Urinary System Discussion Paper
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. A renal stone in the pelvis of the kidney will alter the function of
the kidney by interfering with
a. the structural support of the kidney.
b. regulation of the concentration of urine.
c. the entry and exit of blood vessels at the kidney.
d. collection and drainage of urine from the kidney.
2. A patient with kidney disease has oliguria and a creatinine clearance of 40 mL/min. These findings most directly reflect abnormal
a. tubular secretion.
b. glomerular filtration.
c. capillary permeability.
d. concentration of filtrate.
3. The nurse identifies a risk for urinary calculi in a patient who relates
a past health history that includes
b. serotonin deficiency.
c. adrenal insufficiency.
4. Diminished ability to concentrate urine, associated with aging of
the urinary system, is attributed to
a. a decrease in bladder sensory receptors.
b. a decrease in the number of functioning nephrons.
c. decreased function of the loop of Henle and tubules.
d. thickening of the basement membrane of Bowman’s capsule.
5. During physical assessment of the urinary system, the nurse
a. palpates an empty bladder as a small nodule.
b. auscultates over each CVA to detect impaired renal blood flow.
c. finds a dull percussion sound when 100 mL of urine is present
in the bladder.
d. palpates above the symphysis pubis to determine the level of
urine in the bladder.
6. Normal findings expected by the nurse on physical assessment of
the urinary system include (select all that apply)
a. nonpalpable left kidney.
b. auscultation of renal artery bruit.
c. CVA tenderness elicited by a kidney punch.
d. no CVA tenderness elicited by a kidney punch.
e. palpable bladder to the level of the pubic symphysis.
7. A diagnostic study that indicates renal blood flow, glomerular filtration, tubular function, and excretion is a(n)
c. renal scan.
8. On reading the urinalysis results of a dehydrated patient, the nurse
would expect to find
a. a pH of 8.4.
b. RBCs of 4/hpf.
c. color: yellow, cloudy.
d. specific gravity of 1.035.
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