Med Surg Exam III - End of Chapter
A nurse is reviewing the laboratory findings for a client who might have hyperthyroidism. The nurse should identify an elevation of which of the following substances as an indication that the client has this disorder? a. triiodothyronine b. plasma-free metanephrine c. urine cortisol d. urine osmolality
A
A nurse in a provider's office is assessing a client who recently began taking levothyroxine to treat hypothyroidism. Which of the following findings should indicate to the nurse that the client might need a decrease in the dosage of the medication? a. hand tremors b. bradycardia c. pallor d. slow speech
a
A nurse in a provider's office is reviewing the medical record of a client who has fibrocystic breast condition. Which of the following findings should the nurse expect? a. palpable rubberlike lump in the upper outer quadrant b. BRCA1 gene mutation c. elevated CA-125 d. peau d'orange dimpling of the breast
a
A nurse is caring for a client who has primary adrenal insufficiency and is preparing to undergo an ACTH stimulation test. Which of the following findings should the nurse expect after an IV injection of cosyntropin? a. no change in plasma cortisol b. elevated fasting blood glucose c. decrease in sodium d. increase in urinary output
a
A patient has a serum sodium level of 152 mEq/L (152 mmol/L). The normal hormonal response to this situation is a. release of ADH b. release of ACTH c. secretion of aldosterone d. secretion of corticotropin-releasing hormone
a
A patient has a total serum calcium level of 3 mg/dL (1.5 mEq/L). If this finding reflects hypoparathyroidism, the nurse expects further diagnostic testing to reveal a. decreased serum PTH b. increased serum ACTH c. increased serum glucose d. decreased serum cortisol levels
a
At the beginning of a shift, a nurse is assessing a client who has Cushing's disease. Which of the following findings is the priority? a. weight gain b. fatigue c. fragile skin d. joint pain
a
Endocrine problems often go unrecognized in the older adult because a. symptoms are often attributed to aging b. older adults rarely have identifiable symptoms c. endocrine problems are uncommon in an older adult d. older adults usually have endocrine problems with lesser problems
a
The nurse is assessing a patient newly diagnosed with type 1 diabetes. Which symptom reported by the patient correlates with the diagnosis? a. excessive Thirst b. gradual weight gain c. overwhelming fatigue d. recurrent blurred vision
a
The nurse teaches a patient starting immune based therapy for breast cancer that this treatment works by a. blocking HER-2 receptors b. increasing estrogen production c. increasing the number of macrophages d. preventing the production of aromatase
a
When distinguishing between persons with type 1 diabetes from type 2 diabetes, the nurse is aware that a. persons with type 1 diabetes require insulin therapy b. autoantibodies to pancreatic b-cells are found in type 2 diabetes c. persons with type 1 diabetes may be managed with metformin alone d. hypersomolar hyperglycemia syndrome is more common in type 1 diabetes
a
When obtaining subjective data from a patient during assessment of the endocrine system, the nurse asks specifically about a. energy level b. intake of vitamin C c. employment history d. frequency of sexual intercourse
a
Which condition would the nurse suspect in a patient with a red, tender vulvar lesion? a. Genital herpes b. Endometriosis c. Neisseria gonorrhoeae d. condyloma acuminatum
a
Which intervention would the nurse include in the plan of care for a young woman with preductal mastitis? a. administer antibiotics as ordered b. teach the woman about a breast biopsy c. counsel her on the need for genetic breast cancer screening d. explain the role of radiation therapy as a treatment alternative
a
A patient with breast cancer has a lumpectomy with sentinel lymph node biopsy that is positive for cancer. You explain that, of the other tests done to determine the risk for cancer recurrence or spread, the results that support the more favorable prognosis are (select all that apply) a. well-differentiated tumor b. estrogen receptor-positive tumor c. overexpression of HER-2 cell marker d. involvement of 2 to 4 axillary nodes e. aneuploidy status from cell proliferation studies
a, b
When performing a breast exam on a patient, which positions are recommended? (select all that apply) a. sitting, leaning forward b. while sitting and arms raised c. sitting with hands placed on hips d. laying supine with hands by their side e. on their side, with one hand on the hip
a, b, c
Which STIs can be asymptomatic? (select all that apply) a. syphilis b. chlamydia c. genital warts d. genital herpes e. gonorrhea of the throat
a, b, c, d, e
Which interventions would the nurse include in the care for a patient who underwent transsphenoidal excision of the pituitary gland? (select all that apply) a. frequent monitoring of serum and urine osmolarity b. assessment of visual acuity and extraocular movement c. keeping the patient in a recumbent position at all times d. teaching the patient about the need for lifelong hormone therapy e. instructing the patient to blow their nose frequently to relieve cerebral pressure
a, b, d
A nurse in a provider's office is planning care for a client who has a new diagnosis of Grave's disease and a new prescription for methimazole. Which of the following interventions should the nurse include in the plan of care? (select all that apply) a. monitor CBC b. monitor triiodothyronine (T3) c. instruct the client to increase consumption of shellfish d. advise the client to take the medication at the same time every day e. inform the client that an adverse effect of this medication is iodine toxicity
a, b, d,
A nurse is preparing to receive a client from the PACU who is postoperative following a thyroidectomy. The nurse should ensure that which of the following equipment is available? (select all that apply) a. suction equipment b. humidified oxygen c. flashlight d. tracheostomy tray e. chest tube tray
a, b, d,
The nurse planning a prevention program for sexually transmitted infections (STIs) notes which factors are associated with the increased incidence of STIs? (select all that apply) a. alcohol and drug use b. asymptomatic infections c. being upper middle class d. use of long-acting contraceptives e. being placed in a correctional facility
a, b, d, e
The 5 P's of sexual history taking includes asking questions about (select all that apply) a. sexual practices b. gender of partners c. erectile dysfunction d. use of alcohol or drugs while having sex e. past treatment of sexually transmitted infections
a, b, e
A nurse is reviewing the health record of a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following laboratory findings should the nurse expect? (Select all that apply) a. low sodium b. high potassium c. increased urine osmolality d. high urine sodium e. increased urine specific gravity
a, c, d, e
Which are appropriate therapies for patients with diabetes mellitus (select all that apply)? a. use of statins to reduce CVD risk b. use of diuretics to treat nephropathy c. use of b-blockers to treat retinopathy d. use of serotonin agonists to decrease appetite e. use of ACE or ARB inhibitors to treat nephropathy
a, e
A nurse at a provider's office is caring for an older adult client who is having an annual physical exam. Which of the following findings indicates additional follow-up is needed in regard to the prostate gland? (select all that apply) a. prostate-specific antigen (PSA) is 7.1 ng/mL b. a digital rectal exam (DRE) reveals an enlarged and nodular prostate c. the client reports a weak urine stream d. the client reports urinating once during the night e. smegma is present below the glans of the penis
a,b,c
A nurse in an intensive care unit is planning care for a client who has myxedema coma. Which of the following actions should the nurse include? (select all that apply) a. observe cardiac monitor for dyshythmias b. observe for evidence of urinary tract infection c. initiate IV fluids using 0.9% sodium chloride d. administer a levothyroxine IV blus e. provide warmth using a heating pad
a,b,c,d
A nurse is reviewing laboratory results for a client who has Addison's disease. Which of the following laboratory results should the nurse expect for this client? (select all that apply) a. sodium 130 mEq/L b. potassium 6.1 mEq/L c. calcium 11.6 mg/dL d. blood urea nitrogen (BUN) 28 mg/dL e. fasting blood glucose 148 mg/dL
a,b,c,d
A nurse is reviewing the health history of a client who has diabetes mellitus type 2. Which of the following are risk factors for hyperglycemic hyperosmolar state (HHS)? (select all that apply) a. evidence of recent myocardial infarction b. BUN 35 mg/dL c. takes a calcium channel blocker d. age 77 years e. daily insulin injections
a,b,c,d
A nurse is instructing a client how to perform Kegel exercises. Which of the following instructions should the nurse include? (select all that apply) a. perform exercises about 50 times each day b. contract the circumvaginal and/or perirectal muscles c. gradually increase the contraction period to 10 seconds d. follow each contraction with at least a 10-second relaxation period e. perform while sitting, lying, and standing f. tighten abdominal muscles during contractions
a,b,c,d,e
A nurse is presenting information to a group of clients about nutrition habits that prevent type 2 diabetes mellitus. Which of the following should the nurse include in the information? (Select all that apply) a. eat at regular intervals b. decrease intake of saturated fats c. increase daily fiber intake d. limit saturated fat intake to 15% of daily caloric intake e. include omega-3 fatty acids in the diet
a,b,c,e
A nurse is providing discharge teaching to a client who had diabetic ketoacidosis. Which of the following information should the nurse include about preventing DKA? (select all that apply) a. drink 2 L fluids daily b. monitor blood glucose every 4 hr when ill c. administer insulin as prescribed when ill d. notify the provider when blood glucose is 200 mg/dL e. report ketones in the urine after 24 hr of illness
a,b,c,e
A nurse is reviewing the laboratory findings of a client who has Cushing's disease. Which of the following findings should the nurse expect for this client? (select all that apply) a. sodium 150 mEq/L b. potassium 3.3 mEq/L c. calcium 8.0 mg/dL d. lymphocyte count 35% e. fasting glucose 145 mg/dL
a,b,c,e
A nurse is planning care for a client who has Cushing's disease. The nurse should identify that clients who have Cushing's disease are at increased risk for which of the following? (select all that apply) a. infection b. gastric ulcer c. renal calculi d. bone fractures e. dysphagia
a,b,d
A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings should the nurse expect? (select all that apply) a. decreased blood sodium b. urine specific gravity 1.001 c. blood osmolarity 230 mOsm/L d. polyuria e. increased thirst
a,c
Abnormal findings during an endocrine assessment include (select all that apply) a. excess facial hair on a woman b. blood pressure of 100/70 mm Hg c. soft, formed stool every other day d. 3-Ib weight gain over last 6 months e. hyperpigmented coloration in lower legs
a,e
A characteristic common to all hormones is that they a. circulate in the blood bound to plasma proteins b. influence cellular activity of specific target tissues c. accelerate the metabolic processes of all body cells d. enter a cell and change the cell's metabolism or gene expression
b
A nurse in a clinic is reviewing the facility's testing process and procedures for human immunodeficiency virus (HIV) with a new employee. Which of the following information should the nurse include? a. in the presence of HIV, the enzyme immunoassay (EIA) test is typically reactive within 72 hr after the client is infected b. the western blot assay is used to confirm diagnosis of HIV c. the polymerase chain reaction (PRC) test is used to confirm diagnosis of HIV d. CD4+ cell counts will be elevated in a client who is infected with HIV
b
A nurse in a provider's office is reviewing laboratory results of a client who is being evaluated for secondary hypothyroidism. Which of the following laboratory findings is expected? a. elevated T4 b. decreased T3 c. elevated thyroid stimulating hormone d. decreased cholesterol
b
A nurse in a provider's office is reviewing the health record of a client who is being is being evaluated for graves' disease. The nurse should identify that which of the following laboratory results is an expected finding? a. decreased thyrotropin receptor antibodies b. decreased thyroid-stimulating hormone (TSH) c. decreased free thyroxine index d. decreased triiodothyronine
b
A nurse is assessing a client during a water deprivation test. For which of the following complications should the nurse monitor the client? a. bradycardia b. orthostatic hypotension c. neck vein distention d. crackles in lungs
b
A nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take? a. check blood glucose immediately after breakfast b. administer insulin when breakfast arrives c. hold breakfast for 1 hr after insulin administration d. clarify the prescription because insulin should not be administered at this time
b
A nurse is providing instructions to a client prior to an initial mammogram. Which of the following information should the nurse provide prior to the procedure? a. "You should not take any aspirin products prior to the mammogram" b. "Do not use apply any deodorant the day of the exam" c. "You will need to avoid sexual intercourse the day before the mammogram" d. "You should avoid exercise prior to the exam"
b
A nurse is providing instructions to a client who has Graves' disease and has a new prescription for propranolol. Which of the following information should the nurse include? a. "an adverse effect of this medication is jaundice" b. "take your pulse before each dose" c. "the purpose of this medication is to decrease production of thyroid hormone" d. "you should stop taking this medication if you have a sore throat"
b
A nurse is reviewing laboratory reports of a client who has HHS. Which of the following findings should the nurse expect? a. blood pH 7.2 b. blood osmolarity 350 mOsm/L c. blood potassium 3.8 mg/dL d. blood creatinine 0.8 mg/dL
b
A patient with breast cancer who underwent mastectomy is asking about reconstructive surgery. Which information would the nurse provide? a. it can restore lactation b. nipple sensation may not return c. the triceps muscle is used as a tissue flap for breast reconstruction d. patients must wait 3 months for mastectomy before reconstruction can begin
b
A patient with lung cancer develops SIADH. Which are anticipated findings? a. hypernatremia and hyperkalemia b. thirst, muscle cramping, and headache c. high urine output, weight gain, and vomiting d. weight gain and decreased glomerular filtration rate
b
The nurse is caring for a client who asks why the provider bases the medication regimen on HbA1c results instead of the log of morning fasting blood glucose results. Which of the following responses should the nurse make? a. "HbA1c measures how well insulin is regulating your blood glucose between meals" b. "HbA1c indicates how well you have regulated your blood glucose over the past 120 years" c. "HbA1c is the first test your doctor prescribed to determine that you have diabetes" d. "HbA1c determines if the doctor should adjust your insulin dosage"
b
The nurse is reviewing treatment orders for a pregnant woman diagnosed with chlamydia. What is most important to consider? a. infection may involve the throat or anus b. doxycycline should not be used as treatment c. symptoms of chlamydia are often absent in women d. repeat testing is needed 3 months after treatment to ensure cure
b
The nurse plans to include in the teaching plan for a patient with herpes who is prescribed an antiviral agent that daily use of the medication a. cures the infection over time b. masks the symptoms of other STIs c. eliminates the risk of transmission to others d. reduces the frequency and severity of recurrent episodes
b
The nurse review the laboratory results of a patient with primary hypothyroidism. The nurse would expect to find a. a low TSH b. an elevated TSH c. an elevated free T4 d. decreased low-density lipoproteins (LDLs)
b
To control the side effects of corticosteroid therapy, the nurse teaches the patient who is taking corticosteroids to a. limit calcium intake b. perform glucose monitoring for hyperglycemia c. avoid immunizations due to high risk for infections d. stop steroids immediately if the patient gains weight
b
Goals of managing the patient with diabetes include (select all that apply) a. keeping the target A1C greater than 9% b. teaching self-monitoring of glucose levels c. preventing complications of hypoglycemia d. monitoring for ophthalmologic complications e. maintaining the LDL cholesterol greater than 100 mg/dL (2.6 mmol/L)
b, c, d
Which are considered risk factors for breast cancer in women? (select all that apply) a. having menarche at age 17 b. being a woman over age 60 c. previous history of ovarian cancer d. having a brother with breast cancer e. stopping oral contraceptives 15 years ago
b, c, d
A nurse is reviewing the manifestations of hyperthyroidism with a client. Which of the following findings should the nurse include? (select all that apply) a. anorexia b. heat intolerance c. constipation d. palpitations e. weight loss f. bradycardia
b, d, e
When educating patients about preventing STIs, the nurse should highlight (select all that apply) a. the appropriate use of oral contraceptives b. how alcohol and substance use may increase risk c. sexual positions that can be used to avoid infection d. the need for annual Pap tests for women with HPV e. sexual practices that are considered high-risk behaviors
b, e
A nurse is providing medication teaching for a client who has Addison's disease and is taking hydrocortisone. Which of the following instructions should the nurse include? (select all that apply) a. take the medication on an empty stomach b. notify the provider of any illness or stress c. report any manifestations of weakness or dizziness d. do not discontinue the medication suddenly e. eat a low-sodium diet
b,c,d
A nurse is reinforcing teaching with a client who has a new prescription for levothyroxine to treat hypothyroidism. Which of the following information should the nurse include in the teaching? (select all that apply) a. weight gain is expected while taking this medication b. medication should not be discontinued without advice of the provider c. follow-up blood TSH levels should be obtained d. take the medication on an empty stomach e. use fiber laxatives for constipation
b,c,d
A nurse is admitting a client who has acute adrenal insufficiency. Which of the following prescriptions should the nurse expect? (select all that apply) a. IV therapy with 0.45% sodium chloride b. regular insulin c. hydrocortisone sodium succinate d. sodium polystyrene sulfonate e. furosemide
b,c,d,e
A nurse is assessing a client who has diabetic ketoacidosis and ketones in the urine. The nurse should expect which of the following findings? (select all that apply) a. weight gain b. fruity odor of breath c. abdominal pain d. kussmaul respirations e. metabolic acidosis
b,c,d,e
A nurse is collecting an admission history from a client who has hypothyroidism. Which of the following findings should the nurse expect? (select all that apply) a. diarrhea b. menorrhagia c. dry skin d. increased libido e. hoarseness
b,c,e
A nurse is providing teaching for a client who is to undergo a cervical biopsy. Which of the following information should the nurse include? (select all that apply) a. "the procedure is painless" b. "avoid heavy lifting for approximately 2 weeks after the procedure" c. "heavy bleeding is common during the first 12 hours after the procedure" d. "plan to rest for the first 72 hours after the procedure" e. "avoid the use of tampons for 2 weeks after the procedure"
b,e
A normal male reproductive function that may be altered in a patient who had an orchiectomy (removal of testes) is the production of a. PSA b. GnRH c. testosterone d. seminal fluid
c
A nurse in a provider's office is reviewing a client's laboratory results, which shows a positive rapid plasma regain (RPR). Which of the following tests will be administered to confirm the diagnosis of syphilis? a. venereal disease research laboratory (VDRL) b. D-dimer c. fluorescent treponemal antibody d. sickledex
c
A nurse is caring for a client who has blood glucose 52 mg/dL. The client is lethargic but arousable. Which of the following actions should the nurse perform first? a. recheck blood glucose in 15 min b. provide a carbohydrate and protein food c. provide 15 g of simple carbohydrates d. report findings to the provider
c
A nurse is caring for a client who is 6 hr postoperative following a transsphenoidal hypophysectomy. The nurse should test the client's nasal drainage for the presence of which of the following? a. RBCs b. Ketones c. Glucose d. streptococci
c
A nurse is performing a preoperative assessment for a client who is scheduled for an anterior colporrhaphy. Which of the following client statements should the nurse expect as an indication for this procedure? a. "I have to push the feces out of a pouch in my vagina with my fingers" b. "I have pain and bleeding when I have a bowel movement" c. "I have had frequent urinary tract infections" d. "I am embarrassed by uncontrolled flatus"
c
A nurse is planning to teach a client who is being evaluated for Addison's disease about the adrenocorticotropic hormone (ACTH) stimulation test. The nurse should base the instructions on which of the following? a. the ACTH stimulation test measures the response by the kidneys to ACTH b. in the presence of primary adrenal insufficiency, plasma cortisol levels rise in response to administration of ACTH c. ACTH is a hormone produced by the pituitary gland d. the client is instructed to take a dose of ACTH by mouth the evening before the test
c
A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a client who has a blood glucose 278 mg/dL. Which of the following actions should the nurse take? a. draw up the regular insulin and then the glargine insulin in the same syringe b. draw up the glargine insulin then the regular insulin in the same syringe c. draw up and administer regular glargine insulin in separate syringes d. administer the regular insulin, wait 1 hr, and then administer the glargine insulin
c
A nurse is preparing to discharge a client following an anterior and posterior colporrhaphy. Which of the following instructions should the nurse provide? a. "Do not bend over for at least 6 weeks" b. "You can lift objects as heavy as 10 pounds" c. "Do not engage in intercourse for at least 6 weeks" d. "You might have foul-smelling drainage for the first week after surgery"
c
A nurse is providing education to a client prior to an initial Papanicolaou (Pap) test. Which of the following statements should the nurse make? a. "You should urinate immediately after the procedure is over" b. "You will not feel any discomfort" c. "You may experience some bleeding after the procedure" d. "You will need to hold your breath during the procedure"
c
A nurse is providing information to a client who is scheduled for a transrectal ultrasound (TRUS). Which of the following information should the nurse include? a. "This procedure will determine whether you have prostate cancer" b. "The procedure is contraindicated if you have an allergy to eggs" c. "Sound waves will be used to create a picture of your prostate" d. "You should avoid having a bowel movement for 1 hr prior to the procedure"
c
A nurse is reviewing the medical record for a client who is to begin therapy for DKA. Which of the following prescriptions should the nurse expect? a. administer an IV infusion of regular insulin at 0.3 unit/kg/hr b. administer a slow IV infusion of 3% sodium chloride c. rapidly administer an IV infusion of 0.9% sodium chloride d. add glucose to the IV infusion when blood glucose is 350 mg/dL
c
A nurse planning a community program on breast cancer screening guideline would include which recommendation about screening in average risk women? a. women over age 55 should discontinue screening b. women 40 to 45 should receive a clinical breast exam c. women aged 45 to 54 years should get annual mammograms d. women should have the option of beginning annual screening at age 35
c
A nursing priority for a patient who underwent removal of a pheochromocytoma includes a. assessing for weight gain b. administering IV calcium c. close monitoring of blood pressure d. restricting fluid and sodium intake
c
A patient is receiving radiation therapy for renal cancer. The nurse monitors the patient for signs and symptoms of damage to the a. pancreas b. thyroid gland c. adrenal glands d. posterior pituitary gland
c
A patient with diabetes has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is unresponsive. After assessing the patient, the nurse suspects diabetes-related ketoacidosis rather than hyperosmolar hyperglycemia syndrome based on the finding of a. polyuria b. severe dehydration c. rapid, deep respirations d. decreased serum potassium
c
After thyroid surgery, the nurse suspects damage of the parathyroid glands when the patient develops a. hyperthermia and severe tachycardia b. hypercalcemia and shortness of breath c. laryngospasms and tingling in the hands and feet d. hypophosphatemia, hypertension, vomiting, and chest pain
c
An age-related finding when assessing an older man's reproductive system is a. increased linido b. increased skin turgor c. increase in prostate size d. increase in muscle tone
c
An appropriate technique to use during physical assessment of the thyroid gland is a. asking the patient to hyperextend the neck during palpation b. percussing the neck of dullness to define the size of the thyroid c. having the patient swallow water during inspection and palpation of the gland d. using deep palpation to determine the extent of a visibly enlarged thyroid gland
c
The nurse teaching the patient with Addison disease determines additional teaching is needed when the patient states a. "I should take my prednisone twice a day" b. "I should call my HCP if I develop vomiting or diarrhea" c. "If I get influenza, I should decrease my prednisone dose" d. "I will pick up my emergency hydrocortisone from the pharmacy"
c
What is the priority action for the nurse to take if the patient with type 2 diabetes reports headache, nervousness, and dizziness? a. administer glucagon b. give insulin as ordered c. check the patient's glucose level d. assess for other signs of neurologic stroke
c
A nurse is providing discharge teaching for a client who had a transsphenoidal hypophysectomy. Which of the following instructions should the nurse include? (select all that apply) a. brush teeth after every meal or snack b. avoid bending at the knees c. eat a high-fiber diet d. notify the provider of increased swallowing e. notify the provider of a diminished sense of smell
c, d
You are caring for a patient with newly diagnosed type 2 diabetes who was started on metformin. What information should you include in discharge teaching? (Select all that apply) a. need to reduce physical activity b. eliminate all forms of sugar from diet c. use of a portable blood glucose meter d. hypoglycemia prevention, symptoms, and treatment e. procedures that require IV contrast media are contraindicated
c, d
A nurse is assessing a client who is 12 hr postoperative following a thyroidectomy. Which of the following findings is indicative of thyroid crisis? (select all that apply) a. bradycardia b. hypothermia c. dyspnea d. abdominal pain e. mental confusion
c, d, e
A nurse is planning care for a client who has acromegaly and is postoperative following a transsphenoidal hypophysectomy. Which of the following interventions should the nurse include in the plan? a. maintain the client in a low-Fowler's position b. encourage deep breathing and coughing c. encourage the client to brush their teeth when awake and alert d. observe dressing drainage for the presence of glucose
d
A nurse is providing teaching to a client who has a new diagnosis of diabetes insipidus. Which of the following client statements indicates an understanding of the teaching? a. "I can drink up to 2 quarts of fluid a day" b. "I will need to use insulin to control my blood glucose levels" c. "I should expect to gain weight during this illness" d. "I might experience confusion or balance problems"
d
A nurse is reviewing the medical record of a client who has a cystocele. Which of the following findings should the nurse identify as a risk factor for the development of this disorder? a. BMI of 18 b. nulliparity c. chronic constipation d. postmenopausal
d
A priority in providing care for a patient who underwent mastectomy includes a. teaching the patient to shower with cool water b. measuring blood pressures in both upper extremities c. instructing the patient to limit movement to promote healing d. encouraging exercises to restore arm function on the affected side
d
A student nurse is assisting the staff nurse with an admission history for a patient with pelvic inflammatory disease from gonorrhea. Which action by the student nurse requires the nurse to intervene? a. obtains a history of alcohol and substance use b. asks questions considering the patient's ethnic background and education c. reviews sexual activities in a respectful, compassionate, non judgemental manner d. interviews the patient with the partner present to determine if the partner is at risk
d
Male orgasm is characterized by a. engorgement of testicles b. resolution and involution of the penis c. filling of the venous sinuses within erectile tissues of the penis d. rapid release of vasocongestion of muscular tension through rhythmic contractions
d
The nurse is caring for a patient scheduled for a transvaginal ultrasound. The nurse explains to the woman that a. the procedure treats cervical dysplasia b. bleeding and discharge are common after the procedure c. the procedure involves curettage of the endometrial lining d. the uterus, ovaries, and potential abnormal findings can be visualized
d
Which laboratory tests would the nurse evaluate to confirm suspected syphilis in a patient who denies a prior history of syphilis? a. antibiotics resistance testing to select an appropriate treatment b. treponemal-specific test with an antinuclear antibody (ANA) c. complete blood count (CBC) to assess for a shift in white blood cells d. treponemal-specific test, and a follow-up rapid plasma reagin (PRP) if positive
d
Which patient statement demonstrates an understanding of the role of exercise in a managing diabetes? a. "I cannot exercise if I am taking insulin and metformin" b. "Exercise increases insulin resistance, so I will need a higher dose of insulin" c. "It is better to exercise before a meal if I take medication that causes hypoglycemia" d. "My insulin dose may need to be changed if I have low glucose levels after exercising"
d
Follicle stimulating hormone (FSH) (select all that apply) a. results in ovulation b. initiates lactation in women c. affects development of ruptured follicles in women d. stimulates seminiferous tubules to make sperm in men e. stimulates growth and maturity of ovarian follicles in women
d, e
A nurse is teaching foot care to a client who has diabetes mellitus. Which of the following information should the nurse include in the teaching? (select all that apply) a. remove calluses using over-the-counter remedies b. apply lotion between toes c. test water temperature with the fingers before bathing d. trim toenails straight across e. wear closed-toe shoes
d,e
