exam 3
A nurse is providing information to a client who has osteoarthritis of the hip and knee. Which of thefollowing information should the nurse include in the information? (Select all that apply.)A. Apply heat to joints to alleviate pain.B. Ice inflamed joints for 30 min following activity.C. reduce the amount of exercise done on days with increased painD. prop the knees with a pillow while in bedE. active range of motion is more effective than passive
A. Apply heat to joints to alleviate pain. B. Ice inflamed joints for 30 min following activity. C. reduce the amount of exercise done on days with increased pain D. prop the knees with a pillow while in bed (avoid it cause it keeps them in a flexed position) E. active range of motion is more effective than passive
A nurse is assessing a client who has osteoarthritis of the knees and fingers. Which of the followingclinical manifestations should the nurse expect to find? (Select all that apply.)A. Heberden's nodesB. Swelling of all jointsC. Small body frameD. Enlarged joint sizeE. Limp when walking
A. CORRECT: Heberden's nodes are enlarged nodules on the distal interphalangeal joints of the handsand feet of a client who has osteoarthritis.B. INCORRECT: Swelling and pain of all joints is a manifestation of rheumatoid arthritis. A localinflammation of a joint is related to osteoarthritis.C. INCORRECT: A small body frame is a risk factor for rheumatoid arthritis. Obesity is a risk factorfor osteoarthritis.D. CORRECT: A client may manifest enlarged joints due to bone hypertrophy.E. CORRECT: A client may manifest a limp when walking due to pain from inflammation in thelocalized joint.
A nurse is monitoring a client who is undergoing extracorporeal shockwave lithotripsy (ESWL). The nurse should identify that which of the following findings is the priority? A. Dysrhythmias B. Pinktinged urine C. Bruising on the flank area D. Stone fragments in the urine
A. Dysrhythmias
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse provide? (Select all that apply.) A. Take allopurinol as prescribed B. Exercise several times a week C. Limit intake of foods high in purine D. Decrease daily fluid intake E. Avoid citrus juices
A. Take allopurinol as prescribed B. Exercise several times a week C. Limit intake of foods high in purine
After performing a physical assessment, the nurse suspects that a client is experiencing manifestations of osteoarthritis (OA). Which finding supports the nurse's suspicion? (Select all that apply.)A. Leg tremorsB. Joint tendernessC. Reduced joint flexibilityD. CrepitationE. Joint stiffness
Answer: B, C, D, ERationale: Manifestations of OA include crackling sounds, or crepitation, with joint movement; joint stiffness and tenderness; and reduced joint flexibility. Leg tremors can be associated with multiple sclerosis or Parkinson disease.
A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following client statements should the nurse provide further teaching? A. "I drink at least 2 L of fluid per day." B. "I prefer taking tub baths to showering." C. "I urinate before and after sexual relations." D. "I wipe from front to back after urinating." B
B. "I prefer taking tub baths to showering."
A nurse is teaching a client about urinary tract infections (UTIs). Which of the following manifestations should the nurse include? A. Weight gain B. Back pain C. Vaginal discharge D. Muscle cramps
B. Back pain -Back pain and flank pain are manifestations of a UTI. Other manifestations include frequency, urgency, and cloudy, foul-smelling urine.
A nurse is collecting a health history from a client. Which of the following findings is the highest risk factor for the client developing bladder cancer? A. The client is a hairdresser. B. The client uses tobacco. C. The client is over 60 years of age. D. The client has frequent urinary tract infections (UTIs).
B. The client uses tobacco. The nurse should apply the safety and risk-reduction priority-setting framework, which assigns priority to the factor or situation posing the greatest safety risk to the client. When there are several risks to client safety, the one posing the greatest threat is the highest priority.
A nurse is providing teaching to a client who has a history of urinary tract infections (UTIs). Which of the following client statements indicates the need for additional teaching? A. "I will empty my bladder every 4 hours." B. "I will drink 2 L of fluids per day." C. "I will use a vaginal douche daily." D. "I will wear cotton underwear."
C The client should avoid vaginal douches, bubble baths, and any substances that can increase the risk of UTIs. The client should use mild soap and water to wash the perineal
A nurse is assessing a client who has urolithiasis and reports pain in his thigh. This finding indicates the stone is in which of the following structures? A. Ureter B. Bladder C. Renal pelvis D. Renal tubules
Correct Answer: A. Ureter When stones are in the ureters, pain radiates to the genitalia and to the thighs.
A nurse is providing teaching to a young adult client who has a history of calcium oxalate renal calculi. Which of the following instructions should the nurse include? A. "Drink fruit punch or juice with every meal." B. "Consume 1,000 mg of dietary calcium daily." C. "Take 1 g of a vitamin C supplement daily." D. "Increase your daily brain intake."
Correct Answer: B. "Consume 1,000 mg of dietary calcium daily." Clients who are prone to the development of calcium oxalate stones should consume the recommended daily allowance for calcium for their age. The DA for calcium for adults ages 19 to 50 is 1,000 mg daily.
A nurse is planning a presentation at a community center about risk factors for cancer. Which of the following types of cancer should the nurse include when discussing familial clustering of specific types of cancer? A. Skin B. Prostate C. Bone D. Bladder
Correct Answer: B. Prostate Types of cancers that typically demonstrate a familial tendency include breast, colorectal, ovarian, and prostate.
A nurse is planning care for a client who has cholelithiasis. Which of the following interventions should the nurse include in the plan? A. Restrict the client's fluid intake B. Restrict the client's calcium intake C. Decrease the client's fat intake D. Decrease the client's potassium intake
Correct Answer: C. Decrease the client's fat intake The nurse should decrease the client's fat intake to reduce the occurrence of biliary colic.
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP) and has continuous bladder irrigation. The nurse notes no drainage in the client's urinary drainage bag over 1 hr. Which of the following actions should the nurse take? A. Instruct the client to attempt to void around the indwelling urinary catheter B. Increase the rate of irrigation fluid instillation C. Irrigate the indwelling urinary catheter with a syringe D. Prepare to administer a diuretic
Correct Answer: C. Irrigate the indwelling urinary catheter with a syringe No drainage in the urinary drainage bag indicates an obstruction. The nurse should gently irrigate the indwelling urinary catheter as prescribed to clear the obstruction and allow urine and irrigating fluid to drain.
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider? A. Output equal to the instilled irrigant B. Client report of bladder spasms C. Viscous urinary output with clots D. Client report of a strong urge to urinate
Correct Answer: C. Viscous urinary output with clots The nurse should report urine output that is bright red with clots or urine that resembles ketchup to the provider because this is an indication of arterial bleeding.
A nurse is providing teaching to a client who is preoperative prior to a transurethral resection of the prostate (TURP). Which of the following client statements indicates an understanding of the information? A. "I will not need to have a urinary catheter following this procedure." B. " will expect my urine to be cloudy after having this procedure." C. "At least I won't have leakage of urine after having this procedure." D. "I will feel the urge to urinate following this procedure."
Correct Answer: D. "I will feel the urge to urinate following this procedure." After a TURP, the client will feel the urge to urinate. The nurse should reassure him that he will receive analgesics to help relieve this discomfort.
A nurse is assessing a client who is postoperative following a transurethral resection of the prostate (TURP. After the nurse discontinues the client's urinary catheter, which of the following findings should the nurse report to the provider? A. Pink-tinged urine B. Report of burning upon urination C. Stress incontinence D. Decreased urine output
Correct Answer: D. Decreased urine output A decrease in urine output after TURP indicates an obstruction to urine flow by a clot or residual prostatic tissue and should be reported to the provider.
A nurse is caring for a client who has urolithiasis and requires further diagnostic testing after an initial test indicated hypercalcemia. Which of the following structures controls calcium concentration? A. Pancreas B. Thyroid gland C. Anterior pituitary gland D. Parathyroid gland
Correct Answer: D. Parathyroid gland The parathyroid gland secretes parathyroid hormones, which are substances that help the kidneys reabsorb calcium and increase calcium absorption from the gastrointestinal tract.
A nurse is administering ciprofloxacin and phenazopyridine to a client who has a severe urinary tract infection(UTI). The client asks why both medications are needed. Which of the following responses should the nurse make? A. "Phenazopyridine decreases the adverse effects of ciprofloxacin hydrochloride." B. "Combining phenazopyridine with ciprofloxacin hydrochloride shortens the course of therapy." C. "The use of phenazopyridine allows the doctor to prescribe a lower dosage of ciprofloxacin hydrochloride." D. "Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain."
D. "Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain." -"Ciprofloxacin hydrochloride treats the infection, and phenazopyridine treats pain." Ciprofloxacin hydrochloride is a broad-spectrum quinolone antibiotic, and phenazopyridine is a bladder analgesic/anesthetic that relieves burning and pain in the bladder mucosa caused by bladder spasm and inflammation.
A nurse is providing teaching to a client who has a urinary tract infection and new prescriptions for phenazopyridine and ciprofloxacin. Which of the following statements by the client indicates a need for further teaching? A. "If phenazopyridine upsets my stomach, I can take it with meals." B. "Phenazopyridine will relieve my discomfort, but ciprofloxacin will get rid of the infection." C. "I need to drink 2 L of fluid per day while I am taking the ciprofloxacin." D. "I should notify my provider immediately if my urine turns an orange color."
D. "I should notify my provider immediately if my urine turns an orange color."
IF UTI is left untreated it can lead to
Pyelonephritis and urosepsis
