Adult Health I Exam 5 (Final) Review
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Questions and Answers

What is the most common urologic diagnosis in men younger than 50?

  • Prostatitis (correct)
  • Erectile Dysfunction
  • Prostate Cancer
  • Benign Prostatic Hyperplasia

    • Which of the following is NOT a risk factor for Prostate Cancer?

  • African American race
  • Familial disposition
  • Diet low in red meat or dairy products (correct)
  • Genes

    • What is the purpose of the digital rectal examination in diagnosing Prostate Cancer?

  • To measure the size of the prostate gland
  • To check for bone metastases
  • To detect abnormal findings (correct)
  • To perform a biopsy

    • What is the primary cause of Erectile Dysfunction in men with cardiovascular disease?

    <p>Reduced blood flow to the penis</p> Signup and view all the answers

    What is the primary mechanism of action of Phosphodiesterase type 5 (PDE-5) inhibitors?

    <p>Increase blood flow to the penis</p> Signup and view all the answers

    What is a common side effect of Sildenafil?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended timing for taking Sildenafil?

    <p>30 minutes to 4 hours before intercourse</p> Signup and view all the answers

    What is a contraindication for using Sildenafil?

    <p>All of the above</p> Signup and view all the answers

    What percentage of men newly diagnosed with cancer may be considering fatherhood?

    <p>⅔</p> Signup and view all the answers

    What is the primary reason for sperm banking in men with testicular cancer?

    <p>To preserve fertility due to reduced sperm quality</p> Signup and view all the answers

    What is the common manifestation of Benign Prostatic Hyperplasia (BPH)?

    <p>Lower urinary tract symptoms</p> Signup and view all the answers

    What is the consequence of large residual volumes of urine in BPH?

    <p>Azotemia and kidney failure</p> Signup and view all the answers

    What is the purpose of a digital rectal exam (DRE) in BPH?

    <p>To reveal a large, rubbery, nontender prostate</p> Signup and view all the answers

    What is a postoperative complication of Transurethral Resection of the Prostate (TURP)?

    <p>Retrograde ejaculation</p> Signup and view all the answers

    What is a major goal postoperatively in TURP?

    <p>All of the above</p> Signup and view all the answers

    What is a nursing intervention to observe for symptoms of urethral stricture after TURP?

    <p>Dysuria, straining, and weak urinary stream</p> Signup and view all the answers

    What is the primary site of inflammation in pyelonephritis?

    <p>Renal pelvis and parenchyma</p> Signup and view all the answers

    What is a common symptom of pyelonephritis?

    <p>Fever and chills</p> Signup and view all the answers

    What is a laboratory indicator of pyelonephritis?

    <p>WBC casts in urinalysis</p> Signup and view all the answers

    What is a complication of pyelonephritis?

    <p>Fibrosis</p> Signup and view all the answers

    What is a preventive measure for UTI?

    <p>Diligent hand hygiene</p> Signup and view all the answers

    What is a characteristic of urine in pyelonephritis?

    <p>Cloudy, bloody, and foul-smelling</p> Signup and view all the answers

    What is a sign of pyelonephritis?

    <p>CVA tenderness</p> Signup and view all the answers

    What is a recommended fluid for preventing UTI?

    <p>Cranberry juice</p> Signup and view all the answers

    What happens when the spout of a urinary drainage bag is opened to drain the bag?

    <p>Bacteria multiply rapidly and enter the drainage tubing, catheter, and bladder</p> Signup and view all the answers

    Why should the drainage bag be kept lower than the patient's bladder?

    <p>To reduce the risk of bacteria entering the bladder</p> Signup and view all the answers

    What should be done before handling an indwelling catheter, tubing, or bag?

    <p>Practice good hand hygiene</p> Signup and view all the answers

    How often should the collection bag be emptied?

    <p>Every 8 hours</p> Signup and view all the answers

    Why should the tubing not be disconnected for irrigation, urine samples, ambulation, or transfer of the patient?

    <p>To reduce the risk of infection</p> Signup and view all the answers

    What technique should the nurse use when handling a self-catheter?

    <p>Aseptic technique</p> Signup and view all the answers

    What is recommended for cleaning urinary catheters at home?

    <p>Antibacterial liquid soap or povidone-iodine solution</p> Signup and view all the answers

    What should be done after soaking the catheter in a cleaning solution?

    <p>Thoroughly rinse the catheter with warm tap water</p> Signup and view all the answers

    What is acute kidney injury (AKI)?

    <p>A rapid loss of renal function due to damage to the kidneys</p> Signup and view all the answers

    What is the primary cause of prerenal acute kidney injury (AKI)?

    <p>Reduced blood flow to the kidneys</p> Signup and view all the answers

    What is a potential complication of acute kidney injury (AKI) related to lipid metabolism?

    <p>Hypertriglyceridemia</p> Signup and view all the answers

    What is a common effect of poor calcium metabolism in patients with acute kidney injury (AKI)?

    <p>Bone pain and fractures</p> Signup and view all the answers

    What is a type of acute kidney injury (AKI) that occurs while in the kidney?

    <p>Intrarenal AKI</p> Signup and view all the answers

    What is a potential cardiovascular complication of acute kidney injury (AKI)?

    <p>Heart failure</p> Signup and view all the answers

    What is a potential consequence of anemia in patients with acute kidney injury (AKI)?

    <p>Blood loss during hemodialysis</p> Signup and view all the answers

    What is a potential complication of acute kidney injury (AKI) related to gastrointestinal health?

    <p>Gastric ulcers</p> Signup and view all the answers

    What is the primary reason for leaving space in a condom during sexual intercourse?

    <p>To prevent tear or hole in the condom</p> Signup and view all the answers

    What is the main principle of Fertility Awareness-Based Methods?

    <p>Recognizing when the fertile time occurs</p> Signup and view all the answers

    What is the time frame for taking Emergency Contraceptive Pills after unprotected intercourse?

    <p>Within 5 days of unprotected intercourse</p> Signup and view all the answers

    What is the purpose of Postcoital Intrauterine Device Insertion?

    <p>To prevent pregnancy after unprotected intercourse</p> Signup and view all the answers

    What is the Standard Days method of Fertility Awareness-Based Methods?

    <p>Avoiding unprotected sex on days 8-19 of the menstrual cycle</p> Signup and view all the answers

    What is the primary limitation of Emergency Contraceptives?

    <p>They are not suitable for long-term avoidance of pregnancy</p> Signup and view all the answers

    What is the primary advantage of Coitus Interruptus or Withdrawal method?

    <p>It is a natural method of contraception</p> Signup and view all the answers

    What is the recommended range for urine osmolality in a 24-hour sample?

    <p>250-900 mOsm/kg</p> Signup and view all the answers

    What is the normal range for Serum Creatinine?

    <p>0.6-1.2</p> Signup and view all the answers

    What is the purpose of measuring GFR?

    <p>To assess renal function</p> Signup and view all the answers

    What is the recommended position for catheterization?

    <p>Fowler's position</p> Signup and view all the answers

    What is the normal range for Specific Gravity of urine?

    <p>1.010-1.025</p> Signup and view all the answers

    What is the purpose of measuring BUN?

    <p>To evaluate renal function</p> Signup and view all the answers

    What is a sign of abnormal renal function in urine analysis?

    <p>All of the above</p> Signup and view all the answers

    What is a method of preserving fertility in patients with testicular cancer?

    <p>Sperm banking before treatment</p> Signup and view all the answers

    What is a long-term side effect of treatment for testicular cancer?

    <p>Renal insufficiency</p> Signup and view all the answers

    Why is brachytherapy used in patients with testicular cancer?

    <p>Because it is used in patients whose disease does not respond to chemotherapy</p> Signup and view all the answers

    What is a challenge that patients with testicular cancer may face?

    <p>Coping with the condition</p> Signup and view all the answers

    What is a concern for patients with testicular cancer?

    <p>Body image and sexuality issues</p> Signup and view all the answers

    What is a goal for patients with testicular cancer?

    <p>To maintain a positive attitude</p> Signup and view all the answers

    What is a method of delivering radiation in patients with testicular cancer?

    <p>Brachytherapy to the affected side</p> Signup and view all the answers

    What is a potential complication of prostatectomy?

    <p>Electrolyte imbalance</p> Signup and view all the answers

    Why is it important to monitor urine output and irrigation fluid during prostatectomy?

    <p>To prevent fluid retention</p> Signup and view all the answers

    What is a postoperative nursing intervention for relieving pain after prostatectomy?

    <p>Providing pain relief medication</p> Signup and view all the answers

    Why is it important to monitor for hemorrhaging after prostatectomy?

    <p>Due to the vascular nature of the prostate gland</p> Signup and view all the answers

    What is the purpose of using a 3-way drainage system after prostatectomy?

    <p>To irrigate and drain the bladder</p> Signup and view all the answers

    What can help prevent urinary incontinence after prostatectomy?

    <p>Increasing voiding frequency and avoiding positions that encourage the urge to void</p> Signup and view all the answers

    Why is it important to monitor for venous thromboembolism after prostatectomy?

    <p>Due to the risk of prolonged immobility</p> Signup and view all the answers

    What is the primary goal of using Kayexalate in a patient with hyperkalemia?

    <p>To remove toxic substances and reestablish normal fluid and electrolyte balance</p> Signup and view all the answers

    What is a common complication of peritoneal dialysis?

    <p>Peritonitis</p> Signup and view all the answers

    Why may older patients be at risk for peritoneal dialysis?

    <p>Due to their age, they may be at risk for adverse effects of systemic heparin</p> Signup and view all the answers

    What is a sign of peritonitis in patients undergoing peritoneal dialysis?

    <p>Cloudy urine output</p> Signup and view all the answers

    What is a benefit of peritoneal dialysis over hemodialysis?

    <p>It is a more independent treatment option</p> Signup and view all the answers

    Why may patients with diabetes be candidates for peritoneal dialysis?

    <p>Because they are unable or unwilling to undergo hemodialysis or kidney transplantation</p> Signup and view all the answers

    What is a complication of peritoneal dialysis that may occur immediately after catheter insertion?

    <p>Leakage of dialysate through the catheter site</p> Signup and view all the answers

    What is a characteristic of bleeding in peritoneal dialysis?

    <p>Bloody effluent</p> Signup and view all the answers

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