Exam 23: Urological Disorders

A nurse is taking the history of a female client who is suspected of having urolithiasis. Which are effective questions that the nurse can ask the client in order to facilitate the diagnosis?

A nurse is teaching student nurses about the epidemiology of lower urinary tract infections (UTIs). Which statement made by a student nurse indicates a need for further learning?

How much urine can the urinary bladder usually hold?

Which factor does the nurse identify to be responsible for potentially lower urinary tract infections (UTIs) in young men?

Which statements made by a student nurse demonstrate an understanding of the clinical presentation for lower urinary tract infections (UTIs)?

Which situation makes an individual susceptible to developing a lower urinary tract infection (UTI)?

Which statement by the nurse to a client demonstrates an understanding of the factors responsible for the formation of different types of ureter stones?

Which factors will a nurse identify to be associated with the formation of struvite stones, after comparing struvite stones with calcium stones?

Which type of calculi in the ureter is found most often in clients with spinal cord injuries?

How long does a typical wave of renal colic last?

Arrange in order the events associated with the micturition reflex, when voiding is not appropriate (A-G). (Enter the letter 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 individual then makes a conscious decision about whether it is appropriate to void. E) The bladder wall stretches to accommodate the increasing volume of urine. F) The external urinary sphincter stays contracted. G) Simultaneously, the spinal cord sends nerve impulses up to the cerebral cortex.

What is the rate of recurrence of urolithiasis within 5 years after it occurs in a client for the first time?

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

Arrange in order the steps that depict how untreated urolithiasis can lead to kidney failure (A-G). (Enter the letter of each step in the proper sequence; do not use commas or spaces.) A) Bleeding occurs when ureteral mucosa is sheared off. B) Urine flow pushes the stone down the ureter. C) Backward accumulation of pressure occurs into the renal pelvis. D) Urine gets supersaturated with stone-forming salts. E) Toxicity occurs in nephrons. F) Intense pain is caused by buildup of pressure and spasms within the ureter. G) Swelling of the renal pelvis is seen.

Which diagnostic procedures are used for the detection of interstitial cystitis (IC) in females?

A student nurse is comparing treatment methods for urolithiasis and urinary incontinence. Which statement made by the student nurse indicates proper understanding of the treatment methods?

Which is the most common cause of urinary obstruction in men older than 60 years of age?

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

Which type of stone in the case of urolithiasis is associated with indwelling catheters?

Which observation is associated with the nonulcerative type of interstitial cystitis (IC)?