ATI Health Assess 2.0: Rectum and Genitourinary Post Quiz Solved 100% Correct (with Rationale)

ATI Health Assess 2.0: Rectum and Genitourinary Post Quiz ATI Health Assess 2.0: Rectum and Genitourinary Post Quiz Solved 100% Correct A nurse is caring for an older adult client who has an enlarged prostate and reports difficulty voiding. Which of the following actions should the nurse take? (select all that apply) a.) perform a bladder scan within 60 minutes of the client voiding b.) ensure that the client's intake is significantly greater than output c.) inspect the client's suprapubic area for distention d.) notify the provider if the bladder sca n residual volume is greater than 100ml e.) ask the client if they are experiencing pain or a burning sensation when voiding [Answer: - - Inspect the client's suprapubic area for distention is correct. Clients who have an enlarged prostate can experience dif ficulty or an inability to pass urine due to an obstruction at the bladder outlet. A full bladder can be noted by inspecting the suprapubic area for distention and when the client reports lower abdominal discomfort. - Notify the provider if the bladder s can residual volume is greater than 100 mL is correct. A post -void residual is expected to be less than 100 mL. The nurse should notify the provider if the volume is greater than 100 mL. - Ask the client if they are experiencing pain or a burning sensat ion when voiding is correct. Clients who have difficulty emptying their bladder can develop a urinary tract infection (UTI) due to urinary stasis. Manifestations of a UTI can include a burning sensation when voiding, frequent voiding of small volumes, urg ency, suprapubic pain, fever, and bloody urine. A nurse is providing education to a male client about health promotion screenings. Which of the following information should the nurse include in the teaching? a.) a digital rectal examination can detect en largement of the prostate gland. b.) the prostate -specific antigen (PSA) test evaluates semen for the presence of cancer cells c.) testicular self -examination should be performed when the client is sitting in a cool environment d.) a client who has an ave rage risk for colorectal cancer should have a colonoscopy every 2 years. [Answer: - - A digital rectal examination can detect enlargement of the prostate gland. ATI Health Assess 2.0: Rectum and Genitourinary Post Quiz A digital rectal examination can assess the size of the prostate gland and the presence of any tenderness or nodules. A nurse is inspecting the genitalia of an older adult female client. For which of the following findings should the nurse notify the provider? a.) sparse pubic hair b.) atrophy of the mons pubis c.) dry vaginal membranes d.) labial ulcerations [Answer: - - Labial ulceration Redness, swelling, or ulcerations in the genital area are always unexpected findings and should be reported to the provider. A nurse is collecting a health history from a client. Which the following client st atements requires further investigation? a.) I urinate a lot when I get up int he morning b.) I have a bowel movement every morning after breakfast c.) I have noticed that it burns when I urinate d.) I empty my bladder several times a day [Answer: - - "I hav e noticed that it burns when I urinate." A burning sensation when voiding can be an indication of a urinary tract infection (UTI). Other manifestations of a UTI can include an urgent sensation to void and changes in the appearance of the urine, such as blo od, cloudiness, or a foul odor. A nurse is preparing to assist the provider with an assessment of a female client's genitourinary system. Which of the following actions should the nurse plan to take? a.) position the client supine with the head of the be d elevated b.) avoid conversation while the provider is performing the assessment c.) instruct the client to position their knees inward d.) position the client's arms above their head [Answer: - - Position the client supine with the head of the bed elevated.