A nurse is explaining the pathophysiology of hematuria to a client with a history of kidney stones. What should the nurse emphasize as a key factor in the development of hematuria in this context?

"Kidney stones can directly damage the bladder lining, causing blood to appear in the urine."

"The presence of kidney stones can create a favorable environment for bacterial infections, leading to hematuria."

"Kidney stones can block the urethra, forcing blood to back up into the kidneys and cause bleeding."

"Passing kidney stones through the urinary tract can cause mechanical trauma and result in blood in the urine."

Answer and Explanation

The Correct Answer is D

A) Incorrect. Kidney stones primarily affect the urinary tract upstream of the bladder and do not directly damage the bladder lining.

B) Incorrect. Kidney stones themselves do not create a favorable environment for bacterial infections.

C) Incorrect. While kidney stones can cause blockages in the urinary tract, this statement does not explain the primary mechanism of hematuria.

D) Correct. Passing kidney stones through the urinary tract can cause mechanical trauma to the urinary structures, leading to hematuria.

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Correct Answer is A

Explanation

A) Correct. Maintaining good hydration and practicing good perineal hygiene are effective strategies to prevent future UTIs and hematuria.

B) Incorrect. Increasing alcohol consumption is not a recommended strategy for preventing UTIs and can have negative health effects.

C) Incorrect. Avoiding all sexual activity is not necessary to prevent UTIs, but practicing safe sex and good hygiene are important.

D) Incorrect. Using harsh, scented soaps and bath products can irritate the urinary tract and should be avoided for perineal care.

A. Cystography is performed to assess kidney function. B. The test helps evaluate blood clotting disorders. C. Cystography is used to visualize the bladder and urinary tract. D. The client will receive a radioactive injection for imaging.

Correct Answer is C

Explanation

A) Incorrect. Cystography primarily assesses the bladder and urinary tract, not kidney function.

B) Incorrect. Cystography is not used to evaluate blood clotting disorders.

C) Correct. Cystography is a diagnostic procedure that visualizes the bladder and urinary tract to assess for abnormalities.

D) Incorrect. Cystography typically does not involve the administration of radioactive substances for imaging.

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A nurse is explaining the pathophysiology of hematuria to a client with a history of kidney stones. What should the nurse emphasize as a key factor in the development of hematuria in this context?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is undergoing treatment for hematuria associated with a urinary tract infection (UTI). What key information should the nurse include in the client's education about preventing future UTIs and hematuria?

Correct Answer is A

Explanation

A client with hematuria is scheduled for a cystography. What should the nurse explain to the client about the purpose of this diagnostic test?

Correct Answer is C

Explanation

A client asks the nurse to explain the term "microscopic hematuria." How should the nurse describe this condition?

A nurse is discussing the etiology of hematuria with a client. Which statement made by the nurse is accurate?

A client is concerned about the risk factors for hematuria and asks the nurse for information. What should the nurse explain as a common risk factor for hematuria?

A nurse is providing care to a client with hematuria who has been diagnosed with a bleeding disorder. What nursing intervention is essential to minimize the risk of excessive bleeding?

A nurse is educating a client about the diagnostic evaluation for hematuria. What information should the nurse provide about the initial step in assessing the cause of hematuria?

A nurse is caring for a client with hematuria and a suspected urinary tract infection (UTI). What type of antibiotics should the nurse expect the healthcare provider to prescribe to treat the UTI and associated hematuria?

A nurse is providing education to a client about the etiology of hematuria. Which statement by the client indicates a correct understanding of potential causes?

A nurse is caring for a client who has undergone cystoscopy to evaluate hematuria. What information should the nurse provide to the client regarding post-procedure care?