WorksheetsWeek 1 Objectives 2-3 Urologic Disorders
Total questions: 15
Worksheet time: 8mins
A patient with a history of hypertension and diabetes presents with decreased urine output and elevated creatinine. Using your knowledge of urologic disorder causes, which pathophysiological process is most likely responsible for this patient’s symptoms?
Obstruction due to urinary stones
Microvascular damage leading to chronic kidney disease
Acute tubular necrosis from nephrotoxic drugs
Infection ascending from the urethra
A patient is admitted with acute kidney injury after a severe episode of heart failure. As an LPN, which assessment finding would most strongly support the diagnosis of reduced renal perfusion as the cause?
Polyuria and nocturia
Oliguria and hypotension
Flank pain and hematuria
Urinary retention and hesitancy
A patient is prescribed gentamicin for an infection. What is the most strategic nursing intervention to prevent urologic complications related to this medication?
Encourage the patient to increase caffeine intake
Monitor urine output and report signs of nephrotoxicity
Advise the patient to void every 6 hours
Restrict fluid intake to 1,000 mL/day
A patient with benign prostatic hyperplasia (BPH) is experiencing hesitancy and retention. Which nursing action best demonstrates critical thinking in managing this patient’s risk for urologic complications?
Encourage the patient to drink less water
Schedule regular toileting and monitor for residual urine
Advise the patient to avoid all physical activity
Suggest the patient hold urine as long as possible
A patient with a history of frequent urinary tract infections asks how to prevent recurrence. Which teaching plan best incorporates evidence-based strategies?
Recommend voiding only when the bladder feels full
Encourage hydration, proper hygiene, and avoidance of irritants
Suggest reducing all fluid intake
Advise the use of nephrotoxic medications for pain
A patient is at risk for glomerulonephritis due to a recent streptococcal infection. Which sign should the nurse prioritize for early detection and reporting?
Polyuria and increased thirst
Flank pain and hematuria
Nocturia and urgency
Hesitancy and retention
A patient with chronic kidney disease is prescribed NSAIDs for pain. What is the most appropriate nursing action to prevent further renal damage?
Instruct the patient to take NSAIDs with food
Notify the provider and suggest alternative pain management
Advise the patient to double the dose if pain persists
Encourage the patient to increase salt intake
A patient is experiencing anuria. Which of the following should the nurse do first to determine the underlying cause?
Encourage the patient to drink more fluids
Assess for signs of obstruction, infection, or shock
Advise the patient to perform Kegel exercises
Suggest the patient avoid caffeine
A patient with a history of nephrotoxic drug exposure presents with oliguria and elevated BUN. Which reasoning best explains the likely pathophysiology?
Immune-mediated glomerular injury
Tubular necrosis due to nephrotoxins
Obstruction from urinary stones
Infection ascending from the bladder
A patient is being taught bladder training techniques. Which plan best demonstrates strategic thinking for improving continence?
Encourage the patient to void only when the urge is strong
Schedule voiding times and track voiding patterns
Limit fluid intake to prevent accidents
Use caffeine to stimulate urination
A patient with diabetes is at risk for chronic kidney disease. Which nursing intervention is most effective in preventing progression of urologic complications?
Encourage the patient to avoid all medications
Teach the patient to control blood sugar and blood pressure
Advise the patient to restrict all fluids
Suggest the patient avoid exercise
A patient reports nocturia and polyuria. Which reasoning process should the nurse use to determine if these symptoms are related to a urologic disorder?
Assess for recent changes in fluid intake, medications, and underlying conditions
Advise the patient to ignore the symptoms
Recommend immediate surgical intervention
Suggest the patient stop all medications
A patient is at risk for urinary retention after surgery. Which nursing strategy best prevents this complication?
Restrict fluids to prevent bladder filling
Encourage timely voiding and monitor for residual urine
Advise the patient to avoid all movement
Suggest the patient delay voiding as long as possible
A patient with a history of kidney stones asks how to prevent recurrence. Which evidence-based nursing teaching is most appropriate?
Limit fluid intake to reduce urine production
Encourage hydration of 2,000–3,000 mL/day if not contraindicated
Advise the patient to avoid all physical activity
Suggest the patient ignore urinary symptoms
A patient is prescribed a contrast dye for imaging. Which nursing action best demonstrates critical thinking to prevent urologic complications?
Encourage the patient to drink alcohol before the procedure
Assess renal function and ensure adequate hydration before and after the procedure
Advise the patient to avoid all fluids after the procedure
Suggest the patient take NSAIDs for discomfort
