ATI RN
Genitourinary System Diseases Questions
Question 1 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.
Question 2 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 3 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 4 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.
Question 5 of 5
In planning care for Mrs. T., the nurse must recognize that slowed metabolism will also result in
Correct Answer: D
Rationale: The correct answer is D: constipation. Slowed metabolism can lead to decreased gastrointestinal motility, resulting in constipation. This occurs because the digestive system processes food more slowly, leading to less frequent bowel movements. Nausea (choice A) is more commonly associated with gastrointestinal issues or medication side effects. Oily hair (choice B) is typically related to hormonal imbalances or poor hygiene. Tachycardia (choice C) is an increased heart rate that is not directly linked to slowed metabolism.