ATI RN
Genitourinary System Questions
Question 1 of 5
Which of the following diuretics than can cause gynecomastia, hirsutism and * menstrual disturbances as adverse reactions?
Correct Answer: D
Rationale: The correct answer is D: Spironolactone. Spironolactone is a potassium-sparing diuretic that also acts as an anti-androgen. It can cause gynecomastia, hirsutism, and menstrual disturbances due to its anti-androgenic effects, blocking the action of male hormones like testosterone. Hydrocholorothiazide (A) is a thiazide diuretic that does not typically cause these specific adverse reactions. Bumetanide (B) is a loop diuretic that is not associated with gynecomastia, hirsutism, or menstrual disturbances. Acetazolamide (C) is a carbonic anhydrase inhibitor diuretic that does not commonly lead to these particular side effects.
Question 2 of 5
Which is not an absolute indication for dialysis in ARF?
Correct Answer: B
Rationale: The correct answer is B: Pulmonary edema. Pulmonary edema is not an absolute indication for dialysis in acute renal failure (ARF) as it is primarily managed with oxygen therapy and diuretics. Refractory hyperkalemia >6.5 mmol/l is a life-threatening condition that requires immediate dialysis to remove excess potassium. Encephalopathy indicates severe uremia and is another absolute indication for dialysis. Other options were not provided in the question.
Question 3 of 5
Which of the following is the MOST likely diagnosis?
Correct Answer: B
Rationale: The correct answer is B: Acute tubular necrosis (ATN). ATN is the most likely diagnosis due to its common occurrence in critically ill patients with factors like hypotension, sepsis, or nephrotoxic medications. The key characteristic is the damage to the renal tubules leading to acute kidney injury. Prerenal failure (A) is usually due to decreased blood flow to the kidneys, glomerulonephritis (C) involves inflammation of the glomeruli, and postrenal failure (D) is caused by obstruction of urine flow. These conditions are less likely in a critically ill patient compared to ATN.
Question 4 of 5
When the nurse is conducting sexual history from a male adolescent, which statement would be most appropriate to use at the beginning of the interview?
Correct Answer: D
Rationale: The correct option, D, is appropriate as it acknowledges the common concerns of adolescents regarding sexual activity, setting a non-judgmental and open tone for the interview. It helps establish rapport and encourages the adolescent to feel comfortable discussing their questions or concerns. Option A is too direct and may make the adolescent uncomfortable. Option B is intrusive and assumes the adolescent's behavior. Option C is specific and may not be relevant to the adolescent's current situation. Overall, option D is the most appropriate as it focuses on the adolescent's perspective and facilitates open communication.
Question 5 of 5
The nurse is describing how to perform a testicular self-examination to a patient. Which statement is most appropriate? Test Bank - Physical Examination and Health Assessment 8e (by Jarvis) 391
Correct Answer: B
Rationale: The correct answer is B because it emphasizes the importance of seeking medical attention if any abnormalities are found during the testicular self-examination. This statement promotes early detection of potential issues such as testicular cancer, which is crucial for timely treatment. The other choices are incorrect: A focuses on timing rather than the action to take if a problem is detected, C describes the shape and mobility of the testicle which is not directly related to the examination process, and D provides a vague description of the testicle's texture without addressing the significance of findings.