Genitourinary Abnormal Findings Quiz

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Questions and Answers

Which of the following conditions is characterized by difficulty starting the urine stream?

Hematuria

Nocturia

Urinary Frequency

Urinary Hesitancy (correct)

What condition describes a persistent, painful erection?

Erectile Dysfunction

Hydrocele

Priapism (correct)

Hematuria

Which cranial nerve is responsible for vision?

Optic (correct)

Oculomotor

Abducens

Trigeminal

What is the term for excessive nighttime urination?

Nocturia Signup and view all the answers

Which condition involves a tight prepuce that cannot be replaced after being retracted?

Paraphimosis Signup and view all the answers

Which term describes the condition characterized by the excessive production of urine?

Polyuria Signup and view all the answers

What abnormal finding involves the presence of blood in the urine?

Hematuria Signup and view all the answers

Which condition is characterized by sudden urges to urinate?

Urinary Urgency Signup and view all the answers

What condition is defined as painful urination?

Dysuria Signup and view all the answers

What describes the condition of having an abnormal frequency of urination?

Urinary Frequency Signup and view all the answers

Which of the following is characterized by involuntary release of urine?

Urinary Incontinence Signup and view all the answers

What term refers to painful menstruation?

Dysmenorrhea Signup and view all the answers

What abnormal finding is defined as the absence of menstrual flow?

Amenorrhea Signup and view all the answers

What is the recommended action for a patient preparing for bronchoscopy?

Instruct the patient to avoid eating for 8 hours before the test Signup and view all the answers

Which nursing intervention should be performed before conducting a CT scan with contrast?

Verify the patient's allergies, particularly to iodine Signup and view all the answers

What is a significant concern when monitoring a patient for infection?

A White blood cell count of 15,000/mm3 Signup and view all the answers

What indicates a potential issue in a breast self-examination (BSE)?

Dimpling and orange peel appearance of the breast Signup and view all the answers

What is the correct procedure for collecting a clean catch urine sample from a female patient?

Instruct them to wipe front to back with a single wipe Signup and view all the answers

Which of the following describes a common characteristic of dysphagia?

Difficulty swallowing Signup and view all the answers

What is the purpose of the 'Teach-Back Method' in nursing documentation?

To confirm patient understanding Signup and view all the answers

Which of the following is NOT one of the 5 P's of Musculoskeletal Injury?

Pneumonia Signup and view all the answers

Which abnormal muscle movement is characterized by involuntary repetitive movements?

Tremors Signup and view all the answers

Which condition is associated with an impairment in the ability to identify common objects?

Agnosia Signup and view all the answers

What result is most likely to be documented when a nurse observes a patient with spastic gait?

Abnormal Gait Signup and view all the answers

What is considered a common documentation error that could lead to patient harm?

Unclear orders Signup and view all the answers

Which of the following describes the inability to perform purposeful movement?

Apraxia Signup and view all the answers

What is the primary function assessed for Cranial Nerve I (olfactory)?

Identification of smells Signup and view all the answers

Which cranial nerve is assessed by testing exraocular movements?

Cranial Nerve III (oculomotor) Signup and view all the answers

What specific ability is assessed when testing Cranial Nerve V (trigeminal)?

Facial pain and light touch sensation Signup and view all the answers

Which cranial nerve is involved in taste perception assessment?

Cranial Nerve VII (facial) Signup and view all the answers

Which cranial nerve's function is evaluated by checking the gag reflex?

Cranial Nerve X (vagus) Signup and view all the answers

What is assessed during the evaluation of Cranial Nerve XII (hypoglossal)?

Tongue position and movement Signup and view all the answers

Which cranial nerve is primarily responsible for hearing assessment?

Cranial Nerve VIII (acoustic) Signup and view all the answers

Which cranial nerve's strength is assessed through the sternocleidomastoid and trapezius muscles?

Cranial Nerve XI (spinal accessory) Signup and view all the answers

Study Notes

Genitourinary Abnormal Findings (Female)

Urinary System:
- Polyuria: Overproduction of urine
- Hematuria: Blood in urine
- Nocturia: Excessive urination
- Dysuria: Painful urination
- Urinary Frequency: Abnormally frequent urination
- Urinary Urgency: Sudden urge to urinate
- Urinary Hesitancy: Difficulty starting urine stream
- Urinary Incontinence: Involuntary release of urine

Genitourinary Abnormal Findings (Male)

Urinary System:
- Hematuria: Blood in urine
- Nocturia: Excessive urination
- Urinary Frequency: Abnormally frequent urination
- Urinary Urgency: Sudden urge to urinate
- Urinary Hesitancy: Difficulty starting urine stream

Reproductive System (Female)

Genital Lesions: Result from syphilis; red, painless lesions.
Vaginal Discharge: Result from bacterial vaginosis.
Cervical Polyps: Bright red, soft, fragile lesions.
Vaginal and Uterine Prolapse: Anterior vaginal wall and bladder prolapse.
Rectocele: Herniation of the rectum.
Dysmenorrhea: Painful menstruation.
Amenorrhea: Absence of menstrual flow.

Reproductive System (Male)

Paraphimosis: Tight prepuce; retracted, caught behind glans, cannot be replaced.
Hypospadias: Abnormal urethral opening.
Hydrocele: Collection of fluid in testicles.
Hernia: Protrusion of organ through muscle wall.
Erectile Dysfunction: Inability to achieve and maintain penile erection.
Priapism: Persistent, painful erection.

Cranial Nerves

Olfactory: Detecting odors
Optic: Visual acuity
Oculomotor: Extraocular movements
Trochlear: Extraocular movements
Trigeminal: Sensory and motor functions of face
Abducens: Extraocular movements
Facial: Taste and facial expressions
Auditory: Hearing and balance
Glossopharyngeal: Taste and swallowing
Vagus: Sensory and motor functions of various organs
Spinal/Accessory: Neck and shoulder movements
Hypoglossal: Tongue movements

Assessment of Cranial Nerves

Cranial Nerve I (Olfactory): Identify at least 2 smells
Cranial Nerve II (Optic): Test visual acuity
Cranial Nerve III (Oculomotor) and IV (Trochlear) and VI (Abducens): Test extraocular movements using 6 cardinal positions
Cranial Nerve V (Trigeminal): Ability to feel light touch and pain
Cranial Nerve VII (Facial): Test taste perception and face symmetry
Cranial Nerve VIII (Acoustic): Hearing and balance
Cranial Nerve IX (Glossopharyngeal): Check gag reflex
Cranial Nerve X (Vagus): Assess tongue
Cranial Nerve XI (Spinal Accessory): Check the strength of sternocleidomastoid and trapezius muscles.
Cranial Nerve XII (Hypoglossal): Assess tongue movements

Abnormal Cranial Nerve Findings

Olfactory Impairment: Inability to detect odors.
Visual Impairment: Visual field defects, eye muscle, and facial nerve impairment.
Auditory problems: Difficulty hearing/hearing loss
Vertigo: Illusion of movements resulting from vestibular center disturbance.
Dysphagia: Difficulty swallowing
Speech Disorders: Impaired fluency or expression.
Constructional problems (APRAXIA): Inability to perform purposeful movement
AgnosIas: Inability to identify common objects

Musculoskeletal

5 Ps of Musculoskeletal Injury: Pain, Paresthesia, Paralysis, Pallor, Pulse
Abnormal Muscle Movements: Tics, Tremors, Fasciculations, Abnormal Gaits (spastic, scissoring, propulsive, steppage waddling)

Clinical Alert, Documentation, Patient & Family Education

Key Points: Key aspects of nursing documentation and the process of using written/electronically generated information to describe patient care.

Common Documentation Errors in Nursing

Unclear Orders: Unspecific orders or directions.
Medication or Allergy Omission: Missing information about medications or allergies.
Blank Items on Chart: Uncompleted sections on medical records.
Imprecise Descriptions: Vague or unclear descriptions of patient conditions or observations.

Diagnostic Tests

Blood Chemistry: Diagnostic test that requires patient preparation of being NPO after midnight
Serum Creatinine: Lab test that assesses kidney function.
MRI: Generally contraindicated for patients with pacemakers.
White Blood Cell Count: >15,000/mm^3 is a concern for infection
BSE (Breast Self Examination): Best time to perform is 3-5 days after menstruation
Hypokalemia: Condition of low potassium levels, sometimes indicated by muscle cramps.

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Description

Test your knowledge on the various genitourinary abnormal findings in both male and female patients. This quiz covers urinary system conditions like polyuria and hematuria, as well as reproductive system issues such as cervical polyps and vaginal discharge. Enhance your understanding of these important medical topics.