ATI - Rectum and Genitourinary Tract
A nurse is conducting a health history interview with a client about their urinary system. The nurse should recognize that which of the following client reports could indicate the presence of declining kidney function?
Recent weight gain Shortness of breath Swelling in the ankles
A nurse is inspecting a client's rectal area and notes the presence of bulging red tissue that encompasses the entire anal opening. Which of the following should the nurse suspect?
Rectal prolapse
A nurse is collecting a health history from a client. Which of the following client statements requires further investigation?
"I have noticed that it burns when I urinate."
A nurse is providing teaching about the prevention of sexually transmitted infections (STIs) to a 19-year-old client who is sexually active and reports having multiple partners. Which of the following client responses demonstrates an understanding of the teaching?
"I should plan on getting tested each year for sexually transmitted infections"
A nurse is providing education to a male client about health promotion screenings. Which of the following information should the nurse include in the teaching?
A digital rectal examination can detect enlargement of the prostate gland.
A nurse is providing education to a young adult client about the human papillomavirus (HPV) vaccine. Which of the following information should the nurse include in the teaching?
An HPV infection can lead to the development of cancer.
A nurse is inserting a urinary catheter for a female adolescent. Which of the following findings should the nurse report to the provider?
An area of tenderness on the labia majora
A nurse is providing a bed bath for an older adult client who is immobile. Which of the following findings should the nurse report to the provider?
An inability to retract the foreskin
A nurse is preparing to assess a client for the presence of a hernia. Which of the following areas should the nurse plan to inspect?
Femoral area Inguinal area
A nurse is caring for a male client who reports the presence of yellow discharge from the meatus and burning with urination. Which of the following infections should the nurse suspect?
Gonorrnea
A nurse is caring for an older adult client who has an enlarged prostate and reports difficulty voiding. Which of the following actions should the nurse take?
Inspect the client's suprapubic area for distention. Notify the provider if the bladder scan residual volume is greater than 100 mL. Ask the client if they are experiencing pain or a burning sensation when voiding.
A nurse is inspecting the genitalia of an older adult female client. For which of the following findings should the nurse notify the provider?
Labial ulceration
A nurse is preparing to assist with a prostate examination. Which of the following actions should the nurse plan to take?
Position the client standing, facing the examination table.
A nurse is preparing to assist the provider with an assessment of a female client's genitourinary system. Which of the following actions should the nurse plan to take?
Position the client supine with the head of the bed elevated
A nurse is preparing to assess a client's genitalia. Which of the following actions should the nurse plan to take?
Use a firm, deliberate touch when palpating.
A nurse is inspecting the genitals of an adult male client. Which of the following should the nurse identify as expected findings?
Visible dorsal vein on the underside of the penile shaft Absence of pubic hair on the penile shaft Testes that are easily movable during palpation
A nurse is providing education to a female client who has expressed a desire to use a natural method of contraception. Which of the following methods should the nurse recommend?
Withdrawal Fertility tracking with periodic abstinence