Medical-surgical Nursing Demystified

(Sean Pound) #1

CHAPTER 9 Genitourinary System^397



  1. You are caring for a patient with a urinary tract infection. You would expect
    the plan of care to include:
    (a) antibiotics and phenazopyridine.
    (b) erythropoetin and stent placement.
    (c) hormonal therapy and intravenous fluids.
    (d) hourly urine output measurements and antibiotics.

  2. Patients with bladder cancer typically exhibit symptoms of:
    (a) weight loss and low back pain.
    (b) fatigue and anemia.
    (c) hematuria and change in urinary pattern.
    (d) difficulty initiating urinary stream and nocturia.

  3. Teach a patient at risk for testicular cancer to:
    (a) restrict potassium, phosphate, sodium, and protein in diet.
    (b) self-catheterize ileal reservoir.
    (c) perform testicular self-exam.
    (d) monitor change in color of urine.

  4. Care of the postoperative nephrectomy patient includes:
    (a) assessing the wound site for redness, swelling, or drainage.
    (b) giving diuretics to enhance urinary output.
    (c) monitoring urinary output every 2 hours.
    (d) encouraging intake of cranberry juice to acidify the urine.

  5. You are caring for a patient who has had a transurethral resection of the
    prostate for benign prostatic hypertrophy. There is a continuous bladder
    irrigation set up. You would notify the physician if you noted:
    (a) any signs of hematuria.
    (b) a decrease in the amount of blood in the urine.
    (c) a change from clear red output to thicker, bright red output.
    (d) the development of uremic pruritis.

  6. One of your patients is awaiting lab results for kidney function. The patient
    has recently recovered from a streptococcal throat infection. The patient has
    most likely developed symptoms of:
    (a) pyelonephritis.
    (b) nephrolithiasis.
    (c) chronic renal failure.
    (d) glomerulonephritis.

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