ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
Acetazolamide is not frequently used as diuretic but the current indication is in the treatment of:
Correct Answer: C
Rationale: Acetazolamide is a carbonic anhydrase inhibitor that reduces intraocular pressure by decreasing aqueous humor production, making it effective in treating glaucoma. It is not commonly used as a diuretic due to its short duration of action and side effects. Therefore, choice C is correct. Choices A, B, and D are incorrect as acetazolamide is not indicated for liver cirrhosis, CHF, or kidney failure. Liver cirrhosis typically requires diuretics to manage ascites, CHF is managed with loop diuretics, and kidney failure may require different types of diuretics based on the underlying cause.
Question 2 of 5
Patients with bladder cancer typically exhibit symptoms of:
Correct Answer: C
Rationale: The correct answer is C because hematuria (blood in urine) and change in urinary pattern are classic symptoms of bladder cancer. Hematuria is the most common presenting symptom. Weight loss and low back pain (choice A) are more indicative of advanced stages of cancer. Fatigue and anemia (choice B) are nonspecific symptoms. Difficulty initiating urinary stream and nocturia (choice D) may be seen in other conditions but are not specific to bladder cancer.
Question 3 of 5
Which statement by a new nurse teaching a patient with cystitis requires intervention?
Correct Answer: D
Rationale: The correct answer is D because soaking in a tub with bubble bath can exacerbate cystitis symptoms due to potential irritation from the bubble bath chemicals. This can worsen the patient's condition. A, B, and C are correct statements. A promotes proper hydration, B encourages regular emptying of the bladder to prevent bacterial growth, and C suggests a potential remedy for cystitis by consuming cranberry juice.
Question 4 of 5
Do you want to go to the park?
Correct Answer: A
Rationale: The correct answer is A: Yes. The question asks for a preference, and "Yes" indicates a positive desire to go to the park. Choosing "No" (B) indicates a lack of interest. "Maybe" (C) suggests uncertainty, and "I don't know" (D) shows indecision. Therefore, selecting "Yes" aligns with the question and expresses a clear preference, making it the correct answer.
Question 5 of 5
The patient complains of wetting when she sneezes. How should the nurse document this information?
Correct Answer: D
Rationale: The correct answer is D: Stress incontinence. This type of incontinence is characterized by leakage of urine when there is increased intra-abdominal pressure, such as during sneezing or coughing. The nurse should document this information as stress incontinence to accurately describe the patient's symptoms. Nocturia (A) refers to waking up at night to urinate, not related to sneezing. Micturition (B) is the act of urination, not specific to the patient's symptoms. Urge incontinence (C) is characterized by a sudden and strong need to urinate, not triggered by sneezing.