Which test would confirm a diagnosis of renal trauma most conclusively?

The nurse would expect a patient with a ruptured bladder to exhibit which signs and symptoms:

A 24-year-old man is brought to the emergency department (ED), after having sustained blunt trauma to the left kidney during a boxing match. He is awake and alert. His chief complaint is flank tenderness. Urinalysis reveals microscopic hematuria. All other laboratory values are within normal limits. Vital signs are blood pressure 130/70 mmHg, pulse rate 76 beats/minute, and respiratory rate 20 breaths/minute. He is scheduled for transfer to the medical-surgical unit as soon as a bed is available. Which assessment findings indicate renal trauma:

In a patient with renal contusion, if the patient’s pain increases, the nurse’s main priority would be to:

Which question typically elicits the most valuable information from a patient complaining of flank pain?

A patient with a ruptured bladder should also be assessed for:

The most appropriate nursing action for an uncircumcised male patient with a zipper injury would be to:

The nurse should suspect renal trauma in any patient with:

Anuria is a common symptom of:

Which statement regarding urethral trauma is true:

Which medication should be avoided if renal calculi are suspected?

If a kidney were partially obstructed by a calculus, the nurse would expect the patient’s urine output to:

Which action should be the nurse’s priority when treating a patient with renal colic?

Which of the following would not be commonly seen in a patient suffering from kidney stones?

Which procedure would the nurse most likely expect to see used to confirm a diagnosis of renal calculi?

Which diagnostic study would be necessary if a patient had hematuria?

Which information about a UTI should the nurse include in the discharge teaching for a patient:

A 35-year-old man arrives at the ED with pain in the right flank that began 2 hours ago, spontaneously abated, and then suddenly recurred. The pain is severe, sharp, and radiates to the groin. Physical examination reveals tenderness in the right costovertebral angle. The patient’s pulse rate is 110 beats/minute, blood pressure 150/94 mmHg, temperature 100o F (37.8oC), and respiratory rate 24 breaths/minute. Laboratory results indicate a WBC count of 10,000/mm3 , normal hemoglobin and hematocrit levels, and normal serum electrolyte, BUN, and glucose levels. Urinalysis reveals an RBC count greater than 100 cells via high-powered field. An indwelling urinary catheter is inserted, and 800 mL of urine is obtained. The patient is sent for an emergency IVP. The nurse knows that management of a patient with obstructive uropathy is directed primarily toward:

The nurse is assessing a patient with a hard scrotal mass that cannot be transilluminated. This finding most likely indicates:

In a patient diagnosed with a UTI, the nurse practitioner writes prescriptions for Bactrim and Pyridium. Which statement best reflects that the patient needs further discharge instructions?

In caring for a patient with an indwelling urinary catheter, strategies to reduce the risk of infection would include all except:

Which organism is the most common cause of UTI?

A 26-year-old woman arrives at the ED complaining of dysuria, fever of 101o F (38.3oC), and urinary frequency. She has had these symptoms for 36 hours. Physical examination reveals suprapubic tenderness but no flank pain. No history of UTI or urologic instrumentation is evident. She informs the nurse that she had sexual intercourse 12 hours before the onset of symptoms. She has no significant medical history and takes no medications. Her complete blood count, serum electrolyte, BUN, and glucose levels are normal. A tentative diagnosis of UTI is made, and urine specimens for analysis and culture are sent to the laboratory. When taking the health history, the nurse should remember to ask the patient about:

Which nursing action is most appropriate in the treatment of UTI?

Which assessment data are characteristic of UTI?