ATI RN
Genitourinary System Quizlet 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: Step-by-step rationale: 1. Spironolactone is a potassium-sparing diuretic that acts as an aldosterone antagonist. 2. Aldosterone antagonism can lead to anti-androgenic effects, causing gynecomastia and hirsutism in males and menstrual disturbances in females. 3. Hydrochlorothiazide (A) is a thiazide diuretic known for electrolyte imbalances, not these specific side effects. 4. Bumetanide (B) is a loop diuretic that primarily affects electrolytes, not causing hormonal side effects. 5. Acetazolamide (C) is a carbonic anhydrase inhibitor, usually associated with metabolic acidosis, not hormonal disturbances. Summary: Spironolactone (D) is the correct answer due to its aldosterone antagonist properties causing hormonal side effects. The other choices do not have the same mechanism of action and are not associated with gynecomastia,
Question 2 of 5
While managing a client after a medical or surgical procedure for bladder stones, when should the nurse notify the physician?
Correct Answer: B
Rationale: The correct answer is B because assessing and recognizing abnormal findings is crucial in post-procedure care for bladder stones. This includes monitoring for signs of infection, urinary retention, bleeding, or other complications that may require immediate medical intervention. Notifying the physician promptly allows for timely treatment and prevents potential complications. Choices A, C, and D are incorrect as they are not directly related to the immediate post-procedure care for bladder stones and do not require immediate physician notification.
Question 3 of 5
A physician is caring for a patient with a urinary tract infection. The physician would expect the plan of care to include:
Correct Answer: A
Rationale: The correct answer is A: Antibiotics and phenazopyridine. Antibiotics are essential to treat the bacterial infection causing the UTI. Phenazopyridine can help relieve urinary discomfort. Erythropoietin and stent placement (B) are not indicated for UTI. Hormonal therapy and IV fluids (C) are not standard treatments for UTI. Hourly urine output measurements and antibiotics (D) are not typically necessary, as antibiotics alone are sufficient for treating UTIs.
Question 4 of 5
For which patient with incontinence would a bladder-training program be an appropriate intervention?
Correct Answer: C
Rationale: The correct answer is C: the patient with urge incontinence and abnormal detrusor muscle contractions. Bladder training is an appropriate intervention for this patient because it aims to increase the bladder capacity and decrease the frequency of abnormal contractions. The program involves scheduled voiding and delaying urination to gradually increase the time between bathroom visits. This helps to retrain the bladder muscles and improve control over urination. A: Functional incontinence due to mental status changes is not typically addressed through bladder training. B: Stress incontinence due to weakened bladder neck support is better treated with pelvic floor exercises and lifestyle modifications. D: Transient incontinence due to inability to get to toileting facilities requires environmental modifications and timed toileting, not bladder training.
Question 5 of 5
Number the following physiologic occurrences in the order they occur in the formation of urine.
Correct Answer: A
Rationale: Rationale: The correct order of physiologic occurrences in urine formation is as follows: A) Blood is filtered in the glomerulus. This is the initial step where blood enters the nephron for filtration. The other choices are incorrect because B) Reabsorption of water in the loop of Henle occurs after filtration, C) Reabsorption of electrolytes, glucose, amino acids, and small proteins in the tubules happens after the initial filtration, and D) Acid-base regulation in the distal tubule occurs after other processes such as reabsorption and secretion have taken place.