ATI RN
Genitourinary System Quizlet Questions
Question 1 of 5
How is an intravenous pyelogram performed?
Correct Answer: C
Rationale: The correct answer is C because an intravenous pyelogram (IVP) is performed by injecting a contrast dye into the vein. This dye travels through the bloodstream, highlighting the kidneys, ureters, and bladder on X-ray images. Palpating the suprapubic area (A) involves feeling for the bladder, but it is not part of an IVP procedure. Percussing the area over the bladder (B) involves tapping to assess for fluid or air, which is not relevant to an IVP. Using a stethoscope to listen for abnormal sounds (D) is not related to the process of an IVP.
Question 2 of 5
A physician is caring for a patient with a urinary tract infection. The physician would expect the plan of care to include:
Correct Answer: A
Rationale: The correct answer is A: Antibiotics and phenazopyridine. Antibiotics are essential to treat the bacterial infection causing the UTI. Phenazopyridine can help relieve urinary discomfort. Erythropoietin and stent placement (B) are not indicated for UTI. Hormonal therapy and IV fluids (C) are not standard treatments for UTI. Hourly urine output measurements and antibiotics (D) are not typically necessary, as antibiotics alone are sufficient for treating UTIs.
Question 3 of 5
For which patient with incontinence would a bladder-training program be an appropriate intervention?
Correct Answer: C
Rationale: The correct answer is C: the patient with urge incontinence and abnormal detrusor muscle contractions. Bladder training is an appropriate intervention for this patient because it aims to increase the bladder capacity and decrease the frequency of abnormal contractions. The program involves scheduled voiding and delaying urination to gradually increase the time between bathroom visits. This helps to retrain the bladder muscles and improve control over urination. A: Functional incontinence due to mental status changes is not typically addressed through bladder training. B: Stress incontinence due to weakened bladder neck support is better treated with pelvic floor exercises and lifestyle modifications. D: Transient incontinence due to inability to get to toileting facilities requires environmental modifications and timed toileting, not bladder training.
Question 4 of 5
Number the following physiologic occurrences in the order they occur in the formation of urine.
Correct Answer: A
Rationale: Rationale: The correct order of physiologic occurrences in urine formation is as follows: A) Blood is filtered in the glomerulus. This is the initial step where blood enters the nephron for filtration. The other choices are incorrect because B) Reabsorption of water in the loop of Henle occurs after filtration, C) Reabsorption of electrolytes, glucose, amino acids, and small proteins in the tubules happens after the initial filtration, and D) Acid-base regulation in the distal tubule occurs after other processes such as reabsorption and secretion have taken place.
Question 5 of 5
The physician documented that the patient has urinary retention. How should the nurse explain this when the nursing student asks what it is?
Correct Answer: A
Rationale: The correct answer is A: Inability to void. Urinary retention refers to the inability to empty the bladder completely. The nurse should explain to the student that this condition causes difficulty in urination and can lead to discomfort and complications if not addressed. Choices B, C, and D are incorrect because urinary retention does not refer to the absence of urine formation, large urine output, or increased urination frequency. It specifically relates to the inability to void urine from the bladder.