NR507 Final Exam Latest Updated 2024
4 versions
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently
became confused and then fell while ambulating to the bathroom three days ago.
Because of his confusion and fall, he was transferred to the acute care facility for
evaluation and treatment. Lab work revealed that the patient was very dehydrated
with hypernatremia identified and appropriate intravenous fluids started. Cystitis
was also identified from the urinalysis. He was also noted to have red and
excoriated skin between the buttocks and inner thighs due to urinary frequency
and dribbling. To help with skin healing and to prevent further urine leakage, an
indwelling catheter was inserted. Two days after the catheter was placed, the
patient spiked a fever of 102 degrees Fahrenheit associated with shaking chills. An
intense, foul odor was noted in the urine. On examination of the flank area, the
patient yelled out when touched. A urine c - ANSWER-pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: -
ANSWER-indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts -
ANSWER-true
Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of: - ANSWER-nitrites
,A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit. - ANSWER-true
The NP would know that the patient most likely has an uncomplicated UTI because:
- ANSWER-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - ANSWER-
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered
during urination. - ANSWER-true
The peripheral zone of the prostate is the largest zone. - ANSWER-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - ANSWER-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to
develop cellular mutations that lead to prostate cancer. - ANSWER-false
,Which of the following is true regarding a complicated urinary tract infection? -
ANSWER-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract
infection (UTI)? - ANSWER-Pregnancy
A symptom of a lower urinary tract infection includes: - ANSWER-urgency
Women are at a higher risk for the development of a UTI because of having a
shorter urethra. - ANSWER-true
Which of the following can help to prevent a UTI? - ANSWER-Increase water
consumption
Uncomplicated UTI - ANSWER-Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - ANSWER-UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
, Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
A 25 year- old female presents to the primary care office with urinary burning
and frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with: - ANSWER-cystitis
The patient most often develops symptoms of BPH when: - ANSWER-The prostatic
urethra becomes obstructed.
Irritative symptoms - ANSWER-urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - ANSWER-incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - ANSWER-Shrinkage of the
prostate gland.
4 versions
J.S. is an 80 -year-old patient who resides in a local nursing home. He recently
became confused and then fell while ambulating to the bathroom three days ago.
Because of his confusion and fall, he was transferred to the acute care facility for
evaluation and treatment. Lab work revealed that the patient was very dehydrated
with hypernatremia identified and appropriate intravenous fluids started. Cystitis
was also identified from the urinalysis. He was also noted to have red and
excoriated skin between the buttocks and inner thighs due to urinary frequency
and dribbling. To help with skin healing and to prevent further urine leakage, an
indwelling catheter was inserted. Two days after the catheter was placed, the
patient spiked a fever of 102 degrees Fahrenheit associated with shaking chills. An
intense, foul odor was noted in the urine. On examination of the flank area, the
patient yelled out when touched. A urine c - ANSWER-pyelonephritis
Identify the major risk factor J.S. has that is associated with pyelonephritis: -
ANSWER-indwelling foley catheter
The urinalysis of a patient with a complicated UTI will show WBCs and casts -
ANSWER-true
Upon examination of a urinalysis, the NP can highly suspect that the causative
bacteria are gram negative because of the presence of: - ANSWER-nitrites
,A 21-year-old patient reports to the primary care clinic complaining of urinary
urgency, frequency and burning. She also reports a small amount of vaginal
discharge that contains an odor. It is likely that the NP will perform a vaginal exam
at this visit. - ANSWER-true
The NP would know that the patient most likely has an uncomplicated UTI because:
- ANSWER-The UTI responds well to a short course of antibiotic therapy.
A common organism that causes a urinary tract infection include: - ANSWER-
Staphylococcus saprophyticus.
E coli
The purpose of straining in BPH is to overcome the obstruction encountered
during urination. - ANSWER-true
The peripheral zone of the prostate is the largest zone. - ANSWER-true
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings? - ANSWER-hard nodule
There is a significant risk for men with benign prostatic hyperplasia (BPH) to
develop cellular mutations that lead to prostate cancer. - ANSWER-false
,Which of the following is true regarding a complicated urinary tract infection? -
ANSWER-Can be caused by a structural urinary tract disorder
Which of the following is a risk factor for the development of a urinary tract
infection (UTI)? - ANSWER-Pregnancy
A symptom of a lower urinary tract infection includes: - ANSWER-urgency
Women are at a higher risk for the development of a UTI because of having a
shorter urethra. - ANSWER-true
Which of the following can help to prevent a UTI? - ANSWER-Increase water
consumption
Uncomplicated UTI - ANSWER-Occurs in the normal urinary tract
Responds well to short course of antibiotic therapy
Simple cystitis in non-pregnant women without any urologic abnormalities
Complicated UTI - ANSWER-UTI extends beyond the bladder
Caused by structural or functional urinary tract abnormalities or untreated UTI
Infants and older adults affected
, Associated with: indwelling catheters, renal calculi, diabetes, pregnancy
A 25 year- old female presents to the primary care office with urinary burning
and frequency for the last 3 days. She denies any fever, chills, back pain. Her
gynecological history is negative and reports no vaginal discharge. The only new
information reported is that she recently had sexual intercourse with a new male
partner.
The NP obtains a urinalysis and determines that the urine contains leukocytes,
RBCs, nitrites, and WBCs. No casts are identified. Based on symptom presentation
and UA results, the patient can be diagnosed with: - ANSWER-cystitis
The patient most often develops symptoms of BPH when: - ANSWER-The prostatic
urethra becomes obstructed.
Irritative symptoms - ANSWER-urinary frequency
nocturia
urgency that results from bladder hypertrophy and dysfunction
obstructive symptoms - ANSWER-incomplete emptying
post-void dribbling
The action of a 5-Alpha-reductase inhibitor causes: - ANSWER-Shrinkage of the
prostate gland.
