Renal Anatomy

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?

The nurse would expect a patient with ureteral trauma to be best managed by:

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

Which symptom is present when the urethra is completely transected?

Which statement regarding urethral trauma is true:

Besides providing pain relief, which nursing action should be included in the plan of care for a patient who has sustained testicular trauma?

A patient’s assessment findings reveal ecchymosis around the left flank area. This would best be interpreted as:

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

Which common assessment finding is considered a nonspecific sign of genitourinary trauma?

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 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 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: