ATI RN
Disorders of the Genitourinary System Questions
Question 1 of 5
Your patient does not seem to be responding to conservative treatment for acute renal failure, and dialysis is being considered. You understand that the main indication for dialysis is
Correct Answer: D
Rationale: The correct answer is D: a high and rising level of potassium. Dialysis is indicated in acute renal failure when the patient has severe electrolyte imbalances, especially hyperkalemia, which can lead to life-threatening arrhythmias. Potassium levels must be closely monitored, and if they are high and continue to rise despite conservative treatment, dialysis is necessary to quickly lower the potassium levels. Generalized edema (A) is a symptom of renal failure but is not the main indication for dialysis. Elevated blood pressure (B) and elevated blood calcium (C) are not direct indications for dialysis in the context of acute renal failure.
Question 2 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 3 of 5
The female gonad is called a(n)
Correct Answer: D
Rationale: The correct answer is D: ovary. The female gonad is the primary reproductive organ that produces eggs and secretes hormones. The ovary is specifically responsible for these functions. Placenta (A) is an organ formed during pregnancy, fallopian tube (B) is a part of the female reproductive system that transports eggs, and fimbria (C) are finger-like projections at the end of the fallopian tube. Therefore, the ovary is the only choice that accurately represents the female gonad.
Question 4 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 5 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.