ATI RN
Genitourinary System Assessment Questions
Question 1 of 5
The nurse has implemented a bladder retraining
Correct Answer: A
Rationale: The correct answer is A because bladder retraining aims to improve urinary control and prevent incontinence in older adults. Implementing a timed voiding schedule helps the patient regain control over their bladder function and reduces the risk of urinary issues. Option B is incorrect as autonomic dysreflexia is not typically associated with bladder retraining. Option C is incorrect as it describes a normal bladder residual volume, which does not directly relate to bladder retraining. Option D is incomplete.
Question 2 of 5
A patient who has recently undergone ESWL for the manage her new ileal conduit in the home setting. To treatment of renal calculi has phoned the urology prevent leakage or skin breakdown, the nurse should
Correct Answer: B
Rationale: The correct answer is B. Emptying the collection bag when it is between half and two-thirds full helps prevent leakage and skin breakdown by maintaining proper drainage and preventing overfilling. This practice also reduces the risk of urinary stasis and infection. Choice A is incorrect because it is not related to the management of an ileal conduit. Choice C is incorrect as it does not address the specific issue of proper bag emptying to prevent leakage. Choice D is incorrect as waiting until the bag is too full can lead to increased pressure, potential leakage, and skin breakdown.
Question 3 of 5
A nurse is caring for a 73-year-old patient with a renal dysfunction. When reviewing laboratory results for urethral obstruction related to prostatic enlargement. this patient, the nurse interprets the presence of which When planning this patients care, the nurse should be substances in the urine as most suggestive of aware of the consequent risk of what complication?
Correct Answer: A
Rationale: The correct answer is A: Urinary tract infection. In patients with urethral obstruction, the presence of substances in the urine such as bacteria, leukocytes, and nitrites indicates a high likelihood of urinary tract infection. The obstruction can lead to stasis of urine, providing an ideal environment for bacterial growth. This increases the risk of infection spreading to the kidneys, causing pyelonephritis or sepsis. Therefore, the nurse should be vigilant in monitoring for signs of infection and promptly initiate appropriate treatment to prevent complications. Summary: B: Potassium and sodium - While electrolyte imbalance can occur in renal dysfunction, it is not directly related to urethral obstruction or suggestive of a urinary tract infection. C: Enuresis - Enuresis refers to involuntary urination, which is not directly related to the presence of substances in the urine or indicative of urinary tract infection. D: Bicarbonate and urea - While these substances are relevant in assessing renal function, their
Question 4 of 5
A patient has experienced excessive losses of the kidneys
Correct Answer: B
Rationale: The correct answer is B because excessive losses of the kidneys can lead to metabolic acidosis due to bicarbonate loss. Bicarbonate is essential for maintaining acid-base balance in the body. Replacement of lost bicarbonate is crucial to prevent acidosis. Choice A is incorrect as the kidneys are not connected to the common bile duct. Choices C and D are not applicable to the scenario provided.
Question 5 of 5
A 62-year-old man states that his physician told him that he has an “inguinal hernia.†He asks the nurse to explain what a hernia is. The nurse should:
Correct Answer: D
Rationale: Step 1: Define hernia as a condition where an organ or fatty tissue protrudes through a weak spot in the surrounding muscle or connective tissue. Step 2: Emphasize the relevance to the patient's situation. Step 3: Clarify that an inguinal hernia specifically involves the intestines protruding through the inguinal canal in the groin area. Step 4: Explain that surgery may be needed to repair the hernia. Step 5: Stress the importance of seeking medical attention for proper evaluation and treatment. Summary: A: Incorrect - Dismissing the patient's concerns is not appropriate. B: Incorrect - Hernias are not typically related to prenatal growth abnormalities. C: Incorrect - The nurse can provide basic information about hernias without needing the physician to explain further.