NURS 620 Maryville Exam 3 Exams Questions With
verified Answers| Grade A+
Evagination of the peritoneal cavity due to occlusion by the adult spermatic cord - ✔✔✔Hernia
Exam findings assoicated with BPH - ✔✔✔+Enlarged prostate
+gross hematuria
+Distended bladder
+ increased PVR
Finding with testicular torsion where one testicle is higher in the scrotum. - ✔✔✔Bell-clapper
GFR between 15-29 - ✔✔✔Stage 4
Gold standard of laboratory confirmation of UTI - ✔✔✔Urine culture
How do you assess that a patent is doing kegals properly using the pelvic floor muscles rather than
abdominal muscles? - ✔✔✔Should feel tightness around finger during pelvic exam
How does elevated PH cause lower UTI? - ✔✔✔creates a medium in which bacteria can grow and
proliferate
How does interstitial cystitis respond to antibiotic treatment? - ✔✔✔It does not
How does prostate cancer rank amongst the cause of cancer deaths? - ✔✔✔2nd
How is overflow incontinence managed? - ✔✔✔-Treatment of underlying cause
-indwelling catheterization
How is testicular pain generally described? - ✔✔✔+Fullness or heaviness of scrotum
+Dull ache to sticking pain
How is the definitive diagnosis of pyelo determined? - ✔✔✔Identify persistent pyuria & positive
urine cultures
How long before ischemic necrosis of the testis occurs with testicular torsion? - ✔✔✔6 hours
How long is oral cipro 500 q 12 hr or nofloxacin 400 m q 12 hrs given for patient wh was hospitalized
for bacterial prostatitis? - ✔✔✔4-6 weeks.
How long should antibiotic treatment be for male UTI? - ✔✔✔10-14 days
How long should patients who are geriatric or present with comorbidities, immunocompromise, etc.
be treated for uncomplicated UTI? - ✔✔✔7 days
How many days can a healthy patient be successfully treated for uncomplicated UTI? - ✔✔✔3-5 day
dosing
How often should indwelling catheters be changed? - ✔✔✔Q 4-6 weeks
How should you educate patients to perform kegal excercises? - ✔✔✔-10 @ a time (gradually
increase pressure and holding with kegal and slowly release the muscle relaxation
How will patient with no fever or other underlying complications be treated for bacterial prostatiatis?
- ✔✔✔-outpatient tx 4-6 weeks antibiotic:
-ofloxacin 400 mg PO BID q 12 h
,-Cipro 500 mg PO q 12 hr
-Norfloxacin-400 mg PO W 12 hrs
If DRE is performed in assessment for prostate cancer and palpable abnormality is present, what may
this indicate? - ✔✔✔Advanced state of prostate cancer
Important follow up points for lower UTI - ✔✔✔-Maintain adequate hydration and monitor UO
-Obstruction must be identified and removed
-Prescribe analgesics for patients to reduce pain associated with UTI.
Important goal of intersitial cystitis diagnosis and treatment. - ✔✔✔Determine what the underlying
cause of the symptoms is
Important patient teaching points regaring uncomplicated UTI - ✔✔✔-Complete full course of
antibiotic
-increase fluid intake to 8-8oz glasses of H20/day
-Take cranberry supplement/drink cranbery juice
-self-medicate as indicated
-Avoid harsh soaps or feminie hygeine products
-Use condoms
-Use proper self-cath techniques
-Empty bladder frequently
-Take showers instead of tub baths
-Keep voiding diary that includes symptoms
-Empty bladder completely.
-Proper hygeine-wipe front to back
-cotton undergarments
-empty bladder after sexual intercourse
-Avoid bladder irritants-caffeine, sugary drinks, etc.
Important underlying conditions associated with CKD that should be controlled t maintain
managment of disease. - ✔✔✔-HTN
-DM
-Anemia
Impotence; failure to consistently maintain a sufficiently rigid erect penis to have sexual intercourse;
May manifest as lack of sexual desire or inability to ejaculate. - ✔✔✔erectile dysfunction
Incontinence associated with a relaxed pelvic floor causing increased abdominal pressure. Urethral
sphincter muscle is weak; weak pelvic floor muscles; brought on by coughing, sneezing, straining.
Sagging and weakness of the bladder neck present. - ✔✔✔Stress
Incontinence associated with bladder oversensitivity from infection; common with neurologic
disorders. Detrusor instability. Involuntary leakage due to inability to delay voiding. Sensation of full
bladder & unable to hold. - ✔✔✔Urge
Incontinence associated with urethral blockage causing bladder to be unable to empty properly.
Caused by overdistended bladder and inability to feel voiding sensation. - ✔✔✔Overflow
Infection that occurs when the normal sterile condition of the urinary tract is invaded by pathogenic
bacteria - ✔✔✔Lower urinary tract infection
Is fever present in acute, chronic, or both regarding protatitis? - ✔✔✔acute
Lab tests for interstitial cystitis - ✔✔✔None specific. Is a diagnosis of exclusion
Low back pain is an indication of what form of complicated UTI? - ✔✔✔Pyleonephritis
, Low levels of this hormone cause low libido and erectile dysfunction. - ✔✔✔Testosterone
Main type of bacteria seen with chronic bacterial prostatitis? - ✔✔✔gram-negative E. Coli
Management of Interstitial cystitis. - ✔✔✔•Oral Pentosan polysulfate sodium: 100mg TID or 200mg
BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS, antidepressants, muscle relaxants
Medication management for urge incontinence. - ✔✔✔Decongestants (psuedophedrine-good 1st
option if no htn)
Anticholinergic medications
tricyclic antidepressants
Most common bacterial agent responsible for uncomplicated UTI in women. - ✔✔✔E. Coli
Most common cause of lower UTI? - ✔✔✔fecal contamination secondary to poor perineal hygeine.
Name the types of lower urinary tract infections. - ✔✔✔Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Nodular hyperplasia of the prostate - ✔✔✔BPH
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is of sufficient severity
to cause functional disability - ✔✔✔Chronic pelvic pain
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is sufficient severity to
cause functional disability - ✔✔✔Chronic Pelvic Pain
Noninfectious; similar presentation to UTI - ✔✔✔interstitial cystitis
Objective finding with variocele. - ✔✔✔"Tortuous veins"
Objective findings with lower UTI? - ✔✔✔Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth
Other than transillumination findings, what else may be noted in the objective findings of the patient
with suspected hydrocele? - ✔✔✔Swelling in the groin or upper scrotum.
Painless swelling in the scroum or inguinal canal with a sense of heaviness present may suggest which
diagnosis? - ✔✔✔Hydrocele (If pain present will radiate to lower back
Pathogenesis of IC - ✔✔✔Dysfunction of the GAG layer
Patient education for BPH - ✔✔✔+Avoid OTC meds with alpha-agonists or anticholinergic agents
(cause acute urinary retention which can result in arf)
+Avoid bladder irritants
+Void at least q 2 hrs to help reduce possibility of UTI
verified Answers| Grade A+
Evagination of the peritoneal cavity due to occlusion by the adult spermatic cord - ✔✔✔Hernia
Exam findings assoicated with BPH - ✔✔✔+Enlarged prostate
+gross hematuria
+Distended bladder
+ increased PVR
Finding with testicular torsion where one testicle is higher in the scrotum. - ✔✔✔Bell-clapper
GFR between 15-29 - ✔✔✔Stage 4
Gold standard of laboratory confirmation of UTI - ✔✔✔Urine culture
How do you assess that a patent is doing kegals properly using the pelvic floor muscles rather than
abdominal muscles? - ✔✔✔Should feel tightness around finger during pelvic exam
How does elevated PH cause lower UTI? - ✔✔✔creates a medium in which bacteria can grow and
proliferate
How does interstitial cystitis respond to antibiotic treatment? - ✔✔✔It does not
How does prostate cancer rank amongst the cause of cancer deaths? - ✔✔✔2nd
How is overflow incontinence managed? - ✔✔✔-Treatment of underlying cause
-indwelling catheterization
How is testicular pain generally described? - ✔✔✔+Fullness or heaviness of scrotum
+Dull ache to sticking pain
How is the definitive diagnosis of pyelo determined? - ✔✔✔Identify persistent pyuria & positive
urine cultures
How long before ischemic necrosis of the testis occurs with testicular torsion? - ✔✔✔6 hours
How long is oral cipro 500 q 12 hr or nofloxacin 400 m q 12 hrs given for patient wh was hospitalized
for bacterial prostatitis? - ✔✔✔4-6 weeks.
How long should antibiotic treatment be for male UTI? - ✔✔✔10-14 days
How long should patients who are geriatric or present with comorbidities, immunocompromise, etc.
be treated for uncomplicated UTI? - ✔✔✔7 days
How many days can a healthy patient be successfully treated for uncomplicated UTI? - ✔✔✔3-5 day
dosing
How often should indwelling catheters be changed? - ✔✔✔Q 4-6 weeks
How should you educate patients to perform kegal excercises? - ✔✔✔-10 @ a time (gradually
increase pressure and holding with kegal and slowly release the muscle relaxation
How will patient with no fever or other underlying complications be treated for bacterial prostatiatis?
- ✔✔✔-outpatient tx 4-6 weeks antibiotic:
-ofloxacin 400 mg PO BID q 12 h
,-Cipro 500 mg PO q 12 hr
-Norfloxacin-400 mg PO W 12 hrs
If DRE is performed in assessment for prostate cancer and palpable abnormality is present, what may
this indicate? - ✔✔✔Advanced state of prostate cancer
Important follow up points for lower UTI - ✔✔✔-Maintain adequate hydration and monitor UO
-Obstruction must be identified and removed
-Prescribe analgesics for patients to reduce pain associated with UTI.
Important goal of intersitial cystitis diagnosis and treatment. - ✔✔✔Determine what the underlying
cause of the symptoms is
Important patient teaching points regaring uncomplicated UTI - ✔✔✔-Complete full course of
antibiotic
-increase fluid intake to 8-8oz glasses of H20/day
-Take cranberry supplement/drink cranbery juice
-self-medicate as indicated
-Avoid harsh soaps or feminie hygeine products
-Use condoms
-Use proper self-cath techniques
-Empty bladder frequently
-Take showers instead of tub baths
-Keep voiding diary that includes symptoms
-Empty bladder completely.
-Proper hygeine-wipe front to back
-cotton undergarments
-empty bladder after sexual intercourse
-Avoid bladder irritants-caffeine, sugary drinks, etc.
Important underlying conditions associated with CKD that should be controlled t maintain
managment of disease. - ✔✔✔-HTN
-DM
-Anemia
Impotence; failure to consistently maintain a sufficiently rigid erect penis to have sexual intercourse;
May manifest as lack of sexual desire or inability to ejaculate. - ✔✔✔erectile dysfunction
Incontinence associated with a relaxed pelvic floor causing increased abdominal pressure. Urethral
sphincter muscle is weak; weak pelvic floor muscles; brought on by coughing, sneezing, straining.
Sagging and weakness of the bladder neck present. - ✔✔✔Stress
Incontinence associated with bladder oversensitivity from infection; common with neurologic
disorders. Detrusor instability. Involuntary leakage due to inability to delay voiding. Sensation of full
bladder & unable to hold. - ✔✔✔Urge
Incontinence associated with urethral blockage causing bladder to be unable to empty properly.
Caused by overdistended bladder and inability to feel voiding sensation. - ✔✔✔Overflow
Infection that occurs when the normal sterile condition of the urinary tract is invaded by pathogenic
bacteria - ✔✔✔Lower urinary tract infection
Is fever present in acute, chronic, or both regarding protatitis? - ✔✔✔acute
Lab tests for interstitial cystitis - ✔✔✔None specific. Is a diagnosis of exclusion
Low back pain is an indication of what form of complicated UTI? - ✔✔✔Pyleonephritis
, Low levels of this hormone cause low libido and erectile dysfunction. - ✔✔✔Testosterone
Main type of bacteria seen with chronic bacterial prostatitis? - ✔✔✔gram-negative E. Coli
Management of Interstitial cystitis. - ✔✔✔•Oral Pentosan polysulfate sodium: 100mg TID or 200mg
BID
•Course duration: 2-4 months minimum
•Intravesical DMSO bladder instillation
•Bladder training (reduce eliminations)
• Hydrodistension of bladder, low acid diet, laser, NSAIDS, antidepressants, muscle relaxants
Medication management for urge incontinence. - ✔✔✔Decongestants (psuedophedrine-good 1st
option if no htn)
Anticholinergic medications
tricyclic antidepressants
Most common bacterial agent responsible for uncomplicated UTI in women. - ✔✔✔E. Coli
Most common cause of lower UTI? - ✔✔✔fecal contamination secondary to poor perineal hygeine.
Name the types of lower urinary tract infections. - ✔✔✔Urethra: urethritis
Bladder: cystitis
Bladder wall; Intersitital cystitis (IC)
Prostate Gland: Prostatitis
Nodular hyperplasia of the prostate - ✔✔✔BPH
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is of sufficient severity
to cause functional disability - ✔✔✔Chronic pelvic pain
Non-cyclic pain of 6 or more months duration that is localized to the pelvis and is sufficient severity to
cause functional disability - ✔✔✔Chronic Pelvic Pain
Noninfectious; similar presentation to UTI - ✔✔✔interstitial cystitis
Objective finding with variocele. - ✔✔✔"Tortuous veins"
Objective findings with lower UTI? - ✔✔✔Hematuria
cloudy, foul smelling urine
alkaline PH
elevate levels of nitrites
leukocyte esterase
urine sedements of RBCs, WBCs, mucus, and bacterial overgrowth
Other than transillumination findings, what else may be noted in the objective findings of the patient
with suspected hydrocele? - ✔✔✔Swelling in the groin or upper scrotum.
Painless swelling in the scroum or inguinal canal with a sense of heaviness present may suggest which
diagnosis? - ✔✔✔Hydrocele (If pain present will radiate to lower back
Pathogenesis of IC - ✔✔✔Dysfunction of the GAG layer
Patient education for BPH - ✔✔✔+Avoid OTC meds with alpha-agonists or anticholinergic agents
(cause acute urinary retention which can result in arf)
+Avoid bladder irritants
+Void at least q 2 hrs to help reduce possibility of UTI
