A patient with a recent history of nephrolithiasis has

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Genitourinary System Quizlet Questions

Question 1 of 5

A patient with a recent history of nephrolithiasis has

Correct Answer: D

Rationale: The correct answer is D: IV fluid administration. This is the most appropriate choice for a patient with nephrolithiasis as it helps to increase urine volume and dilute the concentration of minerals in the urine, reducing the risk of stone formation. Adequate hydration is crucial in preventing the recurrence of kidney stones. Choice A is incomplete and does not offer a specific intervention for nephrolithiasis. Choice B is unnecessary and could potentially cause harm by altering the pH of the urine. Choice C is blank and does not provide any relevant information for managing nephrolithiasis.

Question 2 of 5

The nurse is caring for a patient scheduled for renal should the nurse include?

Correct Answer: A

Rationale: The correct answer is A because being NPO for 12 hours prior to a renal biopsy helps prevent complications such as aspiration during sedation. Choice B is incorrect as relaxation techniques are not typically relevant for a renal biopsy. Choice C is incorrect as conscious sedation is not routinely required for a renal biopsy. Choice D is incorrect as IV potassium chloride administration is unrelated to renal biopsy preparation and may even be contraindicated.

Question 3 of 5

Dipstick testing of an older adult patients urine indicates the presence of protein. Which of the following statements is true of this assessment finding?

Correct Answer: A

Rationale: Rationale: 1. Protein in urine can indicate renal issues, so further testing like urine protein/creatinine ratio is needed. 2. Proteinuria doesn't directly relate to urinary incontinence. 3. The finding is not related to age or gender, ruling out options B and D. 4. Option A is correct as it emphasizes the need for additional testing to confirm the presence and significance of protein in urine.

Question 4 of 5

The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate?

Correct Answer: B

Rationale: The correct answer is B because it emphasizes the importance of seeking medical advice if any abnormalities are detected during the self-examination. This statement encourages prompt action and follow-up with a healthcare provider, which is crucial for early detection and treatment of testicular cancer. Incorrect options: A: Timing of the examination is not as critical as the action to take if abnormalities are found. C: Describing the testicle's shape and texture is not the primary focus of a testicular self-examination. D: Performing the examination once a week is excessive and not recommended by medical guidelines.

Question 5 of 5

During a physical examination, the nurse finds that a male patient’s foreskin is fixed and tight and will not retract over the glans. The nurse recognizes that this condition is:

Correct Answer: A

Rationale: The correct answer is A: Phimosis. Phimosis is a condition where the foreskin is tight and cannot be retracted over the glans. This can lead to problems with hygiene and urination. Epispadias (B) is a congenital malformation where the urethra opens on the dorsal side of the penis. Urethral stricture (C) is a narrowing of the urethra, causing difficulty with urination. Peyronie disease (D) is the development of fibrous scar tissue inside the penis, leading to curvature during erection. In this case, the fixed and tight foreskin indicates phimosis.

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