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81 notecards = 21 pages (4 cards per page)

Viewing:

Ch 27-29, 31, 33

front 1

It is true that polycystic kidney disease is

back 1

genetically transmitted.

front 2

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

back 2

Cystocele

front 3

The condition characterized by oliguria and hematuria is

back 3

acute glomerulonephritis

front 4

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

back 4

interstitial cystitis.

front 5

The most common type of renal stone is

back 5

calcium

front 6

The normal post-void residual urine in the bladder is

back 6

less than 100 mL.

front 7

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

back 7

GFR declines.

front 8

The most common cause of ischemic acute tubular necrosis (ATN) in the United States is

back 8

sepsis

front 9

Detrusor muscle overactivity can be improved by administration of

back 9

botulinum toxin.

front 10

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

back 10

decreased secretion of erythropoietin.

front 11

If acute tubular necrosis (ATN) does not resolve and continued tubular dysfunction ensues, the patient will then experience

back 11

polyuria and sodium wasting.

front 12

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

back 12

Uremia

front 13

Vesicoureteral reflux is associated with

back 13

recurrent cystitis.

front 14

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

back 14

“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.”

front 15

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

back 15

serum creatinine.

front 16

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

back 16

False

front 17

A 52-year-old female had a surgical procedure in which the breast, lymphatics, and underlying muscle were removed. The procedure performed was a

back 17

radical mastectomy

front 18

One of the most frequent causes of chronic kidney disease is

back 18

hypertension.

front 19

Infection by ________ accounts for nearly half of all reported cases of vulvovaginitis.

back 19

Candida albicans

front 20

The infection frequently associated with development of postinfectious acute glomerulonephritis is

back 20

throat infection.

front 21

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

back 21

man who has chronic urinary tract infections.

front 22

Renal insufficiency occurs when _____ of the nephrons are not functional.

back 22

75% to 90%

front 23

The disorder characterized by a neurologic lesion that affects bladder control is

back 23

neurogenic bladder

front 24

Sudden, severe testicular pain is indicative of

back 24

testicular torsion

front 25

A primary laboratory finding in end-stage chronic renal disease is

back 25

increased serum creatinine.

front 26

Nephrotic syndrome does not usually cause

back 26

hematuria

front 27

Glomerular disorders include

back 27

nephrotic syndrome.

front 28

Which condition is caused by a genetic defect?

back 28

Polycystic kidney disease

front 29

The defining characteristic of severe acute kidney injury is

back 29

oliguria.

front 30

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

back 30

“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.”

front 31

The oliguric phase of acute tubular necrosis is characterized by

back 31

fluid excess and electrolyte imbalance.

front 32

The urea-splitting bacteria contribute to the formation of ________ kidney stones.

back 32

struvite

front 33

The difference between stress incontinence and urge incontinence is that stress incontinence

back 33

is caused by a pelvic floor muscle problem, whereas urge incontinence is caused by a problem with the detrusor muscle

front 34

Gastrointestinal drainage, perioperative and postoperative hypotension, and hemorrhage may all contribute to renal failure by causing

back 34

acute tubular necrosis.

front 35

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

back 35

renal colic.

front 36

The most frequent initial symptom of bladder cancer is

back 36

hematuria.

front 37

The most common types of uterine tumors are known as

back 37

leiomyomas

front 38

Sexual impotence is rarely because of

back 38

primary causes

front 39

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

back 39

False

front 40

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

back 40

associated dermatomes

front 41

The patient most at risk for postrenal acute kidney injury is a(n)

back 41

elderly patient with hypertrophy of the prostate.

front 42

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

back 42

overflow.

front 43

The risk for contrast media-induced acute tubular necrosis (ATN) is highest in

back 43

a 70-year-old patient with heart failure.

front 44

It is true that fibrocystic breast disease

back 44

may be exacerbated by methylxanthines

front 45

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

back 45

protein

front 46

The direct cause of stress incontinence is

back 46

pelvic muscle weakness.

front 47

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

back 47

True

front 48

Cryptorchidism is

back 48

associated with an increased incidence of testicular cancer.

front 49

Calcium oxylate stone formation is facilitated by

back 49

hypercalciuria.

front 50

Uterine prolapse is caused by a relaxation of the

back 50

cardinal ligaments

front 51

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

back 51

hyperkalemia.

front 52

The urinalysis finding most indicative of cystitis includes the presence of

back 52

nitrites.

front 53

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

back 53

increased urinary protein.

front 54

Endometriosis is a condition in which

back 54

ectopic endometrial tissue is present

front 55

Excessive vomiting in pregnant women is known as

back 55

hyperemesis gravidarum.

front 56

The effect on the renal tubules during the postoliguric phase of acute tubular necrosis involves

back 56

regeneration of the renal tubular epithelium.

front 57

Postrenal acute kidney injury may be caused by

back 57

bilateral kidney stones.

front 58

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

back 58

"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."

front 59

Dysfunctional uterine bleeding (DUB) is caused by

back 59

absent or diminished levels of progesterone

front 60

The pathophysiologic basis of acute glomerulonephritis is

back 60

an immune complex reaction

front 61

A major modifiable risk factor for nephrolithiasis is

back 61

dehydration

front 62

The greatest risk factor for bladder cancer is

back 62

smoking.

front 63

A patient diagnosed with a micropenis must be evaluated for

back 63

endocrine disorders.

front 64

Appropriate therapy for prerenal kidney injury includes

back 64

fluid administration

front 65

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

back 65

contrast media.

front 66

A ureterocele is

back 66

a cystic dilation of a ureter.

front 67

The major cause of glomerulonephritis is

back 67

immune system damage to the glomeruli.

front 68

Pelvic floor muscle training is appropriate for

back 68

urge incontinence.

front 69

Treatment of a uterine prolapse may involve the insertion of a(n) ________ to hold the uterus in place.

back 69

pessary.

front 70

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

back 70

functional.

front 71

The direct cause of stress incontinence is

back 71

pelvic muscle weakness

front 72

The most common sign/symptom of renal calculi is

back 72

pain

front 73

Cervical cancer can be detected in the early, curable stage by the ________ test.

back 73

Papanicolaou

front 74

Signs consistent with a diagnosis of glomerulonephritis include

back 74

proteinuria.

front 75

Urinary retention with consistent or intermittent dribbling of urine is called

back 75

overflow incontinence

front 76

Osteoporosis commonly occurs in patients with end-stage renal disease because of

back 76

hyperparathyroidism

front 77

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

back 77

true

front 78

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

back 78

carcinoma

front 79

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

back 79

epispadias

front 80

The condition characterized by oliguria and hematuria is

back 80

acute glomerulonephritis

front 81

A common component of renal calculi is

back 81

calcium.