A potential risk factor for breast cancer includes
early menarche and late first pregnancy.
The urinalysis finding most indicative of cystitis includes the presence of
nitrites.
The most commonly ordered diagnostic test for evaluation of the urinary system is
ultrasonography.
The HPV vaccine is recommended for 11- to 12-year-old girls, but can be administered to girls as young as _____ years of age.
9
Sexual impotence is rarely because of
primary causes.
The prognosis of penile carcinoma depends upon the stage of the disease.
True
The most common cause of urinary obstruction in male newborns and infants is urethral valves.
True
The disorder characterized by a neurologic lesion that affects bladder control is
neurogenic bladder.
The best intervention for acute kidney injury (AKI) is prevention.
True
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.”
Hypotension is both a cause of chronic kidney disease and a result of chronic kidney disease.
False
Infection can lead to bladder stone formation.
True
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.
The most frequent initial symptom of bladder cancer is
hematuria.
A change occurring in a pregnant woman that is indicative of a potential disorder is
increased urinary protein.
Vesicoureteral reflux is associated with
recurrent cystitis.
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 expected treatment of a pregnant woman with hyperemesis gravidarum is
intravenous therapy.
Activation of parasympathetic nerves to the bladder will cause
bladder contraction.
What reproductive tract disorder is most likely to be associated with urinary stress incontinence?
Cystocele
Findings that should prompt an evaluation for renal cancer include
hematuria.
The individual at highest risk of pyelonephritis who requires monitoring for signs of its occurrence is the
man who has chronic urinary tract infections.
The urea-splitting bacteria contribute to the formation of ________ kidney stones.
struvite
It is true that polycystic kidney disease is
genetically transmitted.
If acute tubular necrosis (ATN) does not resolve and continued tubular dysfunction ensues, the patient will then experience
polyuria and sodium wasting.
Appropriate therapy for prerenal kidney injury includes
fluid administration.
Individuals with end-stage chronic renal disease are at risk for renal osteodystrophy and spontaneous bone fractures, because
they are deficient in active vitamin D.
Postrenal acute kidney injury may be caused by
bilateral kidney stones.
A major modifiable risk factor for nephrolithiasis is
dehydration.
Calcium oxylate stone formation is facilitated by
hypercalciuria.
When a patient experiencing nephrotic syndrome asks, “What causes my urine to be so full of protein,” the nurse’s response is based on the knowledge that
the glomerular membrane has increased permeability.
The pain that accompanies kidney disorders is called
nephralgia.
The patient most at risk for postrenal acute kidney injury is a(n)
elderly patient with hypertrophy of the prostate.
Appropriate management of end-stage renal disease includes
erythropoietin administration.
The most common type of renal stone is
calcium.
Osteoporosis commonly occurs in patients with end-stage renal disease because of
hyperparathyroidism.
Hyperlipidemia occurs in nephrotic syndrome because
hepatocytes synthesize excessive lipids.
What problem is a patient likely to experience in end-stage renal disease?
Uremia
In patients with polycystic kidney disease, renal failure is expected to progress over time as the cystic process destroys more nephrons. At what point will a patient reach end-stage renal disease?
Greater than 90% nephron loss
The most helpful laboratory value in monitoring the progression of declining renal function is
serum creatinine.
Cryptorchidism is
associated with an increased incidence of testicular cancer.
A progressive decrease in the force of the urinary stream, dribbling of urine, and difficulty initiating the urinary stream are characteristic of
prostatic enlargement.
Cervical cancer can be detected in the early, curable stage by the ________ test.
Papanicolaou
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.
A patient has ureteral colic. The manifestation that requires immediate notification of the physician is
chills and fever.
The greatest risk factor for bladder cancer is
smoking.
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.
In addition to renal colic pain, signs or symptoms of ureteral stones may frequently include
hematuria.
Phimosis is a disorder of the penis characterized by
inability to retract the foreskin.
A ureterocele is
a cystic dilation of a ureter.
Endometriosis is a condition in which
ectopic endometrial tissue is present.
The most common agent resulting in nephrotoxicity and subsequent acute tubular necrosis (ATN) in hospitalized patients is
contrast media.
The most common direct cause of acute pyelonephritis is
infection by E. coli.
One of the most common causes of acute tubular necrosis (ATN) is
ischemic conditions.
A person who is diagnosed with nephrotic syndrome is also experiencing hypoalbuminemia. This happens because
albumin is excreted in the urine.
Nephrotic syndrome does not usually cause
hematuria.
The type of glomerulonephritis which is most likely to result in a swift decline in renal function that then progresses to acute kidney injury is
crescentic glomerulonephritis.
The most common cause of ischemic acute tubular necrosis (ATN) in the United States is
sepsis.
The major underlying factor leading to the edema associated with glomerulonephritis and nephrotic syndrome is
proteinuria.
The condition characterized by oliguria and hematuria is
acute glomerulonephritis.
A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate, because
GFR declines.
The major cause of glomerulonephritis is
immune system damage to the glomeruli.
The most common sign/symptom of renal calculi is
pain.
The infection frequently associated with development of postinfectious acute glomerulonephritis is
throat infection.
In addition to E. coli, a risk factor for development of pyelonephritis isGroup of answer choices
urinary retention and reflux.
Treatment of a uterine prolapse may involve the insertion of a(n) ________ to hold the uterus in place.
pessary.
The defining characteristic of severe acute kidney injury is
oliguria.
Detrusor muscle overactivity can be improved by administration of
botulinum toxin.
Urinary retention with consistent or intermittent dribbling of urine is called
overflow incontinence.
Absence of menstruation is called
amenorrhea.
The microorganism that causes the vast majority of urinary tract infections is
Escherichia coli.
Anemia in people who have end-stage chronic renal disease is caused by
decreased secretion of erythropoietin.
A 32-year-old female complaining of severe pain with menstruation and inability to participate in her routine household activities is likely experiencing
dysmenorrhea.
The pathology report for a patient with penile cancer has this statement: The tumor involves the shaft of the penis. The cancer is at what stage?
Stage II
Pelvic floor muscle training is appropriate for
urge incontinence.
The condition in which the urethra opens on the dorsal aspect of the penis is known as
epispadias.
The most likely cause of acidosis in a patient with end-stage renal disease is
insufficient metabolic acid excretion resulting from nephron loss.
The effect on the renal tubules during the postoliguric phase of acute tubular necrosis involves
regeneration of the renal tubular epithelium.
A common component of renal calculi is
calcium.
Gastrointestinal drainage, perioperative and postoperative hypotension, and hemorrhage may all contribute to renal failure by causing
acute tubular necrosis.
The risk for contrast media–induced acute tubular necrosis (ATN) is highest in
a 70-year-old patient with heart failure.
The consequence of an upper urinary tract obstruction in a single ureter is
hydronephrosis
The main clinical manifestation of a kidney stone obstructing the ureter is
renal colic.
The pathophysiologic basis of acute glomerulonephritis is
an immune complex reaction
Uterine prolapse is caused by a relaxation of the
cardinal ligaments.
A patient being treated for acute tubular necrosis (ATN) develops mild polyuria. The nurse responds to questions about why this occurring by statingGroup of answer choices
“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 direct cause of stress incontinence is
pelvic muscle weakness.
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.
A patient injured severely in a motor vehicle accident is hospitalized with acute kidney injury as well as multiple broken bones and lacerations. When family members ask what is meant by the term ‘prerenal,’ the nurse responds
“Your husband’s kidney injury did not start in the kidney itself, but rather in the blood flow to the kidney.”
A breast lump that is painless, hard, and unmoving is most likely
carcinoma.
The most common types of uterine tumors are known asGroup of answer choices
leiomyomas.
Nephrotic syndrome involves loss of large amounts of ________ in the urine
protein
At his most recent clinic visit, a patient with end-stage renal disease is noted to have edema, congestive signs in the pulmonary system, and a pericardial friction rub. Appropriate therapy at this time would includeGroup of answer choices
initiation of dialysis.
The most common cause of intrinsic kidney injury is _____ injury.Group of answer choices
tubular
A primary laboratory finding in end-stage chronic renal disease isGroup of answer choices
increased serum creatinine.
A patient diagnosed with a micropenis must be evaluated for
endocrine disorders.
The condition associated with end-stage chronic renal disease that is the most immediately life threatening is
hyperkalemia.
Signs consistent with a diagnosis of glomerulonephritis include
proteinuria.