ATI RN
Genitourinary System Assessment Questions
Question 1 of 4
What would the nurse first anticipate in the treatment of a patient in the Injury stage of the RIFLE staging of AKI?
Correct Answer: B
Rationale: The correct answer is B because in the Injury stage of AKI, the priority is to maintain fluid balance and prevent further kidney damage. IV fluid administration helps improve renal perfusion, while furosemide helps manage fluid overload. A: Assessing daily weight is important but not the first priority in the Injury stage. C: IV insulin and sodium bicarbonate are not typically indicated in the initial treatment of AKI. D: Urinalysis is important for diagnostics but not the first intervention in the Injury stage.
Question 2 of 4
Mrs. Miller has a diagnosis of acute pyelonephritis. To prevent renal damage her plan of care should include
Correct Answer: C
Rationale: Correct Answer: C Rationale: 1. Acute pyelonephritis requires antibiotic therapy to eliminate the infection and prevent renal damage. 2. Continuing drug therapy indefinitely ensures complete eradication of the infection. 3. Stopping drug therapy prematurely can lead to recurrence and potential renal complications. 4. Understanding the necessity of drug therapy is crucial for Mrs. Miller's long-term renal health. Summary: A: Incorrect. Restricting fluid intake can worsen the infection and hinder recovery. B: Incorrect. Protein intake is not directly related to the treatment of acute pyelonephritis. D: Incorrect. Preventing viral infections is not directly relevant to the treatment of acute pyelonephritis.
Question 3 of 4
Mary Jane develops edema after the birth of her first child and will be treated by peritoneal dialysis. The nurse will have the patient void before the catheter is introduced into the peritoneal space to
Correct Answer: B
Rationale: The correct answer is B: prevent accidental puncture of the bladder. Voiding before catheter insertion ensures the bladder is empty, reducing the risk of bladder puncture during peritoneal dialysis. Choice A is incorrect as voiding does not determine treatment effectiveness. Choice C is incorrect as output recording is not the primary reason for voiding. Choice D is incorrect as voiding does not directly prevent incontinence during peritoneal dialysis.
Question 4 of 4
The best time for a woman of childbearing age to perform breast self-examination is
Correct Answer: C
Rationale: The best time for a woman of childbearing age to perform breast self-examination is 1 week after her menstrual period ends. This is because breast tissue tends to be less tender and lumpy during this time, making it easier to detect any abnormalities. Performing the examination at this time allows for a more accurate assessment of the breasts. Additionally, hormonal changes during the menstrual cycle can affect breast tissue, so performing the examination post-menstruation reduces the likelihood of false alarms. Choices A, B, and D are not ideal times as breast tenderness and hormonal fluctuations during the menstrual period can make it challenging to accurately detect abnormalities.