week 6 Flashcards


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1

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

2

The condition in which the urethra opens on the dorsal aspect of the penis is known as

Epispodias

3

The expected treatment of a pregnant woman with hyperemesis gravidarum is

intravenous therapy

4

Sudden severe testicular pain is indicative of

Testicular torsion

5

Dysfunctional Uterine Bleeding (DUB) is caused by

Absent or diminished levels of progesterone

6

The most commonly ordered diagnostic test for evaluation of the urinary system is

Ultrasonography

7

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 incontinence

8

The HPV vaccine is recommended for 11-12 year old girls, but can be administered to girls as young as ___ years of age

9

9

The most common cause of urinary obstruction in male newborns is urethral valves

True

10

A patient is being treated for acute tubular necrosis (ATN) develops mild polyuria. The nurse responds to questions about why this is occurring by stating.

"His renal tubules are recovering, so he is making more urine, but he is nor able to concentrate urine well, because he is not fully recovered."

11

Pelvic floor muscle training is appropriate for

Urge incontinence

12

The microorganism that causes the vast majority of urinary tract infections is

Escherichia Coli

13

The patient reports persistent pelvic pain in urinary frequency and urgency. She says the pain improves when she empties her bladder. She does not have a fever and her repeated urinalysis 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 history and complaints. Her symptoms are characteristic of

Interstitial Cystitis

14

A patient, age 3 has vesicoureteral reflux "why does that make him have so many bladder infections?" asks his mother, the nurses best response is

"When he urinates, urine runs back toward his kidneys and then into the bladder again making it easy for bacteria to brow is they reach the bladder.

15

The defining characteristic of severe acute kidney injury is

Oliguria

16

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

17

A progressive decrease in the force of the urinary system, dribbling of urine and difficulty initiating the urinary system are characteristic of

Prostatic enlargement

18

Activation of parasympathetic nerves to the bladder will cause

Bladder contractions

19

The most likely cause of acidosis in a patient with end stage renal disease is

Insufficient metabolic acid excretion resulting from nephron loss

20

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 wheat is meant by the term pre renal the nurse responds

"Your husbands kidney injury did not start in the kidney itself but rather in the blood flow to the kidney"

21

Cervical cancer can be detected in the early curable stage by the ___ test

Papanicolau

22

Sexual impotence is rarely because of

Primary causes

23

Which intervention has been found to retard the advancement of chronic kidney disease?

ACE inhibitors

24

The most common agent resulting in nephrotoxicity and subsequent acute tubular necrosis (ATN) in hospitalized patients is

Contrast media

25

A patient who reported a very painful 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 makes it coffee colored

26

Which condition is caused by a genetic defect

Polycystic kidney disease

27

The urea splitting bacteria contribute to the formation of ___ kidney stones

Struvite

28

Nephrotic syndrome involves loss of large amounts of ___ in the urine

Protein

29

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 include

Initiation of dialysis

30

The main clinical manifestation of a kidney stone obstructing the ureter is

renal colic

31

The most common cause of intrinsic kidney injury is ___ injury

Tubular

32

A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate because

GFR declines

33

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

34

What problem is a patient likely to experience in end stage renal disease

Uremia

35

The patient most at risk for post renal acute kidney injury is

elderly patient with hypertrophy of the prostate

36

Scrotal pain in males and labial pain in females may accompany renal pain as a result of

Associated dermatomes

37

Osteoporosis commonly occurs in patient with ens stage renal disease because of

Hyperparathyroidism

38

Nephrotic syndrome does not usually cause

Hematuria

39

A primary laboratory finding in end stage renal disease is

Increased serum creatnine

40

The major underlying factor leading to the edema associated with glomerulonephritis and nephrotic syndrome is

Proteinuria

41

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

42

Glomerular disorders include

Nephrotic syndrome

43

A person with acute pyelonephritis would most typically experience

Fever

44

The normal post void residual urine in the bladder is

Less than 100 mL

45

A 32-year-old female complaining of severe pain with menstruation

Dysmenorrhea

46

Infection by ____ accounts for nearly half of all reported cases of vulvovaginitis

Candida albicans

47

Endometriosis is a condition in which

Ectopic, endometrial tissue is present

48

Treatment of uterine prolapse may involve the insertion of a ___to hold the uterus in place

Pessary

49

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 urinalysis 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 complains her symptoms are characteristics of.

Interstitial cystitis

50

What reproductive tract disorder is most likely to be associated with urinary stress incontinence?

Cystocele

51

Anemia and people who have end-stage chronic renal disease is caused by

Decreased secretion of erythropoietin

52

A patient diagnosed with a micropenis must be evaluated for

Endocrine disorders

53

The prognosis of penile carcinoma depends upon the stage of the disease

True

54

The most common types of uterine tumors are known as

Leiomyomas

55

A patient being treated for acute tubular, necrosis develops. Mild polyuria the nurse response to questions about why this is occurring by stating.

His renal tubes are recovering, so he is making more urine, but he is not able to concentrate the urine because he is not fully recovered

56

The greatest risk for bladder cancer is

Smoking

57

Detrusor muscle overactivity can be improved by administration of

Botulinum toxin

58

The most common cause of urinary obstruction in male newborns and infants is urethral valves

False

59

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 detrusor muscle

60

The direct cause of stress incontinence is

Pelvic muscle weakness

61

Infection can lead to bladder stone formation

True

62

Hypotension is both a cause of chronic kidney disease and a result of chronic kidney disease

False

63

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

Cresentic glomerulonephritis

64

The infection frequently associated with development of post infectious, acute glomerulonephritis is

Throat infection

65

The major underlying factor leading to the Adema associated with glomerulonephritis and nephrotic syndrome is

Proteinuria

66

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

67

Appropriate management of end-stage renal disease includes

Erythropoietin administration

68

One cause of an extrinsic renal system obstruction is

Pelvic tumor

69

The most common type of renal stone is

Calcium

70

Pathophysiologic basis of acute glomerulonephritis is

An immune complex reaction

71

A common component of renal calculi is

Calcium

72

Urinary retention with a consistent or intermittent dribbling of urine is called

Overflow incontinence

73

A patient with gouty arthritis develops, renal calculi. The composition of these calculi is most likely to be.

Uric acid crystals

74

In addition to E. coli, a risk factor for development of pyelonephritis is

Urinary retention and reflux

75

Nephrotic syndrome does not usually cause

Hematuria

76

One of the most frequent causes of chronic kidney disease is

Hypertension

77

Glomerular disorders include

Nephrotic syndrome

78

The consequence of an upper urinary tract obstruction in a single ureter is

Hydro nephrosis

79

The condition associated with end-stage, chronic renal disease that is most immediately life-threatening is

Hyperkalemia

80

The organism most commonly associated with acute pyelonephritis is

Escherichia Coli

81

Calcium oxylate stone formation is facilitated by

Hypercalciuria

82

Which intervention has been found to retard the advancement of chronic kidney disease

Ace inhibitors

83

The most common cause of ischemic, acute tubular necrosis in the US is

Sepsis

84

One of the most causes of acute tubular necrosis is

Ischemic conditions

85

Post renal, acute kidney injury may be caused by

Bilateral kidney stones

86

The most common direct cause of acute pyelonephritis is

Infection by E. coli

87

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 include

Initiation of dialysis

88

The majority of penile cancer cases are classified as basal cell carcinoma

False it’s squamous cell carcinoma

89

Phimosis is a disorder of the penis characterized by

Inability to retract the foreskin

90

Absence of menstruation is called

Amenorrhea

91

A breast lump that is painless, hard, and unmoving is

Carcinoma

92

A change occurring in a pregnant woman that is indicated of a potential disorder is

Increased urine protein

93

A patient has ureteral the manifestation that requires immediate notification of the physician is

Chills and fever

94

A ureterocele is

A cystic dilation of a ureter

95

A potential risk factor for cancer includes

Early menarche and late first pregnancy

96

Prerenal, acute kidney injury may be caused by

Severe hypotension

97

Gastrointestinal damage perioperative, and Posto Perative hypotension and hemorrhage me all contribute to renal failure by causing

Acute tubular necrosis

98

The most common sign or symptom of renal calculi is

Pain

99

The risk for contrast media induced acute tubular in a crisis is highest in

A 70 year old patient with heart failure

100

The affect on renal tubules during the post oliguric phase of acute tubular necrosis involves

Regeneration of the renal tubular epithelium

101

The oliguric phase of acute tubular necrosis is characterized by

Fluid excess and electrolyte imbalance

102

the individual at highest risk of pyelonephritis, who requires monitoring for signs of its occurrence is

A man who has chronic UTIs

103

It is true that polycystic kidney disease is

Genetically transmitted

104

Renal insufficiency occurs when ___of the nephron’s are not functional

75% to 90%

105

The condition characterized by oliguria, and hematuria is

Acute glomerulonephritis

106

What problem is a patient likely to experience in end stage renal disease

Uremia

107

Appropriate therapy for pre-renal kidney injury includes

Fluid administration

108

The most helpful laboratory value in monitoring the progression of declining renal function is

Serum, creatinine