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:

Which statement regarding urethral trauma is true:

Which injury resulting from blunt renal trauma typically resolves without surgery?

The nurse would anticipate a penile fracture to be treated by:

The physician determines that your patient has a renal contusion. Priority intervention would include:

Anuria is a common symptom of:

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:

A 24-year-old man who was involved in a head-on automobile accident is brought to the ED. Paramedics report that the dashboard and steering wheel were pinned against the patient’s abdomen and legs for 1 hour before rescue workers were able to release him. The patient is conscious and in severe abdominal and pelvic pain. His vital signs are stable: blood pressure, 120/70 mmHg, pulse rate 86 beats/minute, and respiratory rate 22 breaths/minute. The nurse notes that the patient’s penis and testes are swollen and painful and that blood is oozing from his urethra. The physician diagnoses a pelvic fracture with genitourinary trauma, and then calls the urologist. Which history finding would lead the nurse to suspect that the patient has a ruptured bladder?

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

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 medication should be avoided if renal calculi are suspected?

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

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:

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

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

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

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

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

Which of the following is not seen in a patient with prostatitis?

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 assessment data are characteristic of UTI?

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?