Anatomy of the Nephron

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

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 test would confirm a diagnosis of renal trauma most conclusively?

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

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

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

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

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

Which symptom is present when the urethra is completely transected?

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

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

Which medication should be avoided if renal calculi are suspected?