
Study Guide Module 6 Med/Surg 2
1. An 85-year-old patient who has been NPO since midnight last night for diagnostic testing
just completed the procedure. Which intervention is most important?
D. Offer 4 ounces of water or juice every hour.
2. The nurse cautions the diabetic patient that diabetes affects the blood flow through the
kidney. Which statement indicates that the patient understands the nurse’s teaching?
B. “Diabetes causes changes to blood vessels, which impacts blood flow to my kidneys.”
3. The nurse explains that when the kidney suffers an autoimmune inflammatory reaction, the
glomeruli lose their ability to function effectively. The nurse is describing the etiology of which
problem?
A. Glomerulonephritis
4. The nurse is caring for a confused patient who requires bladder training. Which component of
the bladder training program can the nurse safely delegate to the nursing assistant?
D. Recording instances of linen changes and fluids offered.
5. When the patient asks why he has so many urinary tract infections (UTIs), the nurse informs
the patient that his recurrent UTIs most likely result from which causative factor?
A. Bacteria that colonize in the kidney.
6. How can nephrotoxic drugs such as doxycycline and rifampin cause kidney damage?
B. Chemical alterations of glomeruli
7. In order to keep optimal flow through the urinary system, a person should have a minimum
daily intake of how many mL of fluid?
C. 2000 mL
8. The nurse is caring for a patient who has been taking sulfa drug for a urinary tract infection
(UTI). Which intervention is most important for the nurse to add to the patient’s care plan?
D. Increase fluid intake to 1.5 L/day
9. The nurse reviewing laboratory reports for a patient admitted for acute pyelenophritis. Which
finding is most concerning to the nurse?
D. Creatinine of 2.0 mg/dL
10. A patient is scheduled to undergo a cystogram. Which statement indicates that the patient
accurately understands the nurse’s teaching about prevention of potential complications of the
test?
D. “I should drink plenty of fluids after the test is over.”
11. The nurse is caring for a woman suspected of having a vaginal fistula. Which finding
supports the potential diagnosis?
A. Pneumaturia
12. When the nurse is caring for a patient who reports he has blood that begins when he
initiates the urine stream and then abates. Based on underlying pathophysiology, the nurse
concludes that the hematuria is occurring in which location?
D. In the urethra.
13. The nurse is collecting data from a patient who complains of having urinary frequency. The
nurse should inquire about which dietary habit?
B. Caffeine intake