Ch 23 Urologic Disorders

Question 2 of 5 Which statement made by a student nurse demonstrates understanding of the epidemiology of common urologic disorders? "Young adult men are 30 times more likely to suffer from a lower urinary tract infection than young adult women." "The lifetime prevalence of urolithiasis is 12 percent for women in the United States." "Benign prostatic hyperplasia is a common cause of urinary obstruction." "Urolithiasis is a common cause of urinary obstruction and is more common in women." "Urinary incontinence is five times more common in men than women."

"Benign prostatic hyperplasia is a common cause of urinary obstruction."

Question 5 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Bladder cancer Painful urination Physical findings are absent Cystoscopy Elevated bacteria level in urinalysis and culture Hematuria without pain Blood may be apparent in urine Laser ablation of tumor Urinary cough test and cotton swab test

Cystoscopy Hematuria without pain Blood may be apparent in urine Laser ablation of tumor CORRECT. Bladder cancer is a relatively rare cancer. One of the first signs is often gross hematuria without pain. Other symptoms, such as painful or frequent urge to urinate, are usually absent. Tumors can be detected with cystoscopy, which is a technique that enables viewing of the interior of the bladder. Laser ablation of the tumor is used for treatment.

Question 2 of 5 A patient presents with no urinary tract symptoms, yet two consecutive urinalysis results reveal a colony count exceeding 100,000 bacteria. What is the possible diagnosis? Urinary incontinence Interstitial cystitis Asymptomatic bacteriuria Bladder cancer Nephrotic syndrome

Asymptomatic bacteriuria

Question 1 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Asymptomatic bacteriuria Elevated bacteria level in urinalysis and culture Physical findings are absent Cloudy urine Asymptomatic Increase fluid intake and Kegel exercises Low-grade fever If no symptoms present, no antibiotics recommended Low animal protein and sodium diet

Elevated bacteria level in urinalysis and culture Physical findings are absent Asymptomatic If no symptoms present, no antibiotics recommended CORRECT. As the name implies, asymptomatic bacteriuria indicates a high level of bacteria in the urine; however, the patient reports no symptoms. Without the presence of symptoms, antibiotic usage is not recommended.

Question 3 of 5 Which organism is the most common cause of lower urinary tract infections? Escherichia coli Proteus Staphylococcus aureus Staphylococcus saprophyticus Pseudomonas

Escherichia coli

Question 5 of 5 Which of the following are treatments for urinary incontinence. Select all that apply. Exercises that strengthen the pelvic floor Dietary restrictions Medical devices such as urethral occlusive devices Lithotripsy Surgery

Exercises that strengthen the pelvic floor Medical devices such as urethral occlusive devices Surgery

Question 4 of 5 What type of lesion is present in ulcerative interstitial cystitis? Kuppfer Langerhans Hunner Interstitial Cobblestone

Hunner

Question 3 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Urolithiasis Cloudy urine Back and flank pain and dysuria CVA tenderness, low-grade fever, and crystalluria IVP and CT scan if needed High fluid intake and low animal protein and sodium diet Asymptomatic Pelvic floor exercises

IVP and CT scan if needed CVA tenderness, low-grade fever, and crystalluria Back and flank pain and dysuria High fluid intake and low animal protein and sodium diet CORRECT. Urolithiasis is the formation of urinary calculi, or stones, anywhere in the urinary system. Severe back and flank pain are common symptoms, as is dysuria. Pain may also be found in the CVA area. A low-grade fever may be present. Although substances comprising the stones may vary, it is recommended that following a diet low in animal protein and sodium may reduce stone formation. High fluid intake is also recommended. IVP, intravenous pyelogram, and CT scan may be used to diagnose location, number, and size of stones.

Question 4 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Lower UTI Increased frequency and urgency of urination Painful urination with cloudy urine Inability to hold urine Kegel exercises and vaginal ring pessaries for management Antibiotics for infective agent and Pyridium for pain Urinalysis positive for nitrites and leukocyte esterase Laser ablation of tumor

Increased frequency and urgency of urination Painful urination with cloudy urine Antibiotics for infective agent and Pyridium for pain Urinalysis positive for nitrites and leukocyte esterase CORRECT. An infection of the lower urinary tract is a common condition, especially in women. Initial symptoms include increased frequency and urge to urinate, painful urination, and cloudy appearance of the urine. Pyridium is often given to alleviate the pain associated with a lower UTI. Urinalysis will be positive for nitrates, processed by the infective bacteria, and leukocyte esterase, a marker of white blood cells. Antibiotics for the infectious agent are prescribed.

Question 4 of 5 Which of the following is true regarding interstitial cystitis? The cause of interstitial cystitis is known. Interstitial cystitis is a painless condition. Interstitial cystitis leads to bladder cancer. Pain from interstitial cystitis may be relieved with urination. Bacterial infections cause interstitial cystitis.

Pain from interstitial cystitis may be relieved with urination.

Question 5 of 5 Which of the following are typically associated with bladder cancer? Select all that apply. Severe pain Urethral discharge Large, palpable mass Painless hematuria Transitional cell carcinoma is most common form

Painless hematuria Transitional cell carcinoma is most common form

Question 3 of 5 A nurse is caring for a patient with bladder cancer. Which symptom should the nurse expect to find? Painless, intermittent, gross hematuria Presence of a palpable mass in the lower abdomen Burning sensation on urination Urgency, frequency, and dysuria Discharge from the urethra

Painless, intermittent, gross hematuria

Question 6 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Interstitial cystitis Asymptomatic Pelvic pain and urgency to urinate IVP and CT scan Inability to suppress urine leakage Filling cystometry Pelvic floor exercises and dietary modifications Pain lessened with urination Low-grade fever and crystalluria

Pelvic pain and urgency to urinate Pelvic floor exercises and dietary modifications Filling cystometry Pain lessened with urination CORRECT. Interstitial cystitis is also known as "painful bladder syndrome". Pelvic pain and an urgency to urinate are common symptoms. The pain is lessened with urination. Kegel exercises and the avoidance of certain foods, such as caffeine, may help with symptoms. Cystometry is one test that can be performed to evaluate interstitial cystitis. It measures the pressure in the bladder. IVP and CT scans are not common tests employed for interstitial cystitis. This condition is not accompanied by fever. Infection of the urinary tract normally causes fever.

Question 2 of 6 Can you differentiate the various urologic disorders? Drag and drop the statements that apply to each disorder to the box. Urinary incontinence Urinary cough test and cotton swab test Blood may be apparent in urine Painful urination Elevated bacteria levels Kegel exercises, vaginal ring pessaries, surgery are used for management Inability to suppress urine leakage IVP and CT scan if needed

Urinary cough test and cotton swab test Kegel exercises, vaginal ring pessaries, surgery are used for management Inability to suppress urine leakage CORRECT. Urinary incontinence is a common condition in which urine "leaks" due to a lack of control of the bladder. A urinary cough test may be employed to test for this condition. A person with a full bladder is asked to cough. Coughing causes increased abdominal pressure, increasing the likelihood of urine leaking. Kegel exercises strengthen the pelvic floor muscles. Vaginal pessaries may be used to help prevent leakage from the bladder. IVP and CT scans are not used to assess urinary incontinence, but are rather used for conditions such as urolithiasis.

Question 1 of 5 Which term refers to distention of the renal pelvis? pyelonephritis hydronephrosis urolithiasis cystitis nephritis

hydronephrosis

Question 1 of 5 Stones located along the urinary tract are known as __________________. hydronephrosis urolithiasis pyelonephritis interstitial nephritis hydroureter

urolithiasis