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NR 507 MIDTERM EXAM WEEK 4 – QUESTION AND ANSWERS (Verified Answers)
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NR 507 MIDTERM EXAM WEEK 4 – QUESTION AND ANSWERS (Verified Answers)
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NR 507 MIDTERM EXAM WEEK 4 – QUESTION ANDANSWERS (Verified Answers)
The urinalysis of a patient with a complicated UTI will show WBCs and casts
T
A common organism that causes a urinary tract infection include:
a. Methicillin Resistant Staphylococcus Aureus (MRSA).
b. Streptococcus pneumonia.
c. Staphylococcus saprophyticus.
d. Syncytial virus.
c
The NP would know that the patient most likely has an uncomplicated UTI because:
a. Flank pain is present but minimal.
b. The UTI responds well to a short course of antibiotic therapy.
c. The bacteria are contained within the bladder.
d. There is low-grade fever.
The purpose of straining in BPH is to overcome the obstruction encountered during
urination.
T
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The peripheral zone of the prostate is the largest zone.
T
The patient most often develops symptoms of BPH when:
a. The prostatic urethra becomes obstructed.
b. The patient's PSA becomes elevated.
c. The bladder becomes obstructed.
d. A nodule forms on the prostate.
a
There is a significant risk for men with benign prostatic hyperplasia (BPH) to develop
cellular mutations that lead to prostate cancer.
F
On a digital rectal exam to assess the quality of the prostate, the NP would be
concerned with which of the following findings?
a. A rubber-like quality of the prostate.
b. A hard nodule.
c. A lack of pain on palpation.
d. A soft-smooth prostate.
b
irritative symptoms
urinary frequency, nocturia and urgency that result from bladder hypertrophy and
dysfunction
,obstructive symptoms
incomplete emptying and postvoid dribbling. These are cause by narrowing of the
bladder neck and prostatic urethra which leads to incomplete emptying of the bladder
The action of a 5-Alpha-reductase inhibitor causes:
a. Relaxation of the smooth muscle of the bladder neck.
b. Reduction of the size of the nodule that is causing obstruction.
c. Shrinkage of the prostate gland.
d. Relaxation of the external sphincter.
c
The prostate specific antigen (PSA) helps to liquefy semen post-ejaculation.
T
The location of the characteristic hyperplastic nodules of BPH is:
a. In the posterior prostate.
b. In the anterior prostate zone.
c. In the zone immediately inside the rectum.
d. In the periurethral zone.
d
Men who have BPH are prone to developing a UTI because:
a, They have a low WBC count due to an infected prostate.
b. Ingested fluids do not adequately flush the kidneys.
c. Stagnated urine in the bladder promotes bacterial growth.
d. The prostate is not a sterile environment.
c
The underlying cause of BPH is that normal prostate cells respond to increases in
dihydrotestosterone that causes them to live longer and multiply.
T
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Renal stones are formed when calcium and oxalate in the urine combine.
T
The type of stone that forms due to a urinary tract infection is:
a. Uric acid stone.
b. Calcium Stone.
c. Cysteine stone.
d. Struvite stone.
d
Renal calculi are typically confined to the bladder.
F
The gold standard for diagnosing a renal stone is a urinalysis.
F
The most common type of stone is:
a. Calcium stone.
b. Uric acid stone.
c. Struvite stone.
d. Cysteine stone.
, A
Which of the following is a risk factor for the development of a urinary tract infection
(UTI)?
a. Pregnancy
b. Perimenopause
c. Frequent showering
d. Marathon running
a
Which of the following is true regarding a complicated urinary tract infection?
a. Is associated with young adults
b. Can be caused by a structural urinary tract disorder
c. It is usually asymptomatic
d. Bacteria is located mostly in the lower urinary tract
b
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Women are at a higher risk for the development of a UTI because of having a shorter
urethra.
T
A symptom of a lower urinary tract infection includes:
a. Fever
b. Decreased Urination
c. Urgency
d. Flank pain
c
Which of the following can help to prevent a UTI?
a. Douching to prevent the growth of bacteria
b. Use spermicides during sexual intercourse
c. Increase water consumption
d. Taking more Vitamin D
c
uncomplicated UTI
* Occurs in the normal urinary tract
* Simple cystitis in non-pregnant women without any urologic abnormalities
* Responds well to a short course of antibiotic therapy
Complicated UTI
* A UTI that extends beyond the bladder
* Caused by structural or functional urinary tract abnormalities or untreated UTI
* Infants and older adults affected
* Associated with:
indwelling catheters
renal calculi
Diabetes
Pregnancy
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