ATI RN
Genitourinary System Diseases Questions
Question 1 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 2 of 5
A female patient with a UTI has a nursing diagnosis of risk for infection related to lack of knowledge regarding prevention of recurrence. What should the nurse include in the teaching plan instructions for this patient?
Correct Answer: B
Rationale: The correct answer is B: Drink at least 2 quarts of water every day. This answer is correct because adequate hydration helps to flush out bacteria from the urinary tract, reducing the risk of UTI recurrence. Drinking plenty of water promotes frequent urination, which helps to prevent bacteria from multiplying in the bladder. Choice A is incorrect because the frequency of emptying the bladder does not directly impact the prevention of UTI recurrence. Choice C is incorrect as delaying urination can lead to the retention of urine, which may increase the risk of infection. Choice D is incorrect because cleaning the urinary meatus with an antiinfective agent after voiding is not recommended as it can disrupt the natural flora and irritate the area, potentially leading to more infections. In summary, maintaining adequate hydration by drinking at least 2 quarts of water daily is the most effective method to prevent UTI recurrence, while the other choices are less relevant or potentially harmful.
Question 3 of 5
What manifestation in the patient will indicate the need for restriction of dietary protein in management of acute poststreptococcal glomerulonephritis (APSGN)?
Correct Answer: B
Rationale: The correct answer is B: Proteinuria. In APSGN, glomerular inflammation leads to impaired filtration, causing loss of protein in urine. Restricting dietary protein helps reduce proteinuria and slows kidney damage. Hematuria (A) is common but not a direct indication for dietary protein restriction. Hypertension (C) may require dietary sodium restriction. Elevated BUN (D) indicates impaired kidney function, but not a direct indication for protein restriction. In summary, in APSGN, proteinuria is the key manifestation necessitating dietary protein restriction to manage kidney damage.
Question 4 of 5
Thirty percent of patients with kidney cancer have metastasis at the time of diagnosis. Why does this occur?
Correct Answer: D
Rationale: The correct answer is D because early metastasis to the brain can impair the patient's ability to recognize the seriousness of symptoms. This can delay diagnosis and treatment, leading to a higher percentage of patients having metastasis at the time of diagnosis. A is incorrect because there are treatment modalities for kidney cancer beyond palliative care. B is incorrect as diagnostic tests like imaging studies can detect tumors before they metastasize. C is incorrect because while classic symptoms may not always be present, other symptoms and diagnostic tests can still lead to an earlier diagnosis.
Question 5 of 5
What indicates to the nurse that a patient with AKI is in the recovery phase?
Correct Answer: B
Rationale: Step-by-step rationale for why choice B is correct: 1. A urine output of 3700 mL/day indicates improved kidney function. 2. Increased urine output signifies the kidneys are able to filter and excrete waste. 3. High urine output is a positive sign of recovery in AKI patients. 4. Monitoring urine output is crucial in assessing kidney function. 5. Return to normal weight (choice A) may not directly indicate kidney recovery. 6. Decreasing sodium and potassium levels (choice C) can be due to other factors. 7. Decreasing BUN and creatinine levels (choice D) are important but do not directly indicate the recovery phase in AKI patients.