Maryville NURS 620 Exam 3
Questions and Answers 100%
PASS
Dysuria—ANSWER-Subjective pain complaint of burning with urination, urinary frequency,
hesitancy, urgency, and strangury (slow, painful urination)
Dysuria common causes—ANSWER--Lower UTIs
-SSRIs
-Citalopram (Celexa)
-Escitalopram (Lexapro)
-Paroxetine (Paxil)
-Fluoxetine (Prozac)
-Sertraline (Zoloft)
-Opiates such as scopolamine
Differentials for dysuria—ANSWER--Usuallt bladder issues, not renal issues
-Bladder tumors
,-CRF (chronic renal failure)
-Nephrolithiasis
-STIs
-Females should be asked about vaginal discharge
Isolated Hematuria—ANSWER--Only blood in UA
-Bleeding from renal pelvis to urethra
-Painless hematuria=? bladder cancer (cardinal sign)
Bacteria and hematuria—ANSWER--Infectious issue
-UTIs, in women - cystitis, urethritis
Proteinuria and Hematuria—ANSWER--Glomerular or interstitial nephritis
Hematuria due to medications and foods (beets)—ANSWER--Rifampin (Rifadin) and
Phenazopyridine (Pyridium)=red/orange color urine
-Presebce of porphyrins, hemoglobin, or myoglobin=reddish-brown urine
Hematuria in runners—ANSWER-18% chance long distance runners may have hematuria due
to vibrations in kidney
Differentials for gross hematuria—ANSWER--Positive correlation between underlying
malignancy and gross hematuria vs. microscopic hematuria
-Increases in cigarette smoking
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, Geriatric considerations for hematuria—ANSWER--Males >50 years old, 2.4% with hematuria
have urinary tract malignancies, typically transitional cell carcinoma
-Males >60 years old, incidence of urinary tract malignancy increases to 9%
-In older males with gross hematuria, rate of associated malignancy is as high as 20%
HPI questions for Hematuria—ANSWER--Fever, nausea, vomiting
-Pain (abdominal, pelvic, back, flank)
-LMP, type of contraceptive use
-New sexual partner
-Vaginal discharge
-Hygiene habits
-History of UTIs
Physical exam for hematuria—ANSWER--Abdominal exam - tenderness, masses
-CVA tenderness - pyelonephritis, renal tumor, or glomerulonephritis
-Flank pain - nephrolithiasis/kidney stones
-Suprapubic pain - bladder issues
-Prostate exam- BPH or tender=prostatitis
Diagnostic tests for Hematuria—ANSWER-Dipstick
Management and follow up for hematuria—ANSWER--Antibiotic therapy if bacterial
infection found
Questions and Answers 100%
PASS
Dysuria—ANSWER-Subjective pain complaint of burning with urination, urinary frequency,
hesitancy, urgency, and strangury (slow, painful urination)
Dysuria common causes—ANSWER--Lower UTIs
-SSRIs
-Citalopram (Celexa)
-Escitalopram (Lexapro)
-Paroxetine (Paxil)
-Fluoxetine (Prozac)
-Sertraline (Zoloft)
-Opiates such as scopolamine
Differentials for dysuria—ANSWER--Usuallt bladder issues, not renal issues
-Bladder tumors
,-CRF (chronic renal failure)
-Nephrolithiasis
-STIs
-Females should be asked about vaginal discharge
Isolated Hematuria—ANSWER--Only blood in UA
-Bleeding from renal pelvis to urethra
-Painless hematuria=? bladder cancer (cardinal sign)
Bacteria and hematuria—ANSWER--Infectious issue
-UTIs, in women - cystitis, urethritis
Proteinuria and Hematuria—ANSWER--Glomerular or interstitial nephritis
Hematuria due to medications and foods (beets)—ANSWER--Rifampin (Rifadin) and
Phenazopyridine (Pyridium)=red/orange color urine
-Presebce of porphyrins, hemoglobin, or myoglobin=reddish-brown urine
Hematuria in runners—ANSWER-18% chance long distance runners may have hematuria due
to vibrations in kidney
Differentials for gross hematuria—ANSWER--Positive correlation between underlying
malignancy and gross hematuria vs. microscopic hematuria
-Increases in cigarette smoking
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, Geriatric considerations for hematuria—ANSWER--Males >50 years old, 2.4% with hematuria
have urinary tract malignancies, typically transitional cell carcinoma
-Males >60 years old, incidence of urinary tract malignancy increases to 9%
-In older males with gross hematuria, rate of associated malignancy is as high as 20%
HPI questions for Hematuria—ANSWER--Fever, nausea, vomiting
-Pain (abdominal, pelvic, back, flank)
-LMP, type of contraceptive use
-New sexual partner
-Vaginal discharge
-Hygiene habits
-History of UTIs
Physical exam for hematuria—ANSWER--Abdominal exam - tenderness, masses
-CVA tenderness - pyelonephritis, renal tumor, or glomerulonephritis
-Flank pain - nephrolithiasis/kidney stones
-Suprapubic pain - bladder issues
-Prostate exam- BPH or tender=prostatitis
Diagnostic tests for Hematuria—ANSWER-Dipstick
Management and follow up for hematuria—ANSWER--Antibiotic therapy if bacterial
infection found
