blessed pt 3

A 29-year-old female patient is diagnosed with Chlamydia during a routine pelvic examination. The nurse knows that teaching regarding the management of the condition has been effective when the patient says which of the following?

"My partner will need to take antibiotics at the same time I do."

A woman asks, "why do I have to tell my sexual partner about chlamydia? I thought this was a "female" disease." Which of the following is the nurse's best response?

"The condition is transmittable to men and may cause infertility."

After seeking care due to recent history of testicular enlargement and scrotal pain, a 22-year-old college student has been diagnosed with testicular cancer. Which statement by the client indicates the need for further teaching?

"I can't shake this feeling live I've received a death sentence."

How to test if you have something related to kidneys?

Hematuria

Which client clinical manifestation most clearly suggests a need for diagnostic testing to rule out renal cell carcinoma?

Hematuria

Which instruction is essential for the nurse to include in the care plan for a client with herpes simplex virus-1 (HSV-1)?

"This disease is transmitted by oral secretions."

The nurse is assessing a client who has just been admitted to the unit with a diagnosis of cholelithiasis. The nurse is aware that the client may manifest:

Right upper quadrant pain

When teaching a community education class about the seven warning signs of cancer, the nurse will note that the most common sign of bladder cancer is

Painless bloody urine

A client asks how his condition, Condylomata acuminata, is caused. What is the nurse's best response?

"Human papillomavirus (HPV) is the cause of your condition."

A 71-year-old male has been recently diagnosed with a stage III tumor of colorectal cancer and is attempting to increase his knowledge base of his diagnosis. Which of the statements about colorectal cancer demonstrates a sound understanding of the disease?

"While diet is thought to play a role in the development of colorectal cancer, the ultimate causes are largely unknown"

Which client is likely at the greatest risk of developing a urinary tract infection?

A 79-year-old client with an indwelling catheter

Which client is at highest risk of developing trichomoniasis?

A client who is sexually active

Which client is at greatest risk for developing balanoposthitis?

A man who has an uncircumcised penis.

A client has been diagnosed with a chlamydial infection. Select the pharmacologic treatment of choice.

Azithromycin

Acute pyelonephritis is a result of which of the following?

Bacterial infection

A sexually active female present to the clinic with white copious vaginal discharge, itch, swelling, and dysuria. The nurse anticipates the client will be treated for the overgrowth of which organism?

Candida albicans

The nurse is reviewing the uses and side effects of azithromycin. For which infection is azithromycin the antibiotic of choice?

Chlamydial

During unprotected sex, a 17-year old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis?

Condylomata acuminata

Most common uncomplicated UTIs are caused by ___ that enter through the urethra.

Escherichia coli

What is the most common cause of lower urinary tract infection?

Escherichia coli

The nurse is administering a unit of packed red blood cells to a client and piggybacks the unit of blood through a solution of 0.9% NaCl. Blood cells placed in a solution of 0.9% saline will do which of the following?

Neither shrink not swell

Select the correct statement regarding herpes simplex virus (HSV)

Only two strains of the virus are considered sexually transmittable.

While assessing a peritoneal dialysis client in the home, the nurse notes that the fluid draining from the abdomen is cloudy, is white in color, and contains a strong odor. The nurse suspects this client has developed a serious complication known as:

Peritonitis

Which condition/disorder would the nurse see as being likely to cause the most serious long-term problems?

Polycystic kidney disease

An 86-year-old client is being treated for dehydration and hypoatremia after curtailing fluid intake to prevent urinary incontinence. Given these findings, the nurse recognizes that this client is likely in what phase of acute kidney injury?

Prerenal

The nurse in urology unit is teaching about medication to treat ED. The mechanism of action of most of these medications is that the medication:

Promotes increase in blood flow to the corpora cavernosa

What is the most common cancer of the kidney?

Renal cell carcinoma

An 86-year-old female client has been admitted to the hospital for the treatment of dehydration and hyponatremia after she curtailed her fluid intake to minimize urinary incontinence. The client's laboratory results are suggestive of prerenal failure. The nurse should be assessing this client for which early sign of prerenal injury?

Sharp increase in urine output

A 51 year old male has been diagnosed with alcohol-induced liver disease. He admits to the nurse he does not understand what the liver does in the body. Which of these statements best explains the liver's function?

The liver metabolizes most components of food and also cleans the blood of bacteria and drugs.

A client who has been diagnosed with gonorrhea asks the nurse if anyone has to know about it. The best response by the nurse is:

Gonorrhea is a reportable sexually transmitted infection

Which one of the following is the usual cause of acute pyelonephritis?

Infection

A patient has recently been diagnosed with stage H. pylori gastritis is usually treated with a combination of antibiotic and

Proton pump inhibitors

After several months of persistent heartburn, a 57-year-old female client has been diagnosed with gastroesophageal reflux disease (GERD). Which one of the following treatment regimens is likely to best address the woman's health?

Proton pump inhibitors; avoiding large meals; remaining upright after meals

A nurse is assessing a male who is reporting nonspecific symptoms of prostate and periurethral gland pain. Which characteristic discharge makes the nurse suspect gonorrhea?

Purulent exudates

An 82-year-old woman resident of a long-term care facility with a recent family history of repeated urinary tract infections and restlessness is suspected of having urinary retention. Which of the following actions by the care team is most appropriate?

Ultrasound bladder scanning to determine the residual volume of urine after voiding

Which factor places a male client at risk for balanitis?

Uncircumcised penis

Which client is displaying manifestations of having a kidney stone?

Acute onset of colicky flank pain radiating to lower abdomen

Hypothalamic sensory neurons that promote thirst when stimulated are called:

Osmoreceptors

How do you know if you have bladder cancer?

Painless hematuria

A client presents with gonorrhea. Which of the following is a primary nursing action?

Reporting the case to the CDC

A female client presents to the clinic with a rash on the palms of her hands, symptoms of hair loss, and the development of elevated, red-brown lesions that have begun to ulcerate and produce a foul discharge. Based on these symptoms, the nurse plans to test the client for which sexually transmitted infection?

Syphilis

While on tour, a 32 year-old male musician presented to the emergency department of a hospital after a concert complaining of severe and sudden abdominal pain. He admits to a history of copious alcohol use in recent years, and his vital signs include temperature 46.8°C (101.8°F), blood pressure 89/48 mmHg and heart rate 116 beats per minute. Blood work indicates that his serum levels of C-reactive protein, amylase and lipase are all elevated. Which of the following diagnoses would the care tea

Acute Pancreatitis

An adult male reports painful urination, rectal pain, fever/chills, general malaise and myalgia. Vital signs are: temperature, 101.7°F (38.7°C); blood pressure, 105/74 mm Hg; pulse, 98 bpm; respiration, 22 breaths/min. What should the health care provider suspect?

Acute bacterial prostatitis

A 34-year-old woman presents with an abrupt onset of shaking chills, moderate to high fever, and a constant ache in her lower back. She is also experiencing dysuria, urinary frequency, and a feeling of urgency. Her partner states that she has been very tired the last few days and that she looked like she may have the flu. What is the most likely diagnosis?

Acute pyelonephritis

There is no known cure for genital herpes, and methods of treatment are often symptomatic. Pharmacologic management of genital herpes include which drug?

Acyclovir

The nurse is caring for a client with recurring UTIs. The client asks, "Other than taking antibiotics, what else can I do?" Which response by the nurse is most accurate?

Drink lots of fluids to help relieve the signs and symptoms of UTIs.

A nurse is caring for a client who has a recent history of passing calcium urinary stones. Which of the following is a priority nursing consideration for this client?

Hydration

When caring for the client with acute pancreatitis, which of these alterations does the nurse recognize is consistent with the disorder?

Hyperglycemia

Respiratory alkalosis can be caused by a respiratory rate in excess of that which maintains normal plasma PCO2 levels. What is a common cause of respiratory alkalosis?

Hyperventilation

A nurse is assessing a client's risk for developing a hospital-acquired UTI and determines that which of the following places the client at greatest risk?

Indwelling urinary catheter