ATI RN
Genitourinary System Diseases Questions
Question 1 of 5
What would be the best nursing action for the female client admitted following a nephrolithotomy with a urinary tract infection?
Correct Answer: C
Rationale: The correct answer is C: Encourage fluid intake of 3000 mL/day. This is important post-nephrolithotomy to prevent urinary stasis and aid in flushing out potential stone fragments. Adequate hydration also helps in preventing urinary tract infections. Administering IV fluids and blood transfusions (A) may be necessary in certain cases, but not specifically indicated for this scenario. Administering narcotic analgesics (B) may be required for pain management, but it does not address the underlying issue of preventing complications. Suggesting herbs or spices (D) is unrelated and may not be recommended due to potential interactions with medications.
Question 2 of 5
Which statement by a new nurse teaching a patient with cystitis requires intervention?
Correct Answer: D
Rationale: The correct answer is D because soaking in a tub with bubble bath can exacerbate cystitis symptoms due to potential irritation from the bubble bath chemicals. This can worsen the patient's condition. A, B, and C are correct statements. A promotes proper hydration, B encourages regular emptying of the bladder to prevent bacterial growth, and C suggests a potential remedy for cystitis by consuming cranberry juice.
Question 3 of 5
Do you want to go to the park?
Correct Answer: A
Rationale: The correct answer is A: Yes. The question asks for a preference, and "Yes" indicates a positive desire to go to the park. Choosing "No" (B) indicates a lack of interest. "Maybe" (C) suggests uncertainty, and "I don't know" (D) shows indecision. Therefore, selecting "Yes" aligns with the question and expresses a clear preference, making it the correct answer.
Question 4 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 5 of 5
A female patient with a UTI has a nursing diagnosis of risk for infection related to lack of knowledge regarding prevention of recurrence. What should the nurse include in the teaching plan instructions for this patient?
Correct Answer: B
Rationale: The correct answer is B: Drink at least 2 quarts of water every day. This answer is correct because adequate hydration helps to flush out bacteria from the urinary tract, reducing the risk of UTI recurrence. Drinking plenty of water promotes frequent urination, which helps to prevent bacteria from multiplying in the bladder. Choice A is incorrect because the frequency of emptying the bladder does not directly impact the prevention of UTI recurrence. Choice C is incorrect as delaying urination can lead to the retention of urine, which may increase the risk of infection. Choice D is incorrect because cleaning the urinary meatus with an antiinfective agent after voiding is not recommended as it can disrupt the natural flora and irritate the area, potentially leading to more infections. In summary, maintaining adequate hydration by drinking at least 2 quarts of water daily is the most effective method to prevent UTI recurrence, while the other choices are less relevant or potentially harmful.