Dysuria and urinary frequency are not typical manifestations of RCC.

Question 14

A client is diagnosed with renal papillary adenoma. Which characteristic of this condition does the nurse recognize is true?

Accepted Answer

The answer of A client is diagnosed with renal papillary...

Question 15

The community health nurse is providing education to a group of adults on prevention of bladder cancer. Which modifiable risk factor will the nurse identify as the most important in the prevention of bladder cancer?

Accepted Answer

Smoking is the most significant modifiable risk factor for bladder cancer, as it greatly increases the risk of developing the disease.

Question 16

The nurse cares for a client with a renal neoplasm. What location of the body does the nurse recognize is the most likely origin of this disease?

Accepted Answer

Renal neoplasms most commonly originate in the renal cortex, where renal cell carcinoma, the most common type of kidney cancer, typically develops.

Question 17

The nurse is caring for an older adult who reports recent urinary incontinence. What is the nurse's understanding about urinary incontinence in the older adult?

Accepted Answer

Urinary incontinence is not a normal outcome of aging; it may be due to underlying health issues that need to be addressed.

Question 18

The nurse cares for a client with tuberous sclerosis. In addition to renal impairment, which findings does the nurse expect in this client? Select all that apply.

Accepted Answer

The answer of The nurse cares for a client with...

Question 19

The nurse works on a pediatric renal unit and cares for several clients with renal disorders. Which glomerular disorder does the nurse recognize as the most common primary glomerular disorder in children?

Accepted Answer

Idiopathic nephrotic syndrome, also known as minimal change disease, is the most common primary glomerular disorder in children.

Question 20

The nurse cares for a client with postinfectious glomerulonephritis (PIGN). Which infection does the nurse recognize as most commonly causing this condition?

Accepted Answer

Postinfectious glomerulonephritis is most commonly caused by an infection with Group A beta-hemolytic streptococcus, often following a streptococcal throat or skin infection.

Quiz 45: Disorders of Kidney and Urinary Tract Function

The nurse examines a newborn male and notes the urethral opening on the dorsal surface of the penis. Which condition does the nurse suspect?

A client is diagnosed with primary glomerulonephritis. Which conditions does the nurse recognize that are classified as primary glomerulonephritis? Select all that apply.

The nurse cares for a client with a glomerular disorder. Which typical assessment findings does the nurse anticipate in the client? Select all that apply.

The nurse cares for a client with diabetes recently diagnosed with diabetic nephropathy. Which findings does the nurse recognize are the result of the client's diagnosis of diabetic nephropathy? Select all that apply.

The nurse examines the urinalysis results of a client suspected of having nephritis. Which finding will the nurse expect if the client has a glomerular injury?

An older adult client with type 2 diabetes and hypertension asks the nurse, "What should my blood pressure goal be?" How should the nurse respond?

A client with diabetes and hypertension is placed on lisinopril for treatment of hypertension. Which laboratory results does the nurse recognize may result from the client's medications? Select all that apply.

The nurse is caring for a client with end-stage renal disease (ESRD) on hemodialysis. Which factor does the nurse recognize is the leading cause of this disease?

The nurse cares for four clients with cystitis. Which client represents a complicated cystitis case?

A nurse manager plans training for staff nurses on early recognition of urinary tract infections (UTIs) in older adults. What will the nurse say is a frequent manifesting symptom of UTI in the older adult?

The nurse cares for a client with chronic pyelonephritis. What is the nurse's understanding of the most frequent cause of this condition?

A client is admitted to a medical unit with the primary diagnosis of acute pyelonephritis. Which assessment findings does the nurse anticipate? Select all that apply.

A client is suspected of having renal cell carcinoma (RCC) . Which manifestation will the nurse likely assess? Select all that apply.

A client is diagnosed with renal papillary adenoma. Which characteristic of this condition does the nurse recognize is true?

The community health nurse is providing education to a group of adults on prevention of bladder cancer. Which modifiable risk factor will the nurse identify as the most important in the prevention of bladder cancer?

The nurse cares for a client with a renal neoplasm. What location of the body does the nurse recognize is the most likely origin of this disease?

The nurse is caring for an older adult who reports recent urinary incontinence. What is the nurse's understanding about urinary incontinence in the older adult?

The nurse cares for a client with tuberous sclerosis. In addition to renal impairment, which findings does the nurse expect in this client? Select all that apply.

The nurse works on a pediatric renal unit and cares for several clients with renal disorders. Which glomerular disorder does the nurse recognize as the most common primary glomerular disorder in children?

The nurse cares for a client with postinfectious glomerulonephritis (PIGN) . Which infection does the nurse recognize as most commonly causing this condition?