NR 507 Final questions with verified answers
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. Ans✓✓✓ true - NP will want to rule out STD
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: Ans✓✓✓ cystitis
A 45-year-old male presents to the primary care office with right flank pain that
he describes as unremitting; he also reports nausea and vomiting. The NP
performs an exam and observes him writhing in pain on the exam table with the
inability to find a comfortable position. He is afebrile, BP 156/88 mmHg and HR
106/min. Right flank is mildly tender on palpation. Abdominal exam is negative for
any abnormality. A urinalysis was performed and revealed 1+ blood. Urine
microscopy also revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After providing
the patient an analgesic, where the patient reported mild relief, the NP had the
patient transferred to the emergency room for intravenous fluids, pain
management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with Ans✓✓✓ A
balanced diet
Adequate hydration
, A 54-year-old female reports to the primary care office with complaints of
frequent urination. She reports that she is "leaking" urine several times a day,
especially when she coughs, sneezes, or lifts a heavy object. She indicates that she
has not experienced any dysuria or any urgency. The NP looked at the patient's
previous urine culture obtained approximately 1 month ago and determined that
it was negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9. The NP
performs a physical exam and all findings are normal. The urinalysis obtained was
negative as well.
Based on patient's symptoms and negative physical exam, she has a typical
BLANK. The leaking occurs when the abdominal pressure increases during
coughing, sneezing, and lifting. We can rule out urge incontinence because the
denied urgency with her urination. We could not diagn Ans✓✓✓ 1. stress
incontinence
2. stress incontinence
A 72- year-old male presents to the primary care office with complaints of lower
urinary frequency and urgency that have become progressively worse over the
last 6 months. He also reports having to get up more than 5 times/night to urinate
where he feels like his bladder is never emptied. He is especially embarrassed
because of "leaking" after urination. He denies any fever, weight loss or bone
pain. His only medical history is hypertension where he takes atenolol 50 mg po
daily and Aspirin 81 mg daily. His family history is negative for malignancy. A
urinalysis was performed with negative results, ruling out UTI.
The NP performs a focused urological exam and notes the following:
Digital rectal exam (DRE): a profusely enlarged prostate with normal shape and
symmetry. No nodularity or tenderness is noted.
Palpation of the suprapubic area reveals some bladder distention and discomfort.
Currently, the NP opts to prescri Ans✓✓✓ Irritative:
- Urinary frequency, nocturia, urgency that results from bladder hypertrophy and
dysfunction
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. Ans✓✓✓ true - NP will want to rule out STD
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: Ans✓✓✓ cystitis
A 45-year-old male presents to the primary care office with right flank pain that
he describes as unremitting; he also reports nausea and vomiting. The NP
performs an exam and observes him writhing in pain on the exam table with the
inability to find a comfortable position. He is afebrile, BP 156/88 mmHg and HR
106/min. Right flank is mildly tender on palpation. Abdominal exam is negative for
any abnormality. A urinalysis was performed and revealed 1+ blood. Urine
microscopy also revealed 10-20 RBCs per high-power field (hpf). A kidney stone is
suspected. The patient reports no prior history of a kidney stone. After providing
the patient an analgesic, where the patient reported mild relief, the NP had the
patient transferred to the emergency room for intravenous fluids, pain
management and further work-up for the kidney stone. Upon follow-up in the
office a week later, the patient reported that he was diagnosed with Ans✓✓✓ A
balanced diet
Adequate hydration
, A 54-year-old female reports to the primary care office with complaints of
frequent urination. She reports that she is "leaking" urine several times a day,
especially when she coughs, sneezes, or lifts a heavy object. She indicates that she
has not experienced any dysuria or any urgency. The NP looked at the patient's
previous urine culture obtained approximately 1 month ago and determined that
it was negative. Other than her urinary complaints, she is in otherwise good
health. BP 128/76; HR 78 bpm; T 98.6; Ht. 5'4"; Wt: 180lbs.; BMI 30.9. The NP
performs a physical exam and all findings are normal. The urinalysis obtained was
negative as well.
Based on patient's symptoms and negative physical exam, she has a typical
BLANK. The leaking occurs when the abdominal pressure increases during
coughing, sneezing, and lifting. We can rule out urge incontinence because the
denied urgency with her urination. We could not diagn Ans✓✓✓ 1. stress
incontinence
2. stress incontinence
A 72- year-old male presents to the primary care office with complaints of lower
urinary frequency and urgency that have become progressively worse over the
last 6 months. He also reports having to get up more than 5 times/night to urinate
where he feels like his bladder is never emptied. He is especially embarrassed
because of "leaking" after urination. He denies any fever, weight loss or bone
pain. His only medical history is hypertension where he takes atenolol 50 mg po
daily and Aspirin 81 mg daily. His family history is negative for malignancy. A
urinalysis was performed with negative results, ruling out UTI.
The NP performs a focused urological exam and notes the following:
Digital rectal exam (DRE): a profusely enlarged prostate with normal shape and
symmetry. No nodularity or tenderness is noted.
Palpation of the suprapubic area reveals some bladder distention and discomfort.
Currently, the NP opts to prescri Ans✓✓✓ Irritative:
- Urinary frequency, nocturia, urgency that results from bladder hypertrophy and
dysfunction
