GENITOURINARY DISORDERS
QUESTIONS
CASE I
You are a nurse caring for an 8 year-old girl with multiple chronic urinary tract infections. The child's parents appear protective, never leaving their daughter's side. While you are helping the child's mother provide morning care, the child states, "My uncle doesn't clean me that way." Her mother becomes visibly upset and gives the girl a stern warning not to discuss that matter. She states, "Don't tell that to anyone again."
Question 1:
What is your legal responsibility according to the situation?
1. _______________________________________________________________________________________________________________________________________________________.
CASE II
Patient B with acute renal failure is undergoing dialysis for the first time. You would like to monitor for dialysis disequilibrium syndrome, a complication that's most common the first few dialysis sessions.
Question 1:
Identify at least three sign and symptoms of dialysis disequilibrium syndrome?
1. _______________________________________________________________________________________________________________________________________________________.
2. _______________________________________________________________________________________________________________________________________________________.
3. _______________________________________________________________________________________________________________________________________________________.
CASE III
A patient on the genitourinary floor has refused all medications for 3 days. A nurse caring for this patient asks why he isn't complying with his medication. The patient states, "I don't want to take those pills anymore."
Question 1:
The nurse informs the patient that he must take all the medication the physician orders. With this statement, the nurse violated what patient right?
1. _______________________________________________________________________________________________________________________________________________________.
CASE IV
A patient with history of chronic renal failure receives hemodialysis three times per week through an arteriovenous (AV) fistula in the left arm.
Question 1:
Before starting the dialysis treatment, how will you assess the patency of the patient's fistula?
1. ________________________________________________________________________________________________________________________________________________________.
2. ________________________________________________________________________________________________________________________________________________________.
CASE V
You’re a nurse caring for a female patient with chronic renal failure. At 8:00-11:00, she is scheduled for hemodialysis and is due to receive a daily dose of enalapril (Vasotec).
Question 1:
When should you administer the patient’s enalapril (Vasotec)?
1. ________________________________________________________________________________________________________________________________________________________.