Nursing: A Concept-Based Approach to Learning Volume 1, 2nd edition Callahan Test Bank

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  • Published: 2014
  • ISBN-13: 978-0132934268
  • ISBN-10: 0132934264
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Nursing: A Concept-Based Approach to Learning Volume 1, 2nd edition Test Bank

Chapter 5 – This Sample Showing Only 2 Pages of 68 Pages Available

Nursing: A Concept-Based Approach to Learning Vol 1, 2e 

Module 5   Elimination

The Concept of Elimination

1) The nurse is caring for a female client on a medical-surgical unit. The client tells the nurse, “I don’t get any sleep at night because I have to get up and use the bathroom every couple of hours!” Which of the following explanations by the nurse would be most accurate to explain the client’s nocturia?

  1. A) “As you get older, there is a decrease in number of nephrons.”
  2. B) “As you get older, there is a decrease in the blood supply to your bladder.”
  3. C) “As you get older, you may have a decrease in bladder capacity.”
  4. D) “As you get older, there is a decrease in cardiac output, which can cause your symptoms.”

Answer: C

Explanation: A) Approximately 70% of older women and 50% of older men have to get up two or more times during the night to empty their bladders due to decreased bladder capacity. A decrease in blood supply causes an increase in urine concentration. A decrease in the number of nephrons decreases the filtration rate. A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output day or night.

  1. B) Approximately 70% of older women and 50% of older men have to get up two or more times during the night to empty their bladders due to decreased bladder capacity. A decrease in blood supply causes an increase in urine concentration. A decrease in the number of nephrons decreases the filtration rate. A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output day or night.
  2. C) Approximately 70% of older women and 50% of older men have to get up two or more times during the night to empty their bladders due to decreased bladder capacity. A decrease in blood supply causes an increase in urine concentration. A decrease in the number of nephrons decreases the filtration rate. A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output day or night.
  3. D) Approximately 70% of older women and 50% of older men have to get up two or more times during the night to empty their bladders due to decreased bladder capacity. A decrease in blood supply causes an increase in urine concentration. A decrease in the number of nephrons decreases the filtration rate. A decrease in cardiac output decreases peripheral circulation, which would decrease urinary output day or night.

Page Ref: 263

Cognitive Level: Applying

Client Need: Physiological Integrity

Nursing Process: Implementation

Learning Outcome: 1. Summarize the physiology of the renal and gastrointestinal systems related to elimination.

 

2) A 53-year-old woman has high blood pressure that is not responding to medications. Where should you auscultate if you suspect renal stenosis?

  1. A) renal arteries
  2. B) kidneys
  3. C) ureters
  4. D) internal urethral sphincter
  5. E) bladder

Answer: A

Explanation: A) The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits (“whooshing” sounds) may indicate renal artery stenosis.

  1. B) The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits (“whooshing” sounds) may indicate renal artery stenosis.
  2. C) The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits (“whooshing” sounds) may indicate renal artery stenosis.
  3. D) The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits (“whooshing” sounds) may indicate renal artery stenosis.
  4. E) The nurse should auscultate the renal arteries by placing the bell of the stethoscope lightly in the areas of the renal arteries, located in the left and right upper abdominal quadrants. Systolic bruits (“whooshing” sounds) may indicate renal artery stenosis.

Page Ref: 269

Cognitive Level: Analyzing

Client Need: Physiological Integrity

Nursing Process: Assessment

Learning Outcome: 1. Summarize the physiology of the renal and gastrointestinal systems related to elimination.

Nursing: A Concept-Based Approach to Learning Volume 1, 2nd edition Test Bank