ATI RN
Genitourinary Review of Systems Questions
Question 1 of 5
A patient has undergone the creation of an Indiana been asked about actions to reduce the risk of bladder pouch for the treatment of bladder cancer. The nurse
Correct Answer: A
Rationale: The correct answer is A because addressing a major risk factor for bladder cancer, such as smoking, is crucial in preventing recurrence. Smoking is a well-established risk factor for bladder cancer, so educating the patient on smoking cessation is essential. This step can significantly reduce the risk of developing bladder cancer again. Choice B is incorrect as it focuses on body image concerns, which are important but not directly related to reducing the risk of bladder cancer. Choice C is incorrect because while reducing alcohol intake is beneficial for overall health, it is not a major risk factor for bladder cancer. Choice D is incorrect as it does not directly address a specific risk factor for bladder cancer like smoking does.
Question 2 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 3 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 4 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.
Question 5 of 5
The drug of choice for monilial diarrhea is: *
Correct Answer: B
Rationale: The correct answer is B: Nystatin. Nystatin is the drug of choice for monilial diarrhea because it is an antifungal medication specifically effective against Candida species causing the infection in the gastrointestinal tract. It is not absorbed systemically, making it suitable for gastrointestinal infections. Amphothericin B (A) is used for systemic fungal infections. Ketoconazole (C) and Itraconazole (D) are not typically used for gastrointestinal Candida infections.