ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
A nurses colleague has applied an incontinence pad Select all that apply.
Correct Answer: A
Rationale: The correct answer is A: Dietary history. Understanding the patient's dietary habits can help identify potential triggers for incontinence, such as caffeine or alcohol intake. It also provides insight into fluid intake, which can impact incontinence. Incorrect choices: B: What principle - This is vague and does not provide relevant information for managing incontinence. C: Family history of renal stones - While family history can be important for certain conditions, it is not directly related to managing incontinence. D: Medication history - While medications can sometimes contribute to incontinence, dietary factors are typically more significant in this context.
Question 2 of 5
The nurse caring for a patient with suspected renal has been referred by her primary physician for further dysfunction calculates that the patients weight has evaluation. The nurse should anticipate the use of what increased by 5 pounds in the past 24 hours. The nurse initial diagnostic test?
Correct Answer: A
Rationale: The correct answer is A: Ultrasound. This is the appropriate initial diagnostic test for suspected renal dysfunction due to its non-invasive nature and ability to visualize the kidneys and urinary system. Ultrasound can detect abnormalities such as kidney stones or obstruction. X-ray (B) does not provide detailed imaging of the kidneys. Option C refers to fluid intake, which is not a diagnostic test. Computed tomography (CT) scan (D) involves radiation exposure and is usually reserved for more advanced imaging after initial ultrasound. Ultrasound is the most suitable choice for initial evaluation of renal dysfunction.
Question 3 of 5
What nursing action should the nurse perform when fatigue is undergoing a comprehensive assessment caring for a patient undergoing diagnostic testing of the which includes test of renal function relating to renal-urologic system?
Correct Answer: B
Rationale: Rationale: Option B is correct because it addresses the importance of temporary fluid restriction after renal function testing, which is crucial in maintaining accurate test results. Ensuring patient understanding and compliance with fluid restriction helps prevent dilution of blood samples, leading to more accurate diagnostic outcomes. Summary: A: Withholding medications post-testing is not necessary for fatigue assessment related to renal function testing. C: Hematocrit is not directly related to the temporary fluid restriction after renal function testing. D: Informing the patient of their medical diagnosis is not relevant when assessing fatigue during diagnostic testing of renal function.
Question 4 of 5
An older man is concerned about his sexual performance. The nurse knows that in the absence of disease, a withdrawal from sexual activity later in life may be attributable to:
Correct Answer: A
Rationale: The correct answer is A: Side effects of medications. As people age, they are more likely to be on multiple medications, some of which can have side effects like erectile dysfunction or decreased libido, leading to a withdrawal from sexual activity. This is a common issue for older adults. Choice B (Decreased libido with aging) is incorrect because while libido may decrease with age, it is not usually the sole reason for a complete withdrawal from sexual activity. Choice C (Decreased sperm production) is incorrect as it is not directly related to a withdrawal from sexual activity in older men. Choice D (Decreased pleasure from sexual intercourse) is incorrect as pleasure can still be experienced regardless of age, and it is unlikely to be the primary reason for withdrawal.
Question 5 of 5
When performing a genitourinary assessment on a 16-year-old male adolescent, the nurse notices a swelling in the scrotum that increases with increased intra-abdominal pressure and decreases when he is lying down. The patient complains of pain when straining. The nurse knows that this description is most consistent with a(n) ______ hernia.
Correct Answer: D
Rationale: The correct answer is D: Indirect inguinal hernia. In an indirect inguinal hernia, the swelling in the scrotum increases with increased intra-abdominal pressure due to the herniation of abdominal contents through the internal inguinal ring. The swelling decreases when lying down because the contents reduce back into the abdominal cavity. Pain with straining is also characteristic of an indirect inguinal hernia. A: Femoral hernia presents as a bulge in the upper thigh and is more common in females. B: Incisional hernia occurs at the site of a previous surgical incision and is not typically affected by intra-abdominal pressure. C: Direct inguinal hernia protrudes directly through the abdominal wall and is typically not palpable in the scrotum.