2024 NUR 2063 URINARY SYSTEM
EXAM 2 WITH CORRECT ANSWERS
Bladder Cancer - CORRECT ANSWERS-cause: unknown; thought to be due to
exposure to harmful chemicals
s/s: painless hematuria, abnormal urine color, frequency, dysuria, UTIs, and
back/abdominal pain
Urinary Incontinence - CORRECT ANSWERS-loss of urinary control
Enuresis - CORRECT ANSWERS-cause: psychological and structural
s/s: involuntary urination by a child after 4-5 years of age
Nocturnal enuresis - CORRECT ANSWERS-cause: psychological and structural
s/s: bed-wetting
Pyelonephritis - CORRECT ANSWERS-cause: kidneys become grossly
edematous and fill with exudate, compressing renal artery and potentially
developing abscesses or necrosis
s/s: severe UTI symptoms, flank pain, and increased blood pressure
Nephrolithiasis - CORRECT ANSWERS-cause: presence of renal calculi, hard
crystals composed of minerals that the kidneys normally excrete, in renal
pelvis, ureters, or bladder
s/s: colicky pain in the flank area that radiates to the lower abdomen and
groin; bloody, cloudy, or foul-smelling urine; dysuria, frequency; genital
discharge; nausea; vomiting; fever; and chills
Hydronephrosis - CORRECT ANSWERS-cause: urolithiasis, tumors, benign
prostatic hyperplasia, strictures, stenosis, and congenital urologic defects
s/s: colicky, flank pain or pressure; bloody, cloudy, or foul-smelling urine,
dysuria; decreased urine output; frequency; urgency; nausea; vomiting;
abdominal distention; and UTIs
Renal Cysts - CORRECT ANSWERS-cause: simple cysts with thin wall and
waterlike fluid inside
, s/s: pain or tenderness, changes in urinary patterns, hematuria
Wilms Tumor - CORRECT ANSWERS-cause: exact cause is unknown; may
arise in utero when cells that normally form the kidneys fail to develop
properly
s/s: asymptomatic abdominal mass, high blood pressure, hematuria, UTIs,
abdominal pain, nausea, vomiting, anorexia, bowel pattern changes, weight
loss, and fatigue
Renal Cell Carcinoma - CORRECT ANSWERS-cause: unknown; usually a
primary adenocarcinoma arising from the renal tubule
s/s: asymptomatic, painless hematuria, abdominal urine color, dull and achy
flank pain, urinary retention, palpable mass over the affected kidney,
unexplained weight loss, anemia, polycythemia, hypertension paraneoplastic
syndromes, and fever
Stress incontinence - CORRECT ANSWERS-cause: weakened sphincter muscle
of the bladder (other factors: pregnancy, childbirth, menopause, cystocele,
prostate removal, obesity, and chronic coughing)
s/s: loss of urine from pressure exerted on the bladder by coughing,
sneezing, laughing, exercising, or lifting something heavy
Overactive bladder (urge incontinence) - CORRECT ANSWERS-cause:
detrusor muscle in the bladder contracts; UTIs, bladder irritants, bowel
conditions, smoking, Parkinson's disease, Alzheimer's disease, stroke, injury,
and nervous system damage
s/s: sudden, intense urge to urinate, followed by an involuntary loss of urine
Reflex incontinence - CORRECT ANSWERS-cause: trauma/damage to nervous
system
s/s: detrusor hyperreflexia: increased detrusor muscle contractility that
occurs even though there is no sensation to void (urgency is generally
absent)
Mixed incontinence - CORRECT ANSWERS-occurs when symptoms of more
than one type of urinary incontinence are experienced
Overflow incontinence - CORRECT ANSWERS-cause: bladder damage,
urethral blockage, nerve damage, and prostate conditions