Exam 23: Urological Disorders

Which diagnostic procedures are used for the detection of interstitial cystitis (IC) in females? Select all that apply.

The nurse is providing care for a client with a spinal cord injury who is having difficulty urinating. If the client is diagnosed with a calculi in the ureter, which type of stone does the nurse expect to be present?

During a health screening a client's urine culture shows a colony count of 110,000 bacteria. A second culture confirms the initial finding. The client does not exhibit manifestations of a urinary tract infection (UTI). Which nursing intervention does the nurse initiate?

The nurse is reviewing epidemiology of urolithiasis. Which conclusion drawn by the nurse indicates the need for additional review?

The nurse is counseling a female client who is experiencing urinary incontinence. Which intervention does the nurse initiate for this client?

Arrange in order the events associated with the obstruction of the urinary tract that eventually leads to renal failure. (Enter the number of each step in the proper sequence; do not use commas or spaces.) A) Glomerular filtration rate (GFR) decreases. B) Ischemia and incremental nephron loss take place. C) Ureteral peristalsis is overcome by ureteral pressure. D) The intraluminal ureteral pressure becomes elevated. E) Increased hydrostatic pressures are transmitted directly to the nephron tubules.

The nurse is reviewing the pathology report on a kidney stone passed by a client. If the client's stone is identified as a cysteine stone, which type of client teaching does the nurse perform?

Arrange in order the events associated with the micturition reflex when voiding is not appropriate. (Enter the number of each step in the proper sequence; do not use commas or spaces.) A) The cerebral cortex initiates impulses that travel back down the spinal cord to inhibit the reflex arc. B) Contraction of the bladder wall takes place. C) The parasympathetic nerves stimulate the detrusor muscle. D) The spinal cord sends nerve impulses up to the cerebral cortex. E) The bladder wall stretches to accommodate the increasing volume of urine.

The nurse is taking the history of a female client suspected of having urolithiasis. Which questions does the nurse ask in order to facilitate the diagnosis? Select all that apply.

Which statement about the pathophysiology of lower urinary tract infections (UTIs) is true?

11 -Which option indicates the minimum amount of urine the kidney produces in 1 day?

Which factors does a nurse identify as associated with the formation of struvite stones after comparing struvite stones with calcium stones? Select all that apply.

The nurse is caring for an older adult client with a history of spinal injury that has necessitated the long-term use of an indwelling urinary catheter. A routine urine culture reveals the presence of Proteus mirabilis. For which complication does the nurse carefully monitor?

The nurse is preparing a client for urodynamic studies. Which information does the nurse tell the client the study will provide?

An older adult male client reports difficulty with urination. Which does the nurse identify as the most common cause of urinary obstruction in men older than 60 years of age?

Which statement is true regarding the bacteria that frequently cause lower urinary tract infections (UTIs)? Select all that apply.

The nurse is teaching an in-service to nurses about the epidemiology of lower urinary tract infections (UTIs). Which statement made by an attending nurse indicates a need for clarification?

Which is a risk factor for both bacterial and fungal urinary tract infections (UTIs)?

Which information does the nurse provide to a client regarding the rate of recurrence of urolithiasis within 5 years after it occurs in a client for the first time?

The new nurse in the urology unit is comparing treatment methods for urolithiasis and urinary incontinence. Which statement made by the nurse indicates proper understanding of the treatment methods? Select all that apply.