Ch. 25 Flashcards
Urinary tract infections (UTI) occur secondary to:
A) inflammation of the urinary bladder.
B) bacterial invasion of the genitourinary system.
C) obstruction of the urethra.
D) erosions in the lining of the ureters.
B) bacterial invasion of the genitourinary system.
Page Ref: 640
Objective: 25.7 Discuss the pathophysiology, assessment, and management of patients with urinary system infections.
Which of the following is TRUE regarding urinary tract infections?
A) Hypertension may also occur with an overwhelming UTI.
B) Fever is rarely seen with a urinary tract infection.
C) Pyelonephritis is often a result of urinary tract infections.
D) Women tend to get more urinary tract infections than men.
D) Women tend to get more urinary tract infections than men.
Page Ref: 640
Objective: 25.7 Discuss the pathophysiology, assessment, and management of patients with urinary system infections.
The term for an inflammation of the female reproductive organs and genitalia usually caused by an STI is:
A) pyelonephritis.
B) pelvic inflammatory disease.
C) chlamydia.
D) gonorrhea.
B) pelvic inflammatory disease.
Page Ref: 644
Objective: 25.14 Describe signs and symptoms associated with common gynecologic and female genitourinary system causes of acute abdominal pain.
When documenting fetal development in a location other than the uterus, you would identify it as:
A) an ectopic pregnancy.
B) placenta previa.
C) pyelonephritis.
D) an ovarian cyst.
A) an ectopic pregnancy.
Page Ref: 645
Objective: 25.1 Define key terms introduced in this chapter.
Which of the following is the CORRECT treatment for a patient of sexual assault?
A) Treat immediate life threats, treat psychological needs, and protect criminal evidence.
B) Maintain scene safety and treat only the secondary injuries.
C) Treat immediate life threats but don’t worry about protecting criminal evidence.
D) Allow the patient to shower to support her psychological needs, and transport.
A) Treat immediate life threats, treat psychological needs, and protect criminal evidence.
Page Ref: 645-646
Objective: 25.15 Describe special considerations in the assessment and management of patients who have been sexually assaulted and patients with vaginal bleeding.
You are caring for a young girl who is complaining of abdominal cramps. During your assessment, she tells you that she usually has very painful cramps during her monthly menstrual period. Which of the following would be the CORRECT terminology to use to document her symptoms?
A) Endometritis
B) Menorrhagia
C) Paraphimosis
D) Dysmenorrhea
D) Dysmenorrhea
Page Ref: 643
Objective: 25.1 Define key terms introduced in this chapter; 25.16 Effectively communicate orally and in writing assessment findings for patients with gynecologic and genitourinary/renal complaints to other health care providers.
You are assessing a patient who has chronic kidney failure. He tells you that his glomerular filtration rate is 40 mL/minute. Which of the following GFRs would indicate a normal filtration rate?
A) 3 L/hour
B) 7 L/hour
C) 30 mL/minute
D) 75 mL/minute
B) 7 L/hour
Page Ref: 629
Objective: 25.4 Explain the assessment and management of patients with emergencies related to renal failure and dialysis.
What structures may be affected in a lower urinary tract infection in a female patient?
A) Urethra and bladder
B) Vagina, bladder, urethra
C) Bladder, ureters, vagina
D) Kidney, bladder, fallopian tubes
A) Urethra and bladder
Page Ref: 640
Objective: 25.7 Discuss the pathophysiology, assessment, and management of patients with urinary system infections.
Your patient has to catheterize herself and states she thinks she has a bladder infection. Which of the following questions will provide you with useful information about the patient’s problem?
A) “Do you have a history of kidney stones?”
B) “Is it painful when you urinate?”
C) “Are you having any vaginal discharge?”
D) “Are you sexually active?”
B) “Is it painful when you urinate?”
Page Ref: 641
Objective: 25.8 Identify complications associated with catheterization of the urinary bladder.
Which of the following would be more likely to have urinary tract infections?
A) Patients who take blood pressure medications
B) Men who have multiple sexual partners
C) Patients who utilize a Foley catheter
D) People who eat a lot of grapefruit
C) Patients who utilize a Foley catheter
Page Ref: 641
Objective: 25.7 Discuss the pathophysiology, assessment, and management of patients with urinary system infections.
An elderly patient with a Foley catheter presents with sepsis from a urinary tract infection. Which of the following would be an expected finding for this patient?
A) Cardiac dysrhythmia
B) Straw-colored urine
C) Hypotension
D) Bleeding
C) Hypotension
Page Ref: 632
Objective: 25.4 Explain the assessment and management of patients with emergencies related to renal failure and dialysis.
Which of the following is a sign of prerenal renal failure?
A) Increased fluid intake
B) Moist mucus membranes
C) Capillary refill of less than two seconds
D) Tenting of the skin
D) Tenting of the skin
Page Ref: 635
Objective: 25.2 Describe the pathophysiology of acute and chronic renal failure.
Which of the following is the cause of the majority of acute renal failure cases?
A) Prerenal renal failure
B) Postrenal renal failure
C) Intrinsic renal failure
D) End stage renal failure
A) Prerenal renal failure
Page Ref: 635
Objective: 25.2 Describe the pathophysiology of acute and chronic renal failure.
Which of the following is CORRECT regarding peritoneal dialysis?
A) A shunt graft surgically connects an artery and vein.
B) Patients are treated at dialysis centers.
C) Hypotension is a frequent side effect.
D) It is less efficient than hemodialysis.
D) It is less efficient than hemodialysis.
Page Ref: 639
Objective: 25.5 Explain the processes of hemodialysis and peritoneal dialysis.
Which of the following is often a result of the underlying problem of benign prostatic hypertrophy?
A) Renal calculi
B) Polycystic renal disease
C) Uremic frost
D) Urinary retention
D) Urinary retention
Page Ref: 640
Objective: 25.6 Discuss the pathophysiology, assessment, and management of patients with urinary retention.
Your 32-year-old male patient presents with constant, severe flank pain, radiating to his groin with tenderness over the costovertebral angle, and hematuria. What should be the MOST likely differential diagnosis?
A) Nephritis
B) Renal calculi
C) Chronic renal failure
D) Appendicitis
B) Renal calculi
Page Ref: 640
Objective: 25.9 Discuss the pathophysiology, assessment, and management of patients with renal calculi.
Which of the following has signs and symptoms that can mimic an abdominal aortic aneurysm?
A) Phimosis
B) Uremia
C) Renal colic
D) Nephritis
C) Renal colic
Page Ref: 640
Objective: 25.9 Discuss the pathophysiology, assessment, and management of patients with renal calculi.
Your male patient has a history of mental illness and has inserted a cotton-tipped swab into his urethra. He is complaining of dysuria. How will you manage this patient?
A) Remove the swab from his penis.
B) Apply pressure to the area.
C) Deliver a fluid bolus via IV.
D) Leave the object in place.
D) Leave the object in place.
Page Ref: 643
Objective: 25.10 Discuss the pathophysiology, assessment, and management of patients with trauma to the male genitourinary system.
You are documenting that your patient has pain when he urinates. Which of the following terms will you use to correctly identify this problem?
A) Dysuria
B) Uremia
C) Uritis
D) Hematuria
A) Dysuria
Page Ref: 646
Objective: 25.16 Effectively communicate orally and in writing assessment findings for patients with gynecologic and genitourinary/renal complaints to other health care providers.
