A 34-year-old male patient seen at the primary care clinic ...

[ts19998]

A 34-year-old male patient seen at the primary care clinic complains of feeling continued fullness after voiding and a split, spraying urine stream. The nurse will ask about a history of
 
  a. recent kidney trauma.
  b. gonococcal urethritis.
  c. recurrent bladder infection.
  d. benign prostatic hyperplasia.

Question 2

The nurse teaches a 64-year-old woman to prevent the recurrence of renal calculi by
 
  a. using a filter to strain all urine.
  b. avoiding dietary sources of calcium.
  c. choosing diuretic fluids such as coffee.
  d. drinking 2000 to 3000 mL of fluid a day.

[jasonq]

Answer to Question 1

ANS: B
The patient's clinical manifestations are consistent with urethral strictures, a possible complication of gonococcal urethritis. These symptoms are not consistent with benign prostatic hyperplasia, kidney trauma, or bladder infection.

Answer to Question 2

ANS: D
A fluid intake of 2000 to 3000 mL daily is recommended to help flush out minerals before stones can form. Avoidance of calcium is not usually recommended for patients with renal calculi. Coffee tends to increase stone recurrence. There is no need for a patient to strain all urine routinely after a stone has passed, and this will not prevent stones.

[ts19998]

Excellent

[frankwu0507]

TYSM