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
The condition in which the urethra opens on the dorsal aspect of the penis is known as
Epispodias
The expected treatment of a pregnant woman with hyperemesis gravidarum is
intravenous therapy
Sudden severe testicular pain is indicative of
Testicular torsion
Dysfunctional Uterine Bleeding (DUB) is caused by
Absent or diminished levels of progesterone
The most commonly ordered diagnostic test for evaluation of the urinary system is
Ultrasonography
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
The HPV vaccine is recommended for 11-12 year old girls, but can be administered to girls as young as ___ years of age
9
The most common cause of urinary obstruction in male newborns is urethral valves
True
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."
Pelvic floor muscle training is appropriate for
Urge incontinence
The microorganism that causes the vast majority of urinary tract infections is
Escherichia Coli
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
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.
The defining characteristic of severe acute kidney injury is
Oliguria
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 progressive decrease in the force of the urinary system, dribbling of urine and difficulty initiating the urinary system are characteristic of
Prostatic enlargement
Activation of parasympathetic nerves to the bladder will cause
Bladder contractions
The most likely cause of acidosis in a patient with end stage renal disease is
Insufficient metabolic acid excretion resulting from nephron loss
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"
Cervical cancer can be detected in the early curable stage by the ___ test
Papanicolau
Sexual impotence is rarely because of
Primary causes
Which intervention has been found to retard the advancement of chronic kidney disease?
ACE inhibitors
The most common agent resulting in nephrotoxicity and subsequent acute tubular necrosis (ATN) in hospitalized patients is
Contrast media
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
Which condition is caused by a genetic defect
Polycystic kidney disease
The urea splitting bacteria contribute to the formation of ___ kidney stones
Struvite
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 include
Initiation of dialysis
The main clinical manifestation of a kidney stone obstructing the ureter is
renal colic
The most common cause of intrinsic kidney injury is ___ injury
Tubular
A patient with renal disease is at risk for developing uremia as the nephrons progressively deteriorate because
GFR declines
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
What problem is a patient likely to experience in end stage renal disease
Uremia
The patient most at risk for post renal acute kidney injury is
elderly patient with hypertrophy of the prostate
Scrotal pain in males and labial pain in females may accompany renal pain as a result of
Associated dermatomes
Osteoporosis commonly occurs in patient with ens stage renal disease because of
Hyperparathyroidism
Nephrotic syndrome does not usually cause
Hematuria
A primary laboratory finding in end stage renal disease is
Increased serum creatnine
The major underlying factor leading to the edema associated with glomerulonephritis and nephrotic syndrome is
Proteinuria
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
Glomerular disorders include
Nephrotic syndrome
A person with acute pyelonephritis would most typically experience
Fever
The normal post void residual urine in the bladder is
Less than 100 mL
A 32-year-old female complaining of severe pain with menstruation
Dysmenorrhea
Infection by ____ accounts for nearly half of all reported cases of vulvovaginitis
Candida albicans
Endometriosis is a condition in which
Ectopic, endometrial tissue is present
Treatment of uterine prolapse may involve the insertion of a ___to hold the uterus in place
Pessary
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
What reproductive tract disorder is most likely to be associated with urinary stress incontinence?
Cystocele
Anemia and people who have end-stage chronic renal disease is caused by
Decreased secretion of erythropoietin
A patient diagnosed with a micropenis must be evaluated for
Endocrine disorders
The prognosis of penile carcinoma depends upon the stage of the disease
True
The most common types of uterine tumors are known as
Leiomyomas
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
The greatest risk for bladder cancer is
Smoking
Detrusor muscle overactivity can be improved by administration of
Botulinum toxin
The most common cause of urinary obstruction in male newborns and infants is urethral valves
False
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
The direct cause of stress incontinence is
Pelvic muscle weakness
Infection can lead to bladder stone formation
True
Hypotension is both a cause of chronic kidney disease and a result of chronic kidney disease
False
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
The infection frequently associated with development of post infectious, acute glomerulonephritis is
Throat infection
The major underlying factor leading to the Adema associated with glomerulonephritis and nephrotic syndrome is
Proteinuria
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
Appropriate management of end-stage renal disease includes
Erythropoietin administration
One cause of an extrinsic renal system obstruction is
Pelvic tumor
The most common type of renal stone is
Calcium
Pathophysiologic basis of acute glomerulonephritis is
An immune complex reaction
A common component of renal calculi is
Calcium
Urinary retention with a consistent or intermittent dribbling of urine is called
Overflow incontinence
A patient with gouty arthritis develops, renal calculi. The composition of these calculi is most likely to be.
Uric acid crystals
In addition to E. coli, a risk factor for development of pyelonephritis is
Urinary retention and reflux
Nephrotic syndrome does not usually cause
Hematuria
One of the most frequent causes of chronic kidney disease is
Hypertension
Glomerular disorders include
Nephrotic syndrome
The consequence of an upper urinary tract obstruction in a single ureter is
Hydro nephrosis
The condition associated with end-stage, chronic renal disease that is most immediately life-threatening is
Hyperkalemia
The organism most commonly associated with acute pyelonephritis is
Escherichia Coli
Calcium oxylate stone formation is facilitated by
Hypercalciuria
Which intervention has been found to retard the advancement of chronic kidney disease
Ace inhibitors
The most common cause of ischemic, acute tubular necrosis in the US is
Sepsis
One of the most causes of acute tubular necrosis is
Ischemic conditions
Post renal, acute kidney injury may be caused by
Bilateral kidney stones
The most common direct cause of acute pyelonephritis is
Infection by E. coli
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
The majority of penile cancer cases are classified as basal cell carcinoma
False it’s squamous cell carcinoma
Phimosis is a disorder of the penis characterized by
Inability to retract the foreskin
Absence of menstruation is called
Amenorrhea
A breast lump that is painless, hard, and unmoving is
Carcinoma
A change occurring in a pregnant woman that is indicated of a potential disorder is
Increased urine protein
A patient has ureteral the manifestation that requires immediate notification of the physician is
Chills and fever
A ureterocele is
A cystic dilation of a ureter
A potential risk factor for cancer includes
Early menarche and late first pregnancy
Prerenal, acute kidney injury may be caused by
Severe hypotension
Gastrointestinal damage perioperative, and Posto Perative hypotension and hemorrhage me all contribute to renal failure by causing
Acute tubular necrosis
The most common sign or symptom of renal calculi is
Pain
The risk for contrast media induced acute tubular in a crisis is highest in
A 70 year old patient with heart failure
The affect on renal tubules during the post oliguric phase of acute tubular necrosis involves
Regeneration of the renal tubular epithelium
The oliguric phase of acute tubular necrosis is characterized by
Fluid excess and electrolyte imbalance
the individual at highest risk of pyelonephritis, who requires monitoring for signs of its occurrence is
A man who has chronic UTIs
It is true that polycystic kidney disease is
Genetically transmitted
Renal insufficiency occurs when ___of the nephron’s are not functional
75% to 90%
The condition characterized by oliguria, and hematuria is
Acute glomerulonephritis
What problem is a patient likely to experience in end stage renal disease
Uremia
Appropriate therapy for pre-renal kidney injury includes
Fluid administration
The most helpful laboratory value in monitoring the progression of declining renal function is
Serum, creatinine