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

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

Which injury would lead the nurse to suspect kidney trauma:

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

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

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

Anuria is a common symptom of:

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 symptom is present when the urethra is completely transected?

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

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?

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 nursing action is most appropriate in the treatment of UTI?

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

Which assessment data are characteristic of UTI?

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

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?

Which organism is the most common cause 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?

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:

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: