Test 5
A client diagnosed with a small area of cervical cancer. What is the least invasive, most appropriate procedure the nurse must prepare the client for? A. Cervical conization B. Pelvic extenteration C. Oopherectomy D. Exploratory laparotomy
A
A client has been diagnosed with recurrence of genitalia herpes simplex. She asks how this is possible because she has not had sexual intercourse since she was diagnosed and treated one year ago. Which is the nurses best response? A. The disease can be controlled but is never cured, outbreaks are common B. Did you take the medication exactly the way it was prescribed for you C. If you have more than one sex partner you may have more than one strain D. Sometimes one course of therapy is not enough to eradicate the disease
A
A nurse is assessing clients in a health clinic for risk factors for contracting hepatitis. Which of the follow clients is at risk for developing hepatitis C? A. Client with multiple tattoos B. Client who eats raw shellfish C. A client who works in a childcare center D. A client who has recently traveled to an underdeveloped country
A
A nurse is caring for a client who has BPH. Which of the following medications should the nurse plan to administer? A. Proscar B. Danazol C. Testrid D. Progestin
A
A nurse is caring for a client who has cirrhosis and a PT time of 30 seconds. Which of the following medications should the nurse plan to administer? A. Vitamin K B. Heparin C. Warfarin D. Ferrous sulfate
A
On the second day following an abdominal hysterectomy, a client reports she has had three brown, loose stools in moderate amount. The morning medications include an order for 100 mg of docusate sodium daily or as needed. What should the nurse do next? A. Withhold the medication and document the clients report of loose stools B. Administer the docusate according to direction C. Ask the client if she is having gas or hunter pains D. Administer the docusate sodium and instruct the client to avoid high fiber foods
A
The nurse notes that a client with acute pancreatitis occasionally experiences muscle twitching and jerking. How should the nurse interpret the significant of these symptoms? A. The client is developing hypocalcemia B. The client is experiencing an adverse testimony to Dilaudid C. The client is experiencing vitamin c deficits D. The client needs a muscle relaxer
A
A nurse is aware that which of the following is a medical emergency and requires immediate intervention? (Select all that apply) A. Ectopic pregnancy B. Priapism C. Epididymitis D. Orchitis E. Testicular distortion F. Acute BPH
A, b, e
What is the most important information for the nurse to teach the client diagnosed with genital herpes? A. Use condoms at all times during sexual contact B. A urologist should be seen only when lesions occur C. Oral sex is permissible without a barrier D. Determine if your partner has received the vaccine against herpes
A
Which finding on the physical exam of a 70 year old, post menopausal women would cause suspicion of disease? A. Unilateral palpable ovary B. Spare pubic hair C. Amenorrhea D. Dysparenunia
A
Women who have HPV are at a higher risk of developing what? A. Cervical cancer B. Sterility C. Uterine fibroid tumors D. Irregular menses
A
An oncology nurse is precepting a graduate nurse intern. Their client assignment includes a client receiving implanted brachytherapy for ovarian cancer. What should the oncology nurse teach the graduate nurse intern? (Select all apply) A. Limiting providing bedside care to 30 minutes per shift B. Have client empty her bladder prior to treatment C. Advise visitors to remain a minimum of 6 feet away from the client D. Encourage the client to increase dietary fiber E. Require visitors to stay no longer than 3 hours daily
A, b, c,e
The nurse is caring for a client with suspected acute pancreatitis. The nurse confirms this diagnosis's by which disease specific lab result? A. Elevated amylase and lipase B. Elevated glucose C. Decreased bilirubin level D. Decreased ALT and AST
A.
The nurse is preparing a client for paracentesis. The nurse should: A. Initiate an IV to administer sedatives B. Have the client void prior to procedure C. Place the client in sims position D. Make the client NPO 8 hours prior
B
A 32 year old woman brought to the emergency department reports being sexually assaulted. The patient is confused about where she is and she has a large laceration above the right eye. Which action should the nurse take first? A. Ask the client to describe what occurred during the assault B. Assess neurological status C. Consult the physician D. Assist the client to remove her clothes for DNA
B
A nurse is admitting a client who is about to undergo surgery for BPH. The client state " I don't know what I will do if they find I have cancer?" Which of the following responses should the nurse make? A. Why do you think you might have cancer when your diagnosis is a benign condition B. I'm hearing that you are concerned that it might turn out you have cancer C. I'm looking at your chart here and I don't see any reason to worry about that D. I think that's something you need to discuss with your provider
B
A nurse is caring for a client who is 5 hours post op following a TURP. The nurse notes that the clients indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first? A. Notify the provider B. Check the tubing for kinks C. Irrigate the catheter D. Adjust the rate of the bladder irrigant
B
A nurse is caring for an adolescent child with pelvic inflammatory disease as a consequence of a sexually transmitted infection and will need IV antibiotic therapy. The client tells the nurse, my parents think I am a virgin. I don't think I can tell them I have this kind of infection. Which of the following responses should the nurse take? A. Your parents will have to be told why you are being admitted B. You seem scared to talk to your parents C. Give your parents a chance they'll understand D. If you want me to I can't tell them for you
B
A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan A. Include foods high in starch and proteins B. Avoid foods high in fat C. Include foods high in fiber D. Avoid foods high in sodium
B
A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states "I don't need this medication. I am not constipated." The nurse should explain that in clients who has cirrhosis, lactulose is used to decrease levels of what? A. Glucose B. Ammonia C. Potassium D. Bicarbonate
B
A nurse is teaching a client about causes of biliary cirrhosis. Which of the following information should the nurse include in the teaching? A. Excessive alcohol consumption B. Obstruction of the bile duct C. Hepatitis C D. Hepatotoxic medications
B
A nurse is testing a client who has cholecystitis about required dietary modifications. The nurse should include which of the following foods as appropriate for the clients diet? A. Ice cream B. Roast turkey C. Chicken Alfredo D. Mac n cheese
B
The nurse is caring for a client with a positive Murphy's sign. The nurse knows this is an expected finding of: A. Cirrhosis B. Cholelithiasis C. Hepatitis D. Pancreatitis
B
The nurse is talking to a 30 year old African America man about prostate specific antigen testing. The client tells the nurse that his father was diagnosed with prostate cancer in his 50's. What should the nurse tell the client? A. PSA testing should be started at any time for all males by the age of 25 B. Your genetic and racial risks factors suggest testing should begin at age 45 C. Because of your African American heritage you should start testing now D. Authorities have differing opinions, but the consensus states annual PSA testing should start around age 60
B
The nurse is teaching a client with hepatitis A about preventing transmission of the disease. The nurse should focus teaching on: A. Insulin syringe disposal B. Proper food handling C. Use of condoms D. Alpha interferon
B
Which is a sign of chlamydial infection in a female client ? A. Presence of chancres on glans B. Mucopuruoent vaginal discharge C. Proctitis D. Thin, bubbly green tinged malodorous discharge
B
The nurse is preparing information for medication education for a client starting Proscar therapy. The nurse is aware it is important to each the client which of the following? (Select all that apply) A. Can be taken for a max of 6 months B. Must be taken for a min of 6 months to be effective C. Must be taken on continuous basis D. Is prescribed for symptomatic relief only
B, c
Which clients are at risk for fluid deficit? (Select all that apply) A. Heart failure B. Polyuria C. Extensive burns D. SIADH with water intoxication E. Hyperemesis
B,c,e
The nurse has a high suspicion the client has acute cholecystitis. What findings would the nurse anticipate on assessment? (Select all that apply) A. Ascites B. Right shoulder pain C. Pain at McBurney's point D. Right upper quadrant tenderness E. Diaphoresis
B,d,e
An emergency room nurse admits a patient with known liver failure who has an altered mental status. The nurse suspects which lab value to be related to this finding. A. Red blood cells B. Ammonia C. Potassium D. PT/INR
B. Ammonia
A nurse is caring for a palliative care client with cancer. The nurse would intimate neutropenia precautions based on which of the following lab values? A. Hemoglobin 7 B. Platelet count 100,000 C. Hematocrit 20% D. WBC count of 3.8
D
A nurse is assessing a client who has cirrhosis. Which of the following is an expected finding for this client? A. Tarry stools B. Hematuria C. Spider angiomas D. Diaphoretic skin
C
A nurse is teaching a client who has hepatitis A about preventing transmission of a virus. Which of the following strategies should the nurse include in the teaching? A. Avoid eating fast food B. Avoid serving raw foods C. Practice effective hand hygiene D. Wear barrier protection during vaginal intercourse
C
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections. Which of the following statements should the nurse include in the teaching? A. Use closed ended questions when obtaining the health history B. A clients reproductive health history is not needed for counseling purposes. C. Ask about the clients exposure to any past or present STIs D. Refer the client to genetic counseling if he had an STI
C
A nurse notes bright red blood with numerous clots in the urinary drainage bag for a client who had a transurethral resection of the prostate (TURP). Besides notifying the surgeon, what is the nurses best action? A. Draw blood for type and crossmatch B. Empty the drainage bag and record the appearance of output C. Irrigate the catheter with sterile saline
C
Which question should the nurse ask when assessing a 60 year old client who has a history of BPH? A. Have you been experiencing any difficulty in achieving an erect job B. Have you noticed any unusual discharge from your penis C. Has there been a decrease in the force of your urinary system D. Has there been an considerable changes in your sex life in the last year
C
The nurse is caring for a client with hypocalcemia as evidenced by calcium 7.0. Which of the following signs would the nurse assess the client for? (Select all that apply) A. Murphy's B. Gray turners C. Trousseau D. Chvostek E. Holmes rebound phenomenon
C, d
The nurse is planning discharge teaching for a client with chronic pancreatitis. Which statement by the client indicated that teaching has been effective? A. I can have an occasional beer or two several times a week B. I need to eat a bland diet high in carbs C. I can resume my regular diet when I no longer feel nauseous D. I will have to supplement my diet with foods high in Mg
C.
A female client admitted for cardiac problems has gonorrhea. Which type of precautions does the nursing staff implement with this client? A. Reverse B. Contact C. Airborne D. Standard
D
A nurse is teaching self management to a client who has hepatitis B. Which of the following instructions should the nurse include in the teaching? A. You may donate blood 6 months after completing the medication B. Consume a high protein diet C. Take acetaminophen every 4 hours as needed for discomfort D. Rest frequently throughout the day
D
When educating a client with gonorrhea, the nurse should emphasize that for women gonorrhea: A. Is often marked by symptoms of dysuria and vaginal bleeding B. Can be treated but not cured C. Does not lead to serious complication D. May not cause symptoms until serious complications occur
D
Which focused data will the nurse monitor in relation to the 4+ pitting edema assessed in a patient with cirrhosis? a. Hemoglobin b. Amylase level c. Urine output d. Albumin level
D
The nurse is assessing a client with pancreatitis. The nurse noted Grey turners sign. The nurses priority action would be: A. Assess bowel sounds B. Assess for rebound tenderness C. Assess amylase and lipase D. Asses blood pressure and pulse
D. Asses blood pressure and pulse