ATI RN
Assessment of the Genitourinary System Questions
Question 1 of 9
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
Question 2 of 9
What results in the edema associated with nephrotic syndrome?
Correct Answer: C
Rationale: The edema associated with nephrotic syndrome is a result of decreased plasma oncotic pressure, which leads to fluid leaking out of the blood vessels and into the tissues.
Question 3 of 9
A year after the diagnosis of hypothyroidism, Mrs. T. is admitted to the hospital in January in myxedema coma. Which of the following most probably accounts for this medical emergency?
Correct Answer: B
Rationale: Myxedema coma is a severe form of hypothyroidism that can occur due to the failure to take thyroid medication.
Question 4 of 9
Which characteristic is more likely with acute pyelonephritis than with a lower UTI?
Correct Answer: A
Rationale: The correct answer is A because fever is more commonly associated with acute pyelonephritis, which is an infection of the renal parenchyma, compared to lower UTIs that primarily affect the bladder and urethra. Dysuria, urgency, and frequency can occur in both types of UTIs but may be more severe in acute pyelonephritis.
Question 5 of 9
Which intervention should you delegate to the nursing assistant for a patient with cystitis?
Correct Answer: C
Rationale: Reviewing the nursing care plan and adding nursing interventions can be delegated to the nursing assistant as it does not involve any complex medical procedures or decision-making.
Question 6 of 9
What post procedure care will the nurse provide following an intravenous pyelogram?
Correct Answer: A
Rationale: Using simple language with the client or significant others can help reduce anxiety and improve understanding. It is important to provide clear and concise information to address any concerns post-procedure.
Question 7 of 9
An important point to remember when assisting urosto-mates with a pouch change is to
Correct Answer: B
Rationale: When assisting urosto-mates with a pouch change, it is important to cut the pouch opening approximately 3 mm larger than the stoma to prevent irritation and ensure a proper fit. This allows for a better seal and reduces the risk of leakage or skin damage. Scrubbing the peristomal skin with a deodorant soap, drying the skin with alcohol wipes, or placing aspirin in the pouch are not recommended practices and may lead to complications.
Question 8 of 9
What information should be taught to a patient taking oxybutynin chloride (Ditropan) for incontinence?
Correct Answer: B
Rationale: It is important to monitor heart rate, as oxybutynin can cause cardiac side effects.
Question 9 of 9
During the nursing assessment of the patient with renal insufficiency, the nurse asks the patient specifically about a history of
Correct Answer: C
Rationale: Hypertension is a common complication of renal insufficiency and is important to assess as it can impact the progression of the disease and treatment options.