Nursing 633: Week 6 – Genitourinary (GU) Quiz

Nursing 633: Week 6 – Genitourinary (GU) Quiz Week 6 – Genitourinary (GU) The provider is counseling a patient who has stressincontinence about waysto minimize accidents. What will the provider suggest initially? Voiding every 2 hours during the day A pregnant woman at 30 weeks gestation has proteinuria. What will the provider do next? Evaluate her blood pressure The provider is evaluating a patient for potential causes of urinary incontinence and performs a postvoid residual (PVR) test which yields 30 mL of urine. What is the interpretation of this result? This is a normal result. A patient'srecent blood work indicates acute kidney injury. You know that acute kidney injury can be caused from: Heart failure exacerbation GERD Increase in metoprolol dose atrial fibrillation Heart failure exacerbation and cause decreased perfusion to the kidneys, leading to acute kidney injury. Changes in medications or nephrotoxic can cause acute kidney injury, metoprolol is not one of them. While patients with atrial fibrillation can have decreased cardiac output, it is often compensated to preserve renal perfusion A male patient complaints of dysuria. His urinalysisis positive for nitrates, leukocytes, and bacteria. What medication should be given and for how many days? Trimethoprim-sulfamethoxazole for 7-10 days First line treatment issimilar to females which include TMP/SMX, nitrofurantoin, fosfomycin. The correct length of treatment is only in TMP/SMX in the possible answer choices. A patient who has diabetes has symptoms consistent with renalstones. Which type of stone is most likely in this patient? Uric acid A 30-year-old male patient has a positive leukocyte esterase and nitrites on a random urine dipstick during a well patient exam. What type of urinary tract infection does this represent? Uncomplicated Unresoved Complicated Isolation An older male patient reports gross hematuria but denies flank pain and fever. What will the provider do to manage this patient? Perform a 24-hour urine collection Refer for cystoscopy and imaging Monitor blood pressure closely Obtain a urine culture A 16-year-old female patient is being treated for her first UTI. She had an allergic reaction with hives after taking sulfa as a child. Which of the following antibiotics would be contraindicated? Trimethoprim-sulfamethoxazole A female patient with the complaint of dysuria has a urine specimen that is positive for leukocytes and nitrates. There is blood in the specimen. The most appropriate diagnosis is: UTI with hematuria The presence of leukocytes and nitrates in the urine indicates likely infection in the bladder, and more likely from a gram-negative pathogen such as Escherichia coli. The presence of blood is common when patient's has a UTI. A diagnosis of chlamydia cannot be made based on the symptoms and urinalysis results. An adolescent male reports severe pain in one testicle. The examiner notes edema and erythema of the scrotum on that side with a swollen, tender spermatic cord and absence of the cremasteric reflex. What is the most important intervention? Immediate referral to the emergency department Transillumination to assess for a “blue dot” sign Prescribing anti-infective agentsto treat the infection Doppler ultrasound to assess testicular blood flow A female patient reports hematuria and a urine dipstick and culture indicate a urinary tract infection. After treatment for the UTI, what testing is indicated for this patient?