ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
Which hormone does not play a role in regulating fluid and electrolyte balance?
Correct Answer: C
Rationale: Leptin does not play a role in regulating fluid and electrolyte balance because it is primarily involved in regulating energy balance and appetite. ADH (antidiuretic hormone) helps in water reabsorption, aldosterone regulates sodium and potassium levels, and atrial natriuretic peptide promotes sodium excretion. Leptin's main function is to regulate hunger and energy expenditure, making it unrelated to fluid and electrolyte balance regulation.
Question 2 of 5
The nurse is caring for a patient who underwent with renal calculi. The nurse should instruct the patient to percutaneous lithotripsy earlier in the day. What increase fluid intake to a level where the patient instruction should the nurse give the patient? produces at least how much urine each day?
Correct Answer: D
Rationale: The correct answer is D (2,000 mL). Adequate fluid intake helps prevent renal calculi formation and aids in flushing out the stone fragments post-lithotripsy. A daily urine output of at least 2,000 mL is recommended to prevent urinary stasis and stone recurrence. Choice A is incorrect as limiting fluid intake can lead to dehydration and hinder stone passage. Choice B is insufficient to ensure proper hydration. Choice C is incorrect as sand-like particles may be expected post-lithotripsy and do not indicate adequate fluid intake.
Question 3 of 5
A gerontologic nurse is assessing a patient who has
Correct Answer: B
Rationale: The correct answer is B because uncharacteristic drowsiness can be a sign of a urinary tract infection (UTI) in older adults. UTIs can present atypically in older adults with symptoms like confusion, lethargy, and drowsiness. The other choices are incorrect because: A: A dull suprapubic region on percussion is not specific to UTI. C: Voiding large amounts of urine is not a typical symptom of UTI. D: Food cravings are not associated with UTI symptoms.
Question 4 of 5
A geriatric nurse is performing an assessment of body patient whose renal function is progressively declining. systems on an 85-year-old patient. The nurse should be
Correct Answer: A
Rationale: The correct answer is A because as renal function declines in an elderly patient, there will be related changes affecting the urinary system. This is important for the nurse to assess to monitor the patient's renal health and intervene as necessary. Choice B is incorrect because a decrease in creatinine level is not a typical indicator of declining renal function. Choice C is incorrect because with declining renal function, the ability to concentrate urine actually decreases. Choice D is incorrect because increased bladder capacity is not a direct result of declining renal function.
Question 5 of 5
The nurse is performing a focused genitourinary and the flank and lower abdomen. The patient is being renal assessment of a patient. Where should the nurse assessed for renal calculi. The nurse recognizes that the assess for pain at the costovertebral angle? stone is most likely in what anatomic location?
Correct Answer: D
Rationale: The correct answer is D: Ureter. The nurse should assess for pain at the costovertebral angle to check for renal calculi because the ureters connect the kidneys to the bladder and flank pain at this angle can indicate ureteral obstruction from a renal stone. Assessing at the umbilicus (choice A) or meatus (choice B) would not provide information specific to renal calculi. Assessing at the bladder (choice C) would be more relevant for bladder issues, not renal calculi.