ATI RN
Quizlet Genitourinary System Questions
Question 1 of 5
The staff educator is giving a class for a group of biopsy 12 hours ago. The presence of what assessment nurses new to the renal unit. The educator is discussing finding should prompt the nurse to notify the physician?
Correct Answer: B
Rationale: Step 1: Renal colic is a symptom of possible kidney stones or obstruction, which can lead to severe pain and require immediate medical attention. Step 2: Scant hematuria may be common after a biopsy and does not necessarily indicate an urgent issue. Step 3: Chronic glomerulonephritis in a 64-year-old patient is a chronic condition that may not require immediate physician notification. Step 4: A temperature of 100.2F orally is slightly elevated but not a critical finding that would warrant immediate physician notification. Summary: Renal colic is the correct answer as it indicates a potential urgent issue requiring immediate physician notification. Scant hematuria, chronic glomerulonephritis, and a slightly elevated temperature are not as concerning in this context.
Question 2 of 5
When the nurse is performing a genital examination on a male patient, the patient has an erection. The nurse’s most appropriate action or response is to:
Correct Answer: D
Rationale: The correct answer is D. This is the most appropriate action because it acknowledges the patient's normal physiological response and reassures him. It helps maintain professionalism and respect for the patient's dignity. Choice A could potentially embarrass the patient further. Choice B may ignore the patient's discomfort. Choice C abruptly halts the examination without addressing the situation. Overall, choice D is the most respectful and professional response in this scenario.
Question 3 of 5
The nurse is performing a genitourinary assessment on a 50-year-old obese male laborer. On examination, the nurse notices a painless round swelling close to the pubis in the area of the internal inguinal ring that is easily reduced when the individual is supine. These findings are most consistent with a(n) ______ hernia.
Correct Answer: C
Rationale: The correct answer is C: Direct inguinal hernia. In this scenario, the key clues are the painless round swelling close to the pubis, easily reduced when supine, and in the area of the internal inguinal ring. Direct inguinal hernias occur due to weakness in the abdominal wall muscles, often seen in older males with increased intra-abdominal pressure. The hernia protrudes directly through the abdominal wall, typically in the area of the internal inguinal ring. Scrotal hernias (Choice A) present in the scrotum, not close to the pubis. Femoral hernias (Choice B) occur below the inguinal ligament and are more common in females. Indirect inguinal hernias (Choice D) pass through the internal inguinal ring and are more common in young males.
Question 4 of 5
A 23 year old pregnant woman has UTI and presents to the ER with fever, * frequency and urgency. Which of the following antibiotics can cause potential harm to her fetus?
Correct Answer: A
Rationale: The correct answer is A: Nitrofurantoin. Nitrofurantoin is contraindicated in the third trimester of pregnancy due to potential risk of hemolytic anemia in the fetus. It can also cross the placenta and reach the fetal bloodstream. Amoxicillin (B) and Cephalexin (D) are safe for use in pregnancy. Gentamycin (C) is generally not recommended during pregnancy due to potential risk of ototoxicity and nephrotoxicity but is not specifically harmful to the fetus.
Question 5 of 5
Which of the following drugs act by inhibiting folate synthesis in bacteria and * it is advisable to drink 8 ounces of water during this drug's use because it may cause crystalluria and subsequent kidney stone formation.
Correct Answer: C
Rationale: Rationale: 1. Correct Answer (C - Sulfonamides): Sulfonamides inhibit folate synthesis in bacteria. Drinking water helps prevent crystalluria and kidney stone formation. 2. Incorrect Choices: A. Vancomycin - Acts on cell wall synthesis, not folate synthesis. B. Linezolid - Inhibits protein synthesis, not folate synthesis. D. Penicillin - Inhibits cell wall synthesis, not folate synthesis.