MSN Exam for Cystitis

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1) The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephotic syndrome. The nurse should:

  1. Encourage the client to drink extra fluids
  2. Request a low-protein diet for the client
  3. Bathe the client using only mild soap and water
  4. Provide additional warmth for swollen, inflamed joints

2) Symptoms of interstitial cystitis are similar to what other condition?

  1. Bladder Cancer
  2. Urinary Tract Infection
  3. Tuberculosis of the bladder
  4. Radition Cystisis

3) What test is used to diagnose interstitial cystitis?

  1. Cystoscopy
  2. Ultrasound of bladder
  3. Biopsy
  4. Urine culture

4) Which of the following may cause an increase in the cystitis symptoms?

  1. Water
  2. Orange juice
  3. Coffee
  4. Mango juice

5) Interstitial cystitis is a condition of which organ of the body?

  1. Uterus
  2. Bladder
  3. Prostate
  4. Colon

6) Which of the following terms is used to refer to inflammation of the renal pelvis?

  1. Pyelonephritis
  2. Cystitis
  3. Urethritis
  4. Interstitial nephritis

7) Over 700,000 Americans have interstitial cystitis. What causes the disease?

  1. A defect
  2. Autoimmune
  3. The cause is unknown
  4. Hereditary

8) Which of the following are the most commonly assessed findings in cystitis?

  1. Frequency, urgency, dehydration, nausea, chills, and flank pain
  2. Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain
  3. Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever
  4. High fever, chills, flank pain nausea, vomiting, dysuria, and frequency

9) Interstitial cystitis affects whom?

  1. Woman
  2. Children
  3. Men
  4. All of these

10) Which of the following are the most commonly assessed findings in cystitis?

  1. Frequency, urgency, dehydration, nausea, chills, and flank pain
  2. Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain
  3. Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever
  4. High fever, chills, flank pain nausea, vomiting, dysuria, and frequency
Answers and Rationales
  1. A. Encourage the client to drink extra fluids . The client taking Cytoxan should increase his fluid intake to prevent hemorrhagic cystitis.
  2. B. Urinary Tract Infection. IC can have some similar symptoms of the incorrect answers but is most similar to a UTI. The biggest difference between them is that a UTI is caused by bacteria and treated with antibiotics. Since IC is not bacterial, antibiotics don’t help IC patients. The common symptoms are frequency of urination, urgency to urinate (accompanied by pain, pressure and/or spasms) Pain in the bladder, pelvic region, and/or urethral. IC patients have a wide variety of symptoms. Some have all the mentioned symptoms (plus other symptoms) while some have only a few.
  3. A. Cystoscopy . A cystoscopy under general or regional anesthesia is to needed to check for glomerulations (pinpoint hemorrages) Before a cystoscopy there are other tests performed. Such as urine culture and potassium sensitivity test. It is not uncommon to suffer for years before receiving a diagnosis.
  4. C. Coffee 
  5. B. Bladder. Interstitial cystitis (IC) is a chronic inflammatory condition of the bladder wall.
  6. A. Pyelonephritis . Pyelonephritis is an upper urinary tract inflammation, which may be acute or chronic. Cystitis is inflammation of the urinary bladder. Urethritis is inflammation of the urethra. Interstitial nephritis is inflammation of the kidney.
  7. C. The cause is unknown. Researchers have yet to determine one specific cause. There are many theories that have been looked into. The one gaining the most attention in the medical community is a antiproliferative factor (APF) Which blocks the normal growth of cells in the bladder lining. APF is found almost exclusively in IC patients. Many other theories are out there such as; inflammatory response to injury, autoimmune disorder, undetected bacteria, and hereditary.
  8. B. Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain. Manifestations of cystitis include, frequency, urgency, dysuria, hematuria nocturia, fever, and suprapubic pain. Dehydration, hypertension, and chills are not typically associated with cystitis. High fever chills, flank pain, nausea, vomiting, dysuria, and frequency are associated with pvelonephritis.
  9. D. All of these . IC can affect people of any age, race or sex. Statics do show that 90% of cases are women. The average age of onset is 40.
  10. B. Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain. Manifestations of cystitis include, frequency, urgency, dysuria, hematuria nocturia, fever, and suprapubic pain. Dehydration, hypertension, and chills are not typically associated with cystitis. High fever chills, flank pain, nausea, vomiting, dysuria, and frequency are associated with pvelonephritis.

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