Adult 1 Final - Genito/urinary

Front 1

Assessment findings would the nurse expect/Cystitis?

Back 1

dysuria and foul smelling urine

Front 2

determines instructions for prevention of UTI for cystitis pt?

Back 2

increase fluids and empty bladder q3-4hours

Front 3

male client w/ BPH has frequency burning while urinating for the past 10 days. Diagnosis of pyelonephritis, what would the anticipated care be?

Back 3

ice pack

Front 4

BPH W/ bouts of cystitis. Pt has fever chills, n&v, urinalysis shows positive for bacteria, wbc, rbc. Nurse suspects upper uti because?

Back 4

CVA tenderness

Front 5

the nurse should PLAN to teach about drinking for adequate fluids for

Back 5

health promotion.

Front 6

Pain related to irritation of stone is highest priority nsg diagnosis for

Back 6

pt w/ renal calculi/gross hematuria/flank pain

Front 7

why strain urine?

Back 7

To analyze the stones composition

Front 8

how does the nurse know the lithotripsy has been effective

Back 8

adequate urinary elimination

Front 9

bladder ca primary risk factor is

Back 9

smoking.

Front 10

pt dehydrated/elyte imbalance. Shes alert, but incontinent. Plan of care should include

Back 10

assist the pt to the bathroom q2 hours

Front 11

62yo pt leaks urine when she coughs or sneezes, what is the teaching?

Back 11

Kegel exercises

Front 12

NSAIDS are a potential nephrotoxic agent to the pt w/

Back 12

a disorder of the urinary system

Front 13

teach the pt proper care for intermittent catheterization

Back 13

wash and rinse the catheter and wash hands with soap and water after each catheterization

Front 14

what is the appropriate intervention for the pt w/ and ileal conduit and the pt @ risk for a uti?

Back 14

empty drainage bag q2-3h or 1/3 full.

Front 15

lg amt of protein in urine, this indicate a problem with the ?

Back 15

glomerulus.

Front 16

plan of care for an alert/oriented 82yo would include:

Back 16

leaving the bathroom light on @ night.

Front 17

when analyzing the results of a urinalysis, the finding wbc indicates

Back 17

UTI

Front 18

the nurse prepares for the creatinine clearance test by

Back 18

obtaining supplies and instructing the pt about the 24 hour urine collection.

Front 19

long term problem from secreting too much renin

Back 19

hypertension

Front 20

.) an older female not taking estrogen is at risk for

Back 20

developing bacterial cystitis

Front 21

a correct understanding of pt w/ recurring uti is demonstrated when pt states:

Back 21

"even when I feel completely well, I should finish all my meds.”

Front 22

pt w/ foley cath is @ risk for

Back 22

infection

Front 23

pt has not voided in 10 hours

Back 23

Notify the physician.

Front 24

history of pt w/ BPH

Back 24

nurse should expect the pt to have difficulty starting and maintaining a stream

Front 25

pt w/ TURP procedure scheduled, worried about erection function. What do you tell him?

Back 25

This type of surgery rarely causes problems in experiencing and erection

Front 26

pt w/ TURP experiencing bladder spasms and pain w/ blood tinged urine.

Back 26

Priority treatment is to administer the B&O suppository

Front 27

wife asks why husband need the bladder irrigation b/c its increasing his pain. Best response is:

Back 27

the irrigation is needed to keep the catheter from getting blood clots.

Front 28

pt asks nurse the purpose of the PSA test, nurses best response is:

Back 28

PSA levels are elevated in patients w/ prostate disease.

Front 29

priaprism can cause

Back 29

penile tissue necrosis

Front 30

priority nursing diagnosis for pt w/ stress incontinence

Back 30

social isolation

Front 31

pt with stress incontinence makes a statement that needs clarification would be

Back 31

“I will limit my fluid intake”

Front 32

prevention strategy for pt worried about renal calculus recurrence

Back 32

drink at least 3-4 liters of fluid each day

Front 33

effect of Proscar

Back 33

reduction in size of the prostate

Front 34

smoking is the most contributing factor for

Back 34

bladder cancer

Front 35

nurse advises to have a PSA level and DRE

Back 35

for baseline @age 50

Front 36

needle bx only shows the appearance of

Back 36

cells degree of differentiation

Front 37

four hours after ileal conduit, stoma is ischemic

Back 37

notify the physician

Front 38

Fever and chills is a clinical manifestation of pt w/

Back 38

uti and possible pyelonephritis

Front 39

response to pt asking how enlarged prostate causes causes difficulty w/ urination would be:

Back 39

enlarged prostate gland presses on the urethra blocking urine flow.

Front 40

pt had prostatectomy- and has insufficient output, the choice that is not a priority is

Back 40

documentation b/c you better do something now.

Front 41

small hard nodules felt with the DRE are consistent with

Back 41

prostate cancer.

Front 42

the most common cause for pyelonephritis

Back 42

pyelonephritis is a lower urinary tract infection.

Front 43

true statement concerning indwelling catheters:

Back 43

the longer the catheter is in the greater the risk of infection

Front 44

for a testicular self exam

Back 44

this should be done when the scrotum is warm

Front 45

pt w/ diabetes mellitus and has not functioned sexually for several years, not wants Viagra. Nurse should respond with questions about

Back 45

history of coronary artery disease and any use of nitrates.

Front 46

pt going home after IVP priority teaching for the pt:

Back 46

drink at least 3l of fluids today

Front 47

pt w/ uti taking pyridium and Bactrim: educate on

Back 47

reddish orange colored urine is to be expected.

Front 48

pt that has had total cystectomy would have

Back 48

disturbed body image

Front 49

indwelling catheters in uncircumcised men can cause

Back 49

paraphimosis

Front 50

55 yo pt w/ DM for 25 years is most likely to have

Back 50

organic erectile dysfunction.