ATI RN
Genitourinary System Questions
Question 1 of 5
When the pH ________, a state of alkalosis exists.
Correct Answer: D
Rationale: The correct answer is D because alkalosis occurs when the pH rises above the normal range of 7.35-7.45. A pH above 7.45 indicates an excess of bicarbonate ions, leading to alkalosis. Choices A and B are incorrect because they do not specify the exact pH range where alkalosis occurs. Choice C is incorrect as a pH falling below 6.5 would indicate extreme acidosis, not alkalosis. Thus, D is the correct choice as it accurately reflects the pH level associated with alkalosis.
Question 2 of 5
A patient with kidney stones is scheduled for is less than what? extracorporeal shock wave lithotripsy (ESWL). What
Correct Answer: C
Rationale: Rationale: - Choice C (100 mL) is correct as it ensures adequate hydration post-ESWL to promote stone passage and prevent further stone formation. - Choice A (30 mL) is too low and may not provide sufficient hydration. - Choice B (50 mL) is also inadequate for hydration post-procedure. - Choice D (Strain the patient's urine) is important but not directly related to post-procedure hydration.
Question 3 of 5
A patient has had her indwelling urinary catheter since admission. How should the nurse best respond to removed after having it in place for 10 days during this finding? recovery from an acute illness. Two hours after removal
Correct Answer: D
Rationale: The correct answer is D: Inform the patient that urgency and occasional small-volume voids are common after catheter removal. This response is correct because it acknowledges the patient's symptoms as a normal physiological response post-catheter removal, providing reassurance and education. Option A is incorrect as it focuses on fluid intake rather than addressing the patient's specific concern. Option B is incorrect as it suggests limiting fluid intake, which may not be necessary in this situation. Option C is incorrect as a high-sodium diet is not indicated for the reported symptoms.
Question 4 of 5
A nurse knows that specific areas in the ureters have experienced after this procedure is what?
Correct Answer: D
Rationale: The correct answer is D: In the ureteropelvic junction. This is because the ureteropelvic junction is a specific anatomical location where the ureter connects to the renal pelvis. After a procedure involving the ureters, such as ureteroscopy or stent placement, it is crucial to monitor this area for any complications like strictures or obstruction. Choices A, B, and C are incorrect because urinary retention, bladder perforation, and hemorrhage are not specific to the ureteropelvic junction area and are more commonly associated with other parts of the urinary system.
Question 5 of 5
A nurse is aware of the high incidence and
Correct Answer: B
Rationale: Rationale: Option B is correct because providing education on the importance of adequate hydration and strategies to prevent fluid volume deficit is crucial for older adults. This includes encouraging regular water intake, monitoring urine color, and recognizing signs of dehydration. Option A is incorrect as applying an ice pack to the perineum does not address fluid volume deficit. The other choices are not provided, but they would likely be incorrect as they do not focus on addressing fluid volume deficit in older adults.