Chapter 48: Urinary Disorders

Chapter 48: Urinary Disorders

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A 25-year-old female patient reports urinary frequency with pain on urination, flank pain, fever, and chills. The nurse recognizes these symptoms as characteristic of which condition?

ANS:   C

These are symptoms of pyelonephritis, characterized by fever, dysuria, flank pain, and urinary frequency.

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 702

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Physiological Integrity: Pathophysiology

2. A male patient reports urinary urgency and pain with burning on urination. The nurse understands that this patient will be treated for which condition?

ANS:   B

In a male patient, a lower urinary tract infection is most likely prostatitis with symptoms similar to cystitis.

DIF:    Cognitive Level: Understanding (Comprehension)               REF:    p. 702

TOP:    Nursing Process: Assessment

MSC:   NCLEX: Physiological Integrity: Pathophysiology

3. The nurse is caring for a patient who is diagnosed with a urinary tract infection. The patient reports always having difficulty remembering to take medications. Which drug will the nurse expect the provider to select when treating this patient?

ANS:   A

Fosfomycin is given as a one-time, single dose. Ciprofloxacin is given daily or twice a day. Nitrofurantoin is given four times daily. Trimethoprim-sulfamethoxazole is given twice daily.

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 703

TOP:    Nursing Process: Planning

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

4. The nurse is caring for a hospitalized patient who has symptoms characteristic of pyelonephritis. Before administering the first dose of the intravenous antibiotic, the nurse will ensure that which action is performed?

ANS:   D

A urinalysis, as well as a culture and sensitivity, is usually performed before initiating drug therapy. An antipyretic is indicated for fever but does not need to be timed before the antibiotic. An oral antibiotic is not indicated. A urinary analgesic is given as needed.

DIF:    Cognitive Level: Applying (Application)                              REF:    p. 703

TOP:    Nursing Process: Nursing Intervention

MSC:   NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies