ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
A nurse on a busy medical unit provides care for changes in diet many patients who require indwelling urinary catheters at
Correct Answer: C
Rationale: The correct answer is C because it addresses the importance of assessing for changes in the patient's level of indwelling catheter use. Monitoring catheter use is crucial to prevent complications such as infections and blockages. Assessing for changes can help identify any issues early on and ensure appropriate management. Choice A is incorrect because recent contact history is not directly related to managing indwelling catheters. Choice B is incorrect as it talks about UTI risks but does not address the specific aspect of monitoring catheter use. Choice D is incorrect as it focuses on chronic kidney disease, which is not directly related to managing indwelling catheters.
Question 2 of 5
The nurse is caring for a patient who is going to have to an older adult?
Correct Answer: D
Rationale: The correct answer is D because older adults are at higher risk for dehydration due to decreased thirst sensation. Reminding the patient to drink frequently, even if they don't feel thirsty, helps prevent dehydration. A: Drinking 4 liters of fluid daily may not be suitable for all older adults and can lead to water intoxication. B: Avoiding replacing water with other beverages is important, but it is not the most critical aspect of hydration in older adults. C: Discussing the patient's diagnosis with the family is unrelated to the immediate need for hydration in this scenario.
Question 3 of 5
The nurse is preparing to collect an ordered urine sample for urinalysis. The nurse should be aware that this test will include what assessment parameters? Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Specific gravity of the patient's urine. Specific gravity measures the concentration of solutes in urine, indicating the kidney's ability to concentrate or dilute urine. B: Testing for the presence of glucose is typically done to assess for diabetes, not a routine urinalysis. C: Microscopic examination for RBCs is mainly done to detect presence of blood in urine, not a routine parameter. D: Microscopic examination for casts is done to assess for kidney disease, not part of a routine urinalysis. Therefore, specific gravity is the key parameter for urine concentration and kidney function, making it the correct choice.
Question 4 of 5
The nurse is performing a genital examination on a male patient and notices urethral drainage. When collecting urethral discharge for microscopic examination and culture, the nurse should:
Correct Answer: D
Rationale: The correct answer is D because gently compressing the glans between the thumb and forefinger can help express the urethral discharge for collection. This method minimizes contamination and ensures a proper sample for microscopic examination and culture. A: Asking the patient to urinate into a cup would not capture the discharge. B: Semen is not relevant for urethral discharge testing. C: Inserting a cotton-tipped applicator into the urethra may cause trauma and is not recommended for collecting urethral discharge.
Question 5 of 5
During a genital examination, the nurse notices that a male patient has clusters of small vesicles on the glans, surrounded by erythema. The nurse recognizes that these lesions are:
Correct Answer: C
Rationale: The correct answer is C: Genital herpes. Genital herpes presents as clusters of small vesicles on the glans surrounded by erythema. This is a classic presentation of genital herpes infection caused by herpes simplex virus. Peyronie disease (A) is characterized by penile curvature. Genital warts (B) are caused by human papillomavirus and appear as flesh-colored growths. Syphilitic chancre (D) is a painless ulcer seen in primary syphilis, not vesicles. In this case, the presence of vesicles and erythema points towards genital herpes as the most likely diagnosis.