ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
A patient with cancer of the bladder has just returned
Correct Answer: A
Rationale: The correct answer is A because after surgery to create an ileal conduit for bladder cancer, monitoring urine output is crucial to assess kidney function and ensure proper drainage. Hourly monitoring helps to detect any complications early. Choice B is incorrect as it does not provide any relevant information. Choice C is incorrect because monitoring urine output is essential postoperatively. Choice D is incorrect as it does not address the immediate postoperative care needs of a patient with an ileal conduit.
Question 2 of 5
A nurse is preparing a patient diagnosed with benign
Correct Answer: A
Rationale: Rationale: 1. BPH can cause urinary symptoms. 2. Cystoscopy is a common diagnostic test. 3. Temporary complications include UTI or urinary retention. 4. BPH affects a significant number of nephrons. 5. Choice A aligns with BPH pathophysiology and common complications. Summary: - Choice A is correct due to BPH affecting nephrons and causing urinary symptoms leading to temporary complications like UTI. Other choices lack relevance to BPH or its complications.
Question 3 of 5
The staff educator is giving a class for a group of biopsy 12 hours ago. The presence of what assessment nurses new to the renal unit. The educator is discussing finding should prompt the nurse to notify the physician?
Correct Answer: B
Rationale: Step 1: Renal colic is a symptom of possible kidney stones or obstruction, which can lead to severe pain and require immediate medical attention. Step 2: Scant hematuria may be common after a biopsy and does not necessarily indicate an urgent issue. Step 3: Chronic glomerulonephritis in a 64-year-old patient is a chronic condition that may not require immediate physician notification. Step 4: A temperature of 100.2F orally is slightly elevated but not a critical finding that would warrant immediate physician notification. Summary: Renal colic is the correct answer as it indicates a potential urgent issue requiring immediate physician notification. Scant hematuria, chronic glomerulonephritis, and a slightly elevated temperature are not as concerning in this context.
Question 4 of 5
A patient with a history of incontinence will undergo
Correct Answer: A
Rationale: In this scenario, the correct answer is A) Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action? This is the right choice because it demonstrates an understanding of the psychological aspect of incontinence. Patients with a history of incontinence may experience heightened anxiety or embarrassment when needing to void in front of others, which can impact their ability to provide a urine sample. By acknowledging this potential issue and taking appropriate action, such as providing privacy or reassurance, the nurse can help the patient feel more comfortable and facilitate the collection of a more accurate sample. Option B) Administer diuretics as ordered is incorrect because giving diuretics may not address the underlying issue of situational anxiety related to voiding in the presence of others. Additionally, diuretics can lead to increased urine production, which might exacerbate the patient's anxiety and make sample collection even more challenging. Option D) Push fluids for several hours prior to the test is also incorrect as it does not address the specific issue of situational anxiety that the patient may be experiencing. While adequate hydration is generally important for sample collection, it does not directly tackle the psychological factors that can affect a patient with a history of incontinence. Educationally, this question highlights the importance of considering the holistic needs of patients, including their psychological well-being, when providing care. It emphasizes the role of nurses in addressing not just the physical aspects of a condition but also the emotional and psychological factors that can impact a patient's experience and outcomes. By understanding and addressing these aspects, healthcare providers can deliver more patient-centered care and improve overall patient outcomes.
Question 5 of 5
When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurse’s most appropriate action or response is to:
Correct Answer: D
Rationale: The correct answer is D. This is the most appropriate action because it acknowledges the patient's normal physiological response and reassures him. It helps maintain professionalism and respect for the patient's dignity. Choice A could potentially embarrass the patient further. Choice B may ignore the patient's discomfort. Choice C abruptly halts the examination without addressing the situation. Overall, choice D is the most respectful and professional response in this scenario.