Genitourinary Review of Systems

Genitourinary Review of Systems Related

Review Genitourinary Review of Systems related questions and content

A 40-year-old woman is experiencing heavy menstrual bleeding and frequent urination. The nurse suspects fibroids. Which of the following would the nurse expect to find during the pelvic examination?

  • A. A smooth, enlarged uterus.
  • B. A large, irregular, and tender uterus.
  • C. A firm, mobile, and non-tender uterus.
  • D. A hard, irregular, fixed uterus.
Correct Answer: B

Rationale: The correct answer is B: A large, irregular, and tender uterus. Fibroids are non-cancerous growths that can cause heavy menstrual bleeding and frequent urination. During the pelvic examination, the nurse would expect to find a large uterus due to the presence of fibroids. The irregular shape is indicative of the growths, and tenderness may be present due to inflammation or pressure on surrounding tissues. Choices A, C, and D do not align with the typical characteristics of fibroids, making them incorrect. A smooth, enlarged uterus (A) is not characteristic of fibroids. A firm, mobile, and non-tender uterus (C) is more indicative of a normal uterus. A hard, irregular, fixed uterus (D) may suggest a different pathology, such as endometriosis.

You may also like to solve these questions

What nursing action should the nurse perform when fatigue is undergoing a comprehensive assessment caring for a patient undergoing diagnostic testing of the which includes test of renal function relating to renal-urologic system?

  • A. Withhold medications until 12 hours post-testing.
  • B. Ensure that the patient knows the importance of of what blood value? temporary fluid restriction after testing.
  • C. Hematocrit
  • D. Inform the patient of his or her medical diagnosis after
Correct Answer: B

Rationale: Rationale: Option B is correct because it addresses the importance of temporary fluid restriction after renal function testing, which is crucial in maintaining accurate test results. Ensuring patient understanding and compliance with fluid restriction helps prevent dilution of blood samples, leading to more accurate diagnostic outcomes.

Summary:
A: Withholding medications post-testing is not necessary for fatigue assessment related to renal function testing.
C: Hematocrit is not directly related to the temporary fluid restriction after renal function testing.
D: Informing the patient of their medical diagnosis is not relevant when assessing fatigue during diagnostic testing of renal function.

A patient with psychologic disorder is being treated with a drug. Few months he is worried that he is constantly thirsty and urinates copiously frequently throughout the day and night. Which of the following drugs most likely cause inappropriate secretion of ADH?

  • A. Diazepam
  • B. Lithium
  • C. Haloperidol
  • D. Phenytoin
Correct Answer: B

Rationale: The correct answer is B: Lithium. Lithium is known to cause nephrogenic diabetes insipidus, leading to inappropriate secretion of ADH. This results in excessive thirst and copious urination. Diazepam (A) does not affect ADH secretion. Haloperidol (C) and Phenytoin (D) are not associated with ADH dysregulation.

A 50-year-old woman reports that she has been experiencing hot flashes, night sweats, and vaginal dryness. The nurse suspects that she is in the peri-menopausal stage. What is the primary reason for these symptoms?

  • A. Decreased estrogen levels.
  • B. Increased estrogen levels.
  • C. Hormonal fluctuations.
  • D. Psychological stress.
Correct Answer: D

Rationale: I must clarify that the correct answer should be A: Decreased estrogen levels. In the peri-menopausal stage, a woman's ovaries produce less estrogen, leading to symptoms like hot flashes, night sweats, and vaginal dryness. Option B is incorrect because increased estrogen levels are not typical during peri-menopause. Option C is vague and does not specifically address the primary reason for the symptoms. Option D, psychological stress, may exacerbate symptoms but is not the primary cause in this scenario.

Antiviral agents that is/ are active against cytomegalovirus (CMV) include which of the following?

  • A. Ganciclovir
  • B. Foscarnet
  • C. Acyclovir
  • D. (a) and (b) are correct
Correct Answer: D

Rationale: The correct answer is D because both Ganciclovir and Foscarnet are active against cytomegalovirus (CMV). Ganciclovir works by inhibiting viral DNA polymerase, while Foscarnet inhibits viral DNA polymerase and reverse transcriptase. Acyclovir, on the other hand, is not effective against CMV as it primarily targets herpes simplex virus and varicella-zoster virus. Therefore, choices A and B are correct for CMV treatment, making option D the correct answer.

A 52-year-old patient states that when she sneezes or coughs she wets herself a little. She is very concerned that something may be wrong with her. The nurse suspects that the problem is:

  • A. Dysuria.
  • B. Stress incontinence.
  • C. Hematuria.
  • D. Urge incontinence.
Correct Answer: B

Rationale: The correct answer is B: Stress incontinence. This is the most likely issue because the patient leaks urine during activities that increase intra-abdominal pressure, such as sneezing or coughing. Stress incontinence is due to weakened pelvic floor muscles and sphincter, leading to leakage with exertion. Dysuria (choice A) is painful urination, not related to leakage. Hematuria (choice C) is blood in urine, not related to leakage. Urge incontinence (choice D) involves a sudden, strong urge to urinate and is not triggered by sneezing or coughing.

Copyright © 2025 Nokea. All rights reserved.