It is true that polycystic kidney disease is
genetically transmitted.
What reproductive tract disorder is most likely to be associated with urinary stress incontinence?
Cystocele
The condition characterized by oliguria and hematuria is
acute glomerulonephritis
The patient reports persistent pelvic pain and urinary frequency and urgency. She says the pain improves when she empties her bladder. She does not have a fever and her repeated urinalyses over the past months have been normal, although she has a history of frequent bladder infections. She also has a history of fibromyalgia and hypothyroidism. Based on her history and complaints, her symptoms are characteristic of
interstitial cystitis.
The most common type of renal stone is
calcium
The normal post-void residual urine in the bladder is
less than 100 mL.
A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate, because
GFR declines.
The most common cause of ischemic acute tubular necrosis (ATN) in the United States is
sepsis
Detrusor muscle overactivity can be improved by administration of
botulinum toxin.
Anemia in people who have end-stage chronic renal disease is caused by
decreased secretion of erythropoietin.
If acute tubular necrosis (ATN) does not resolve and continued tubular dysfunction ensues, the patient will then experience
polyuria and sodium wasting.
What problem is a patient likely to experience in end-stage renal disease?
Uremia
Vesicoureteral reflux is associated with
recurrent cystitis.
A patient being treated for acute tubular necrosis (ATN) develops mild polyuria. The nurse responds to questions about why this occurring by stating
“His renal tubules are recovering, so he is making more urine, but he is not able to concentrate urine well, because he is not fully recovered.”
The most helpful laboratory value in monitoring the progression of declining renal function is
serum creatinine.
The majority of penile cancer cases are classified as basal cell carcinoma.
False
A 52-year-old female had a surgical procedure in which the breast, lymphatics, and underlying muscle were removed. The procedure performed was a
radical mastectomy
One of the most frequent causes of chronic kidney disease is
hypertension.
Infection by ________ accounts for nearly half of all reported cases of vulvovaginitis.
Candida albicans
The infection frequently associated with development of postinfectious acute glomerulonephritis is
throat infection.
The individual at highest risk of pyelonephritis who requires monitoring for signs of its occurrence is the
man who has chronic urinary tract infections.
Renal insufficiency occurs when _____ of the nephrons are not functional.
75% to 90%
The disorder characterized by a neurologic lesion that affects bladder control is
neurogenic bladder
Sudden, severe testicular pain is indicative of
testicular torsion
A primary laboratory finding in end-stage chronic renal disease is
increased serum creatinine.
Nephrotic syndrome does not usually cause
hematuria
Glomerular disorders include
nephrotic syndrome.
Which condition is caused by a genetic defect?
Polycystic kidney disease
The defining characteristic of severe acute kidney injury is
oliguria.
A patient, age 3, has vesicoureteral reflux. “Why does that make him have so many bladder infections?” asks his mother. The nurse’s best response is
“When he urinates, urine runs back toward his kidneys and then into the bladder again, making it easy for bacteria to grow if they reach the bladder.”
The oliguric phase of acute tubular necrosis is characterized by
fluid excess and electrolyte imbalance.
The urea-splitting bacteria contribute to the formation of ________ kidney stones.
struvite
The difference between stress incontinence and urge incontinence is that stress incontinence
is caused by a pelvic floor muscle problem, whereas urge incontinence is caused by a problem with the detrusor muscle
Gastrointestinal drainage, perioperative and postoperative hypotension, and hemorrhage may all contribute to renal failure by causing
acute tubular necrosis.
The main clinical manifestation of a kidney stone obstructing the ureter is
renal colic.
The most frequent initial symptom of bladder cancer is
hematuria.
The most common types of uterine tumors are known as
leiomyomas
Sexual impotence is rarely because of
primary causes
Hypotension is both a cause of chronic kidney disease and a result of chronic kidney disease.
False
Scrotal pain in males and labial pain in females may accompany renal pain as a result of
associated dermatomes
The patient most at risk for postrenal acute kidney injury is a(n)
elderly patient with hypertrophy of the prostate.
A person is unaware that his bladder is full of urine, but complains that he is leaking urine almost constantly. The most accurate term for this type of incontinence is
overflow.
The risk for contrast media-induced acute tubular necrosis (ATN) is highest in
a 70-year-old patient with heart failure.
It is true that fibrocystic breast disease
may be exacerbated by methylxanthines
Nephrotic syndrome involves loss of large amounts of ________ in the urine
protein
The direct cause of stress incontinence is
pelvic muscle weakness.
The most common cause of urinary obstruction in male newborns and infants is urethral valves.
True
Cryptorchidism is
associated with an increased incidence of testicular cancer.
Calcium oxylate stone formation is facilitated by
hypercalciuria.
Uterine prolapse is caused by a relaxation of the
cardinal ligaments
The condition associated with end-stage chronic renal disease that is the most immediately life threatening is
hyperkalemia.
The urinalysis finding most indicative of cystitis includes the presence of
nitrites.
A change occurring in a pregnant woman that is indicative of a potential disorder is
increased urinary protein.
Endometriosis is a condition in which
ectopic endometrial tissue is present
Excessive vomiting in pregnant women is known as
hyperemesis gravidarum.
The effect on the renal tubules during the postoliguric phase of acute tubular necrosis involves
regeneration of the renal tubular epithelium.
Postrenal acute kidney injury may be caused by
bilateral kidney stones.
A patient who reported a very painful sore throat 3 weeks ago is now diagnosed with acute post-streptococcal glomerulonephritis. When asked, "Why is my urine the color of coffee?", the nurse responds
"Your immune system was activated by your sore throat and has caused some damage in your kidneys that allows red blood cells to leak into the fluid that becomes urine and make it coffee-colored."
Dysfunctional uterine bleeding (DUB) is caused by
absent or diminished levels of progesterone
The pathophysiologic basis of acute glomerulonephritis is
an immune complex reaction
A major modifiable risk factor for nephrolithiasis is
dehydration
The greatest risk factor for bladder cancer is
smoking.
A patient diagnosed with a micropenis must be evaluated for
endocrine disorders.
Appropriate therapy for prerenal kidney injury includes
fluid administration
The most common agent resulting in nephrotoxicity and subsequent acute tubular necrosis (ATN) in hospitalized patients is
contrast media.
A ureterocele is
a cystic dilation of a ureter.
The major cause of glomerulonephritis is
immune system damage to the glomeruli.
Pelvic floor muscle training is appropriate for
urge incontinence.
Treatment of a uterine prolapse may involve the insertion of a(n) ________ to hold the uterus in place.
pessary.
A patient who has difficulty walking without assistance is incontinent of urine when help doesn’t get to her quickly enough. The term for this type of incontinence is
functional.
The direct cause of stress incontinence is
pelvic muscle weakness
The most common sign/symptom of renal calculi is
pain
Cervical cancer can be detected in the early, curable stage by the ________ test.
Papanicolaou
Signs consistent with a diagnosis of glomerulonephritis include
proteinuria.
Urinary retention with consistent or intermittent dribbling of urine is called
overflow incontinence
Osteoporosis commonly occurs in patients with end-stage renal disease because of
hyperparathyroidism
The most common cause of urinary obstruction in male newborns and infants is urethral valves.
true
A breast lump that is painless, hard, and unmoving is most likely
carcinoma
The condition in which the urethra opens on the dorsal aspect of the penis is known as
epispadias
The condition characterized by oliguria and hematuria is
acute glomerulonephritis
A common component of renal calculi is
calcium.