sherpath obstructive uropathies Exam Questions
and Answers
The nurse understands that which patient behavior may increase the risk for calculi development?
Drinking 20 ounces of water daily
A nurse is caring for a patient with obstructive uropathy who has lower quadrant abdominal pain. The
obstruction is likely in which area of the patient's urinary tract?
Ureterovesical junction
A patient presents after a penile fracture with symptoms including urinary frequency and incomplete
bladder emptying. Which condition is suggested by the patient's symptoms?
Urethral stricture
A patient with an 8-mm bladder calculus undergoes laser lithotripsy to remove the stone. Twelve
hours after the procedure, the patient reports pain and dark, red urine. Which action should the nurse
take?
Document the finding.
A patient presents with severe colicky pain, and imaging reveals a stricture of the ureter. The patient's
electronic health record indicates that the patient was treated for a ureteral stricture 6 months
earlier. Which collaborative treatment would the nurse assist with for this patient?
Endoureterotomy
A patient with a small urinary tract calculus reports symptoms lasting several weeks. The patient is
experiencing chronic pain and wants the stone removed "right away." The nurse would give this
patient information on which collaborative care treatment?
Cystoscopy
A patient with a history of recurrent urinary tract calculi has a provider's order for bed rest. What
actions should the nurse take to minimize the patient's risk for stone formation?
Assist the patient in sitting up and moving in bed.
Encourage the patient to drink at least 3 L of water daily.
The nurse is ordering a meal tray for a patient diagnosed with purine renal calculi. Which meal choice
is most appropriate for the patient?
Cobb salad with cranberries and orange juice
The nurse is caring for a patient with recurrent urinary calculi and colicky pain. The patient reports
pain 10/10 in the right flank and severe nausea. The nurse also observes diaphoresis and abdominal
guarding. Which actions would the nurse take?
and Answers
The nurse understands that which patient behavior may increase the risk for calculi development?
Drinking 20 ounces of water daily
A nurse is caring for a patient with obstructive uropathy who has lower quadrant abdominal pain. The
obstruction is likely in which area of the patient's urinary tract?
Ureterovesical junction
A patient presents after a penile fracture with symptoms including urinary frequency and incomplete
bladder emptying. Which condition is suggested by the patient's symptoms?
Urethral stricture
A patient with an 8-mm bladder calculus undergoes laser lithotripsy to remove the stone. Twelve
hours after the procedure, the patient reports pain and dark, red urine. Which action should the nurse
take?
Document the finding.
A patient presents with severe colicky pain, and imaging reveals a stricture of the ureter. The patient's
electronic health record indicates that the patient was treated for a ureteral stricture 6 months
earlier. Which collaborative treatment would the nurse assist with for this patient?
Endoureterotomy
A patient with a small urinary tract calculus reports symptoms lasting several weeks. The patient is
experiencing chronic pain and wants the stone removed "right away." The nurse would give this
patient information on which collaborative care treatment?
Cystoscopy
A patient with a history of recurrent urinary tract calculi has a provider's order for bed rest. What
actions should the nurse take to minimize the patient's risk for stone formation?
Assist the patient in sitting up and moving in bed.
Encourage the patient to drink at least 3 L of water daily.
The nurse is ordering a meal tray for a patient diagnosed with purine renal calculi. Which meal choice
is most appropriate for the patient?
Cobb salad with cranberries and orange juice
The nurse is caring for a patient with recurrent urinary calculi and colicky pain. The patient reports
pain 10/10 in the right flank and severe nausea. The nurse also observes diaphoresis and abdominal
guarding. Which actions would the nurse take?
