Exam 3 Study Guide Questions 1212C
39. Which medication taken at home by a 47-year-old patient with decreased renal function will be of most concern to the nurse? a. ibuprofen (Motrin) b. folic acid (Vitamin B) c. penicillin (Bicillin C-R) d. warfarin (Coumadin)
a. ibuprofen (Motrin)
18. Medication order: 40 mEq of potassium chloride to be added to a 1000 mL intravenous solution. The potassium chloride is available in a solution of 5 mEq/mL. How many milliliters should be added to the solution?
ANS: 8
76. What is the amount of fluid to be taken for a patient recovering from acute kidney injury? 1. Urine output with an additional 300 mL 2. Urine output with an additional 500 mL 3. Urine output with an additional 700 mL 4. Urine output with an additional 1000 mL
2. Urine output with an additional 500 mL
19. What glomerular filtration rate (GFR) would the nurse estimate for a 30-year-old patient with a creatinine clearance result of 60 mL/min?
60 mL/min
52. A patient has a new prescription for finasteride (Proscar). The nurse will instruct patient about which potential adverse effects? (SATA) A. Loss of erection B. Gynecomastia C. Headaches. D. Increased libido. E. Ejaculatory dysfunction.
A. Loss of erection B. Gynecomastia E. Ejaculatory dysfunction.
33. The preoperative order is for atropine sulfate 0.15 mg. The supply of atropine sulfate is 0.4 mg/mL. How many mL will you prepare?
ANS: 0.38
55. The IV order is for 1.5 L of D5NS to be infused over 12 hours. The IV will be administered through an electronic pump. What will be the hourly flow rate?
ANS: 125
60. The IV order is for D5W to infuse at 100 mL/hr. The drop factor is 10 gtt/mL. How many drops per minute should the IV be regulated?
ANS: 17
50. A patient who is having an acute exacerbation of multiple sclerosis has a prescription for methylprednisolone (Solu-Medrol) 150 mg IV. The label on the vial reads: methylprednisolone 125 mg in 2 mL. How many mL will the nurse administer?
ANS: 2.4
12. A child enters the emergency department. The paramedics report that the child has been having a seizure that lasted for 45 minutes. In addition to securing and maintaining an airway, what is a priority intervention on the part of the nurse? A. phenobarbital B. diazepam (or Lorazepam) C. phenytoin D. valproic acid
B. diazepam (or Lorazepam)
63. The nurse is caring for a client who is experiencing renal colic due to a kidney stone. Which of the following assessments requires immediate notification to the physician? A. Flank pain that radiates to the lower abdomen B. Client report of nausea C. Absent urine output for 2 hours 30/ml/hr D. Serum WBC count 15,000
C. Absent urine output for 2 hours 30/ml/hr
27. After reviewing the electronic medical record for a patient who had a transurethral resection of the prostate the previous day, which information requires the most rapid action by the nurse? V/S: Temp- 99 degrees F- 37.2 degrees C. Pulse- 94. Respirations- 24. B/P- 168/88 mm/Hg Physical Assessment: Diminished lung sounds. Patient reports frequent bladder spasms. No urine draining from the triple lumen catheter. A. Elevated temperature B. Respiratory rate and lung sounds C. Bladder spasms and decreased urine output D. No prescription for antihypertensive drugs
C. Bladder spasms and decreased urine output
35. The nurse is providing education to a patient and his caregiver—his pregnant daughter— about dutasteride (Avodart), which he will be taking for benign prostatic hyperplasia (BPH) What important teaching would the nurse provide to the patient and his daughter about the administration of this medication? A. It should be taken with food containing dairy. B. It may be placed in daily medication container with other medications. C. It must not be touched or handled by his daughter due to teratogenic effects. D. For best results, it needs to be taken at hour of sleep on empty stomach.
C. It must not be touched or handled by his daughter due to teratogenic effects.
40. A nurse assesses clients on a medical-surgical unit. Which clients should the nurse identify as at risk for secondary seizures? (Select all that apply.) a. A 26-year-old woman with a left temporal brain tumor b. A 38-year-old male client in an alcohol withdrawal program c. A 42-year-old football player with a traumatic brain injury d. A 66-year-old female client with multiple sclerosis e. A 72-year-old man with chronic obstructive pulmonary disease
a. A 26-year-old woman with a left temporal brain tumor b. A 38-year-old male client in an alcohol withdrawal program c. A 42-year-old football player with a traumatic brain injury
41. Which nursing action is of highest priority for a 68-year-old patient with renal calculi who is being admitted to the hospital with gross hematuria and severe colicky left flank pain? a. Administer prescribed analgesics. b. Monitor temperature every 4 hours. c. Encourage increased oral fluid intake. d. Give antiemetics as needed for nausea.
a. Administer prescribed analgesics.
24. The nurse is caring for a terminally ill patient whose children have come home to be with their mother during her last few days. They spend time looking through picture albums, watching old home movies, and remembering fun times spent together. Which term best describes the activity of the patient's children? a. Anticipatory grieving b. Bereavement c. Caregiver role strain d. Death anxiety
a. Anticipatory grieving
69. The nurse is caring for a patient who reports an urgent need to urinate but is unable to pass more than a few drops of urine on the toilet. Which is the priority assessment to be performed by the nurse? a. Bladder scan to determine the amount of urine in the bladder b. Auscultation to assess circulation through the right and left renal arteries c. Bimanual palpation to assess for possible enlargement of the kidneys d. Calculate the patient's intake and output to check for fluid volume deficit
a. Bladder scan to determine the amount of urine in the bladder
31. The nurse is caring for a patient who is terminally ill with metastatic bone cancer. The patient tells the nurse that he is not afraid of death but does not want to be in pain and suffer before he dies. Which intervention will be most appropriate to meet this patient's wishes? a. Establish around-the-clock dosing for pain medications with additional doses for breakthrough pain. b. Assist the patient to reminisce and review his life, spending as much time as possible with loved ones.c. Use therapeutic touch, guided imagery, and soft music to put the patient at ease and relieve anxiety. d. Encourage the patient to participate in prayer and meditation along with preferred religious practices.
a. Establish around-the-clock dosing for pain medications with additional doses for breakthrough pain.
68. A nurse teaches a client about self-care after experiencing a urinary calculus treated by lithotripsy. Which statements should the nurse include in this clients discharge teaching? (Select all that apply.) a. Finish the prescribed antibiotic even if you are feeling better. b. Drink at least 3 liters of fluid each day. c. The bruising on your back may take several weeks to resolve. d. Report any blood present in your urine. e. It is normal to experience pain and difficulty urinating.
a. Finish the prescribed antibiotic even if you are feeling better. b. Drink at least 3 liters of fluid each day. c. The bruising on your back may take several weeks to resolve.
53. When caring for a group of clients, the nurse recognizes that which clients are at risk for acute kidney injury (AKI)? Select all that apply. a. Football player in preseason practice b. Client who underwent contrast dye radiology c. Accident victim recovering from a severe hemorrhage d. Client in the intensive care unit on high doses of antibiotics e. Client recovering from gastrointestinal influenza
a. Football player in preseason practice b. Client who underwent contrast dye radiology c. Accident victim recovering from a severe hemorrhage d. Client in the intensive care unit on high doses of antibiotics e. Client recovering from gastrointestinal influenza
2. The nurse will anticipate that a 61-yr-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate specific antigen (PSA) level will need teaching about which diagnostic assessment: a. transrectal ultrasonography (TRUS). b. uroflowmetry studies. c. magnetic resonance imaging (MRI). d. cystourethroscopy
a. transrectal ultrasonography (TRUS).
45. The nurse is caring for a patient who just died after a lengthy illness. Which portions of postmortem care may be delegated to the nursing assistant? (Select all that apply.) a. Gently washing the body and closing the patient's eyes b. Offering support and empathy to the patient's family members c. Documenting the patient's time of death in the medical record d. Notifying all of the patient's consulting providers of the patient's death e. Removing the patient's hospital ID band, IV lines, and urinary catheter f. Gathering the patient's belongings so they may be taken home by the family
a. Gently washing the body and closing the patient's eyes b. Offering support and empathy to the patient's family members f. Gathering the patient's belongings so they may be taken home by the family
32. A patient has been taking phenytoin (Dilantin) for 2 years. Which action will the nurse take when evaluating for adverse effects of the medication? a. Inspect the oral mucosa. b. Auscultate the bowel sounds. c. Listen to the lung sounds. d. Check pupil reaction to light.
a. Inspect the oral mucosa.
70. During a routine health examination, a 40-yr-old patient tells the nurse about a family history of colon cancer. Which action should the nurse take next? a. Obtain more information about the family history. b. Schedule a sigmoidoscopy to provide baseline data. c. Teach the patient about the need for a colonoscopy at age 50. d. Teach the patient how to do home testing for fecal occult blood.
a. Obtain more information about the family history.
46. A 42-yr-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and hyperkalemia. Which prescribed action should the nurse take first? a. Place the patient on a cardiac monitor. b. Give sodium polystyrene sulfonate (Kayexalate). c. Insert a urinary retention catheter.d. Administer epoetin alfa (Epogen, Procrit).
a. Place the patient on a cardiac monitor.
25. A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room (select all that apply)? a. Side-rail pads b. Tongue blade c. Oxygen mask d. Suction tubing e. Urinary catheter f. Nasogastric tube
a. Side-rail pads c. Oxygen mask d. Suction tubing
30. The nurse is caring for a patient who is recovering from bowel surgery. Which assessment finding best indicates that the bowel is starting to resume function and the patient will be able to resume oral intake soon? a. The patient has bowel sounds x 4 quadrants and is passing gas. b. The patient has no nausea, and abdominal pain is minimal. c. The patient feels hungry for chicken soup and hot tea. d. The patient's nasogastric tube was discontinued the previous day.
a. The patient has bowel sounds x 4 quadrants and is passing gas.
49. A patient gives the nurse health information before a scheduled intravenous pyelogram with contrast (IVP). Which item has the most immediate implications for the patient's care? a. The patient lists allergies to shellfish and penicillin. b. The patient used a bisacodyl (Dulcolax) tablet the previous night. c. The patient has not had food or drink for 8 hours. d. The patient complains of costovertebral angle (CVA) tenderness.
a. The patient lists allergies to shellfish and penicillin.
28. The nurse reviews the laboratory results of a patient who is receiving chemotherapy. Which laboratory result is most important to report to the health care provider? a. White blood cells (WBC) 2700/mcg/L b. Hematocrit 30% c. Platelets 95,000/mcg/L d. Hemoglobin 10 g/L
a. White blood cells (WBC) 2700/mcg/L
73. A client has received a dose of tamsulosin (Flomax). What action by the nurse is most important? a. assist the client in getting out of bed b. weigh the client daily before the client eats c. instruct the client to reduce salt intake d. assess the client for a headache
a. assist the client in getting out of bed
65. What is important for the nurse to teach the client who is prescribed a fentanyl (Duragesic) transdermal delivery system? a. change the patch every 72 hours. b. change the patch when pain recurs. c. change the patch once a week. d. change the patch every 24 hours.
a. change the patch every 72 hours.
3. A high school teacher who has just been diagnosed with epilepsy after having a generalized tonic-clonic seizure tells the nurse, "I cannot teach anymore, it will be too upsetting if I have a seizure at work." Which response by the nurse is best? a. "You might benefit from some psychologic counseling." b. "Epilepsy usually can be well controlled with medications." c. "You will want to contact the Epilepsy Foundation for assistance." d. "The Department of Vocational Rehabilitation can help with work retraining."
b. "Epilepsy usually can be well controlled with medications."
47. The nurse is caring for a young patient whose mother has only a few weeks to live. The patient has been misbehaving at school recently and is suspended after picking fights with other students and defying teachers. Which stage of grieving is the patient experiencing? a. Denial b. Anger c. Bargaining d. Depression
b. Anger
23. A nurse assesses a male client who is recovering from a urologic procedure. Which assessment finding indicates an obstruction of urine flow? a. nocturia b. hydronephrosis c. hypotension d. + 2 pitting edema
b. hydronephrosis
13. The nurse should suggest which food choice when providing dietary teaching for a patient scheduled to receive external-beam radiation for Prostate cancer? a. Fruit salad b. Baked chicken c. Creamed broccoli d. Toasted wheat bread
b. Baked chicken
20. A nurse cares for a client newly diagnosed with colon cancer who has become withdrawn from family members. Which action should the nurse take? a. Contact the provider and recommend a psychiatric consult for the client. b. Encourage the client to verbalize feelings about the diagnosis. c. Provide education about new treatment options with successful outcomes. d. Ask family and friends to visit the client and provide emotional support.
b. Encourage the client to verbalize feelings about the diagnosis.
54. The plan of care for a patient immediately after a perineal radical prostatectomy will include decreasing the risk for infection related to a. urinary incontinence b. Fecal wound contamination c. suprapubic catheter placement d. prolonged urinary stasis
b. Fecal wound contamination
44. A 79-year-old man has been admitted with benign prostatic hyperplasia. What is most appropriate to include in the nursing plan of care? a. Limit fluid intake to no more than 1000 mL/day. b. Leave a light on in the bathroom during the night. c. Pad the patient's bed to accommodate overflow incontinence. d. Ask the patient to use a urinal so that the urine can be measured.
b. Leave a light on in the bathroom during the night.
72. A patient has been diagnosed with urinary tract calculi that are high in uric acid. Which foods will the nurse teach the patient to avoid (select all that apply)? a. Milk b. Liver c. Spinach d. Chicken e. Cabbage f. Chocolate
b. Liver d. Chicken
75. A nurse assesses a male client who is suspected to have a kidney stone. Which assessment finding indicates an obstruction of urine flow? a. Severe pain b. Overflow incontinence c. Hypotension d. Blood-tinged urine
b. Overflow incontinence
5. The home health registered nurse is planing care for a patient with a seizure disorder related to a recent head injury. Which nursing action can be delegated to a licensed practical/vocational nurse (LPN/LVN)? a. Make referrals to appropriate community agencies. b. Place medications in the home medication organizer. c. Teach the patient and family how to manage seizures. d. Assess for use of medications that may precipitate seizures.
b. Place medications in the home medication organizer.
15. A client has returned from a transurethral resection of the prostate with a continuous bladder irrigation. Which action by the nurse is a priority if bright red urinary drainage and clots are noted 5 hours after the surgery? a. Review the hemoglobin and hematocrit as ordered. b. Take vital signs and notify the surgeon immediately. c. Release the traction on the three-way catheter. d. Remind the client not to pull on the catheter.
b. Take vital signs and notify the surgeon immediately.
34. The nurse supervises the care of a patient with a temporary radioactive cervical/prostate implant. Which action by unlicensed assistive personnel (UAP), if observed by the nurse, would require an intervention? a. The UAP flushes the toilet once after emptying the patient's bedpan. b. The UAP stands by the patient's bed for 30 minutes talking with the patient. c. The UAP places the patient's bedding in the laundry container in the hallway. d. The UAP gives the patient an alcohol-containing mouthwash to use for oral care.
b. The UAP stands by the patient's bed for 30 minutes talking with the patient.
6. A nurse assesses a client with a history of epilepsy who experiences stiffening of the muscles of the arms and legs, followed by an immediate loss of consciousness and jerking of all extremities. How should the nurse document this activity? a. Atonic seizure b. Tonic-clonic seizure c. Myoclonic seizure d. Absence seizure
b. Tonic-clonic seizure
42. The nurse preparing for the annual physical exam of a 50-year-old man will plan to teach the patient about a. endoscopy. b. colonoscopy. c. computerized tomography screening. d. carcinoembryonic antigen (CEA) testing.
b. colonoscopy.
59. The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). When teaching the patient about the drug, the nurse informs him that a. he should change position from lying to standing slowly to avoid dizziness. b. his interest in sexual activity may decrease while he is taking the medication. c. improvement in the obstructive symptoms should occur within about 2 weeks. d. he will need to monitor his blood pressure frequently to assess for hypertension.
b. his interest in sexual activity may decrease while he is taking the medication.
74. A 76-year-old with benign prostatic hyperplasia (BPH) is agitated and confused, with a markedly distended bladder. Which intervention prescribed by the health care provider should the nurse anticipate first? a. schedule an intravenous pyelogram (IVP). b. insert urinary catheter. c. draw blood for a serum creatinine level. d. administer furosemide (Lasix) 40 mg PO.
b. insert urinary catheter.
66. The nurse on a home visit finds the hospice patient grimacing and appears to be in pain. He is non-verbal and does not follow commands. His lungs sound wet with a respiratory rate of 21, is erratic and labored. What medication would you expect to administer? a. morphine sulfate (morphine), by mouth b. morphine sulfate (morphine), sublingual c. hycoscine (scopolamine), topical d. senna glycoside (senna), per rectum
b. morphine sulfate (morphine), sublingual
7. When a patient with acute kidney injury (AKI) has an arterial blood pH of 7.30, the nurse will expect an assessment finding of a. persistent skin tenting b. rapid, deep respirations c. hot, flushed face and neck d. bounding peripheral pulses
b. rapid, deep respirations
71. The nurse is caring for a patient diagnosed with stage I colon cancer. When assessing the need for psychologic support, which question by the nurse will provide the most information? a. "How long ago were you diagnosed with this cancer?" b. "Do you have any concerns about body image changes?" c. "Can you tell me what has been helpful to you in the past when coping with stressful events?" d. "Are you familiar with the stages of emotional adjustment to a diagnosis like cancer of the colon?"
c. "Can you tell me what has been helpful to you in the past when coping with stressful events?"
61. Which question should the nurse ask when assessing a 60-year-old patient who has a history of benign prostatic hyperplasia (BPH)? a. "Have you noticed any unusual discharge from your penis?" b. "Has there been any change in your sex life in the last year?" c. "Has there been a decrease in the force of your urinary stream?" d. "Have you been experiencing any difficulty in achieving an erection?"
c. "Has there been a decrease in the force of your urinary stream?"
51. The nurse teaches a patient who is scheduled for a prostate needle biopsy about the procedure. Which statement, if made by the patient, indicates that teaching was effective? a. "The biopsy will remove the cancer in my prostate gland." b. "The biopsy will determine how much longer I have to live." c. "The biopsy will help decide the treatment for my enlarged prostate." d. "The biopsy will indicate whether the cancer has spread to other organs."
c. "The biopsy will help decide the treatment for my enlarged prostate."
8. The nurse is providing medication teaching to a patient prescribed Oxybutynin (Ditropan). Which statement made by the patient would indicate an understanding of this medication? a. "I need to avoid sexual intercourse." b. "This medication may change the color of my urine to a dark orange." c. "this medication will relax the smooth muscle of my bladder." d. "I will take this medication whenever my symptoms arise."
c. "this medication will relax the smooth muscle of my bladder."
43. Which patient with acute kidney injury is in the oliguric phase of AKI? a. A 78 year old female with respiratory acidosis, increased GFR, decreased BUN/creatinine, hypokalemia, and urinary output 550mL/day. b. A 38 year old male with metabolic acidosis, hyperkalemia, improving GFR, resoling edema, and urinary output of 3 L/day. c. A 56 year old male who has metabolic acidosis, decreased GFR, increased BUN/creatinine, hyperkalemia, edema, and urinary output 350mL/day. d. A 45 year old female with metabolic alkalosis, hyperkalemia, normal GFR, increased BUN/creatinine, edema, and urinary output 600mL/day.
c. A 56 year old male who has metabolic acidosis, decreased GFR, increased BUN/creatinine, hyperkalemia, edema, and urinary output 350mL/day.
57. A patient with metastatic cancer of the colon experiences severe vomiting following each administration of chemotherapy. Which action, if taken by the nurse, is most appropriate? a. Have the patient eat large meals when nausea is not present. b. Offer dry crackers and carbonated fluids during chemotherapy. c. Administer prescribed antiemetics 1 hour before the treatments. d. Give the patient two ounces of a citrus fruit beverage during treatments.
c. Administer prescribed antiemetics 1 hour before the treatments.
37. A male patient in the clinic provides a urine sample that is red-orange in color. Which action should the nurse take? a. Notify the patient's health care provider. b. Teach correct midstream urine collection. c. Ask the patient about current medications. d. Question the patient about urinary tract infection (UTI) risk factors.
c. Ask the patient about current medications.
36. A 71-year-old patient had an abdominal-perineal resection for colon cancer. Which nursing action is most important to include in the plan of care for the day after surgery? a. Teach about a low-residue diet. b. Monitor output from the stoma. c. Assess the perineal drainage and incision. d. Encourage acceptance of the colostomy stoma.
c. Assess the perineal drainage and incision.
14. A patient who has been recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to have sexual intercourse. Which action should the nurse take? a. Discuss alternative methods of sexual expression. b. Teach about medication for erectile dysfunction (ED). c. Clarify that TURP does not commonly affect erection. d. Offer reassurance that fertility is not affected by TURP.
c. Clarify that TURP does not commonly affect erection.
62. A 37-yr-old female patient is hospitalized with acute kidney injury (AKI). Which information will be most useful to the nurse in evaluating improvement in kidney function? a. Urine volume b. Creatinine level c. Glomerular filtration rate (GFR) d. Blood urea nitrogen (BUN) level
c. Glomerular filtration rate (GFR)
16. Which information about a patient who has a new prescription for phenytoin (Dilantin) indicates that the nurse should consult with the health care provider before administration of the medication? a. Patient has tonic-clonic seizures. b. Patient experiences an aura before seizures. c. Patient has minor elevations in the liver function tests. d. Patient's most recent blood pressure is 156/92 mm Hg.
c. Patient has minor elevations in the liver function tests.
56. After change-of-shift report on the oncology unit, which patient should the nurse assess first? a. Patient who has a platelet count of 82,000/μL after chemotherapy b. Patient who has xerostomia after receiving head and neck radiation c. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C) d. Patient who is worried about getting the prescribed long-acting opioid on time
c. Patient who is neutropenic and has a temperature of 100.5° F (38.1° C)
67. While interviewing a young adult patient, the nurse learns that the patient has a family history of familial adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about a. using antacids and proton pump inhibitors. b. treating inflammatory bowel disease. c. Risk for developing colorectal cancer. d. preventing noninfectious hepatitis.
c. Risk for developing colorectal cancer.
17. While the nurse is transporting a patient on a stretcher to the radiology department, the patient begins having a tonic-clonic seizure. Which action should the nurse take? a. Insert an oral airway during the seizure to maintain a patent airway. b. Restrain the patient's arms and legs to prevent injury during the seizure. c. Time and observe and record the details of the seizure and postictal state. d. Avoid touching the patient to prevent further nervous system stimulation
c. Time and observe and record the details of the seizure and postictal state.
4. The nurse plans to teach the patient who is incontinent of urine following a perineal prostatectomy to: a. restrict oral fluid intake. b. perform intermittent self-catheterization. c. do pelvic muscle exercises. d. use belladonna and opium suppositories.
c. do pelvic muscle exercises.
1. The nurse will plan to teach a 51-yr-old man who is scheduled for an annual physical examination about a(n) a. normal decreases in testosterone level. b. possible changes in erectile dysfunction. c. prostate specific antigen (PSA) testing. d. increased risk for testicular cancer.
c. prostate specific antigen (PSA) testing.
58. To assess whether there is any improvement in a patient's dysuria, which question will the nurse ask? a. "Do you have to urinate at night?" b. "Do you have blood in your urine?" c. "Do you have to urinate frequently?" d. "Do you have pain when you urinate?"
d. "Do you have pain when you urinate?"
22. Which patient should the nurse assess first after receiving change-of-shift report? a. 60-year-old patient whose new ileostomy has drained 800 mL over the previous 8 hours b. 50-year-old patient with familial adenomatous polyposis who has occult blood in the stool c. 40-year-old patient with ulcerative colitis who has had six liquid stools in the previous 4 hours d. 30-year-old patient who has abdominal distention and an apical heart rate of 136 beats/minute
d. 30-year-old patient who has abdominal distention and an apical heart rate of 136 beats/minute
38. After a total proctocolectomy and permanent ileostomy, the patient tells the nurse, "I cannot manage all these changes. I don't want to look at the stoma." What is the best action by the nurse? a. Postpone any teaching until the patient adjusts to the ileostomy. b. Reassure the patient that ileostomy care will become easier. c. Develop a detailed written list of ostomy care tasks for the patient. d. Ask the patient about the concerns with stoma management.
d. Ask the patient about the concerns with stoma management.
10. Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)? a. Bladder irrigation decreases the risk of postoperative bleeding. b. Hydration and urine output are maintained by bladder irrigation. c. Antibiotics are infused continuously through the bladder irrigation. d. Bladder irrigation prevents obstruction of the catheter after surgery.
d. Bladder irrigation prevents obstruction of the catheter after surgery.
9. A 72-year-old patient with a history of benign prostatic hyperplasia (BPH) is admitted with complaints of urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels. Which prescribed therapy should the nurse implement first? a. Obtain renal ultrasound. b. Bladder scan c. Infuse normal saline at 50 mL/hour. d. Insert urethral catheter.
d. Insert urethral catheter.
21. What is the American Cancer Society's recommendation for early detection of prostate cancer? a. biannual rectal exam beginning at age 40. b. semi-annual alkaline phosphatase level beginning at age 45. c. yearly urinalysis to determine presence of prostatic fluid. d. PSA and DRE beginning at age 50.
d. PSA and DRE beginning at age 50.
11. An older adult patient who has colorectal cancer is receiving IV fluids at 175 mL/hour in conjunction with the prescribed chemotherapy. Which finding by the nurse is most important to report to the health care provider? a. Patient complains of severe fatigue. b. Patient needs to void every hour during the day. c. Patient takes only 50% of meals and refuses snacks. d. Patient has audible crackles to the midline posterior chest.
d. Patient has audible crackles to the midline posterior chest.
26. The nurse is caring for a patient who died a few minutes ago. The patient's family is at the bedside and very demonstrative in their grief, weeping loudly and holding on to the patient's body. What is the most appropriate action of the nurse? a. Inform the family that the patient's body must be taken to the morgue shortly. b. Ask the family members to step outside while postmortem care is provided. c. Obtain required signatures for the body to be taken to the funeral home. d. Provide privacy and allow the patient's family to grieve over the body.
d. Provide privacy and allow the patient's family to grieve over the body.
64. A patient with colon cancer had a colon resection with a colostomy placement in the ascending colon three days ago. The patient calls the nurse and is distressed because the output in her colostomy pouch is all liquid. Which is the best response by the nurse? A. Instruct the patient to not eat or drink anything b. Reposition the patient to a left lateral sims position c. Immediately notify the surgeon d. Reassure the patient that this is a normal finding.
d. Reassure the patient that this is a normal finding.
29. The nurse assessing the urinary system of a 45-yr-old patient would use palpation to a. determine kidney function. b. identify renal artery bruits. c. check for ureteral peristalsis. d. assess for bladder distention.
d. assess for bladder distention.
48. A patient who has been diagnosed with stage 2 prostate cancer chooses the option of active surveillance. The nurse will plan to a. vaccinate the patient with sipuleucel-T (Provenge). b. provide the patient with information about cryotherapy. c. teach the patient about placement of intraurethral stents. d. schedule the patient for annual prostate-specific antigen testing.
d. schedule the patient for annual prostate-specific antigen testing.
