Term 3 Final
The nurse assessing a patient who is taking furosemide (Lasix) finds an irregular pulse. This is likely a sign of
Hypokalemia
What instruction should a nurse give a patient with congenital herpes who does not have lesion at the present?
"Condoms should be used during all sexual activity to prevent transmission of the virus, even when lesions are not present"
At what age should a male be taught testicular self-examination (TSE)?
15
A client scheduled for suprapubic prostatectomy has listened to the surgeon's explanation of the surgery. The client later asks the nurse to explain again how the prostate is going to be removed. The nurse tells the client that the prostate will be removed in which manner?
A lower abdominal incision
When gametes unite, they form
A zygote
What is the hormone from the posterior pituitary gland that influences the amount of that is eliminated with the urine?
Antidiuretic hormone (ADH)
The kidneys
Are retroperitoneal
A patient age 36 is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. What is the most appropriate nursing action at this time?
Assess his concerns related to his diagnosis and treatment
The kidneys help regulate the concentrations of all the following substance except?
Bacteria
All the following are male reproductive glands except:
Bartholin's gland
The location of the testes allows them to
Be maintained at a temperature about 3 degrees below normal body temperature
A nurse planning care for a client who has undergone transurethral resection of the prostate (TURP) remembers that the most common cause of postoperative pain is which factor?
Bladder spasms
A nurse is caring for a client with a diagnosis of chronic renal failure. Which early sign of CRF does the nurse expect to note during data collection?
Blood pressure of 169/94 mm Hg
A hospitalized client has just been found to have acute renal failure (ARF). The laboratory calls the nursing unit and reports that the client has a serum potassium level of 6.4 mEq/L. On the basis this laboratory finding, the nurse should first take which action?
Call the health care provider
A patient who has acute glomerulonephritis is hospitalized with hyperkalemia. Which information will the nurse monitor to evaluate the effectiveness of the prescribed calcium gluconate IV or insulin and Dextrose 50% IV?
Cardiac rhythm
A patient, age 69, is admitted to the hospital with gross hematuria and history of a 20 lb weight loss during the last 3 months. The physician suspects renal cancer. In obtaining a nursing history from this patient, the nurse recognizes which of the following as a significant risk factor for renal cancer
Cigarette smoking
A 42-year-old woman is admitted with complaints of dysuria, frequency, and lower back pain. The urinalysis report is positive for red blood cells, and the blood work shows an elevated white blood cell count. Which medication will the nurse anticipate that the health care provider will order?
Ciprofloxacin (Cipro)
A female patient, age 48, is undergoing for procedure to visually examine the cervix as well as the vagina and vulva. Which procedure would be included in this examination?
Colposcopy
The patient has end-stage renal disease (ESRD) and is admitted to the hospital with a blood urea nitrogen (BUN) level of 48 mg/dL. An excessive elevation of BUN could result from:
Dehydration
A male patient, age 71, has benign prostatic hypertrophy. He is recovering from a trans-urethral prostatic resection. The physician order removal of the indwelling catheter 2 days after the TURP procedure. What might the patient experience after the catheter is removed?
Dribbling of urine
What factor influences older women's reluctance to seek medical care for problems of the reproductive system?
Embarrassment and cultural factors
On the second postoperative day, a patient who has had an abdominal hysterectomy complains of gas and abdominal distention. Which intervention would be most appropriate to stimulate a bowel movement?
Encouraging ambulation at least four times per day
Which organism causes most UTIs
Escherichia coli
Arteriovenous fistulas and graft are temporary vascular access
False
Hydronephrosis is another word for bladder infection
False
In case of nephrostomy tube obstruction, the nurse will flush the tube gently with 10 ml NS
False
Menarche and Menopause are two terms for one condition
False
Nephrectomy is removal of stone kidney
False
Paraphimosis is a non-emergent condition
False
Proctitis is an inflammation of the prostatic gland
False
Torsion of the testis is a non-emergent condition
False
The function of the glomerulus is:
Filtration
A nurse is caring for a 25-year-old married client who will undergo bilateral orchidectomy for testicular cancer. On which psychosocial concern directly related to the surgery does the nurse place priority in following the postoperative plan of care for the client?
Ineffective role performance
A 72 year old patient with a history of benign prostatic hyperplasia (BPH) is admitted with acute urinary retention and elevated blood urea nitrogen (BUN) and creatinine levels. Which prescribed therapy should the nurse implement first?
Insert urethral catheter
Why is a mammogram the most useful method of diagnosing breast cancer?
It is the most reliable method of detecting breast cancer before it becomes palpable.
The patient who had a colporrhaphy for the repair of a cystocele and rectocele asks that the catheter be removed as it is bothersome to her. How should the nurse explain the reason for the catheter?
It keeps the bladder empty, and prevents stress on the sutures
Which condition would prevent the use of a vaginal hysterectomy?
Large uterine fibroids
What are some advantages of a vaginal hysterectomy over the abdominal hysterectomy?
Less postoperative discomfort Reduced hospital stay Less expensive Faster recovery
A 56-year-old patient with cancer of the bladder is recovering from a cystectomy with an ileal conduit. What is an important aspect in nursing interventions of the patient with an ileal conduit?
Maintaining skin integrity
The patient is on postoperative day 1 after having undergone a TURP procedure. He has continuous bladder irrigation (CBI). Actual urine output during continuous bladder irrigation is calculated by:
Measuring total output and deducting the amount of irrigating solution used
The term___ describes the presence of stones in the kidney
Nephrolithiasis
The production of an unusually small amount of urine is called
Oliguria
When should postmenopausal women be instructed to perform best self-examination (BSE)?
On the same date of their choice each month
The essential organ of the female reproductive system is the
Ovary
Which hormone is responsible about ejection of milk from the mother's breast?
Oxytocin
For patient with nephrotic syndrome, which S&S is the nurse most likely to observe?
Periorbital edema, pitting edema in legs, and crackles in lungs.
A client with acute renal failure has a prescription for oral sodium polystyrene sulfonate. Which serum electrolyte value does the nurse recognize as the cause for this prescription?
Potassium 5.9 mEq/L
A male patient, age 23, seeks care at the health clinic because he has developed a profuse, purulent urethral discharge, and urination is painful. During assessment of the patient, it is most important that the nurse gather information related to his history of:
Present and past sexual partners, and notify them to get treatment.
To help a patient control incontinence, what should the nurse recommend the patient avoid?
Spicy foods
The nurse notes the amount and color of the urine the patient with urolithiasis has voided. While using standard precaution, what should be the nurse's next action?
Strain the urine
A patient, age 41, has had total abdominal hysterectomy and bilateral salpingo-oophorectomy for endometriosis. She asks the nurse if she will have "hot flashes" What knowledge will guide the nurses response?
The uterus, ovaries, and fallopian tubes were removed, and she will have surgically induced menopause and may have hot flashes.
A client scheduled for trans-urethral resection prostatectomy (TURP) has listened to the surgeon's explanation of the surgery. The client later asks the nurse to explain again how the prostate is going to be removed. The nurse tells the client that the prostate will be removed in which manner?
Through the urethra by using cystoscope and cutting wire
The patient, age 52, is recovering from a modified radical mastectomy. Why is postoperative elevation of the patient's arm important after this procedure?
To prevent vascular and lymph stasis, thus lymphedema
Why would the nurse encourage the patient who is recovering from a modified radical mastectomy to exercise the affected arm?
To reduce lymphedema
Nephrotic syndrome and Nephrosis are two terms referred to one medical condition
True
Temperature chart is one way to determine ovulation day
True
Two method of dialysis are: peritoneal dialysis (PD) and hemodialysis (HD)
True
Urine leaves the body through the
Urethra
Which patient is most at risk for the infection of epididymitis?
17-year-old athlete who trains for several hours a day
Which statement indicates the patient who has had an abdominal hysterectomy needs further home teaching?
"I understand I can lift as much as 20 pounds"
Which statement made by a patient who has been taught the technique of testicular self-examination indicates the need for further teaching?
"I will examine my scrotum after every ejaculation"
A patient has nephrotic syndrome. Which statement made by the patient indicates understanding of the necessary diet modifications?
"I will need to increase protein and decrease sodium intake"
A Gram stain smear of the patient's discharge reveals the presence of N. gonorrhoeae. He tells the nurse that he had sexual contact with a new girlfriend but does not think he was exposed to gonorrhea because she did not appear to have any disease. Which information should the nurse include in response to his comment?
"Many women are not aware that they have gonorrhea because they often do not have symptoms of infection."
The 10-year-old clinic patient reports that she is free of gonorrhea and can now engage in sexual activity. Which response is most appropriate?
"No case is considered cured until you have had three consecutive negative cervical smears"
The young husband of a patient who has been scheduled for a hysterectomy because of the discovery of ovarian cancer in both ovaries says to the nurse, "Please go talk to my wife. She is real upset and says she won't be a 'woman' anymore. What is the nurse's most therapeutic response?
"No matter what I may say to her, it is you that needs to listen to her concerns and assure her"
A patient, age 26, has had a tubal insufflation (Rubin test) to ascertain whether her fallopian tubes are patent. She complains of pain in her right shoulder. Which response is most appropriate?
"That is from the carbon dioxide passing from the fallopian tubes into your abdomen"
When caring for a patient with a left arm arteriovenous fistula, which action will the nurse include in the plan of care to maintain the patency of the fistula?
Auscultate for a bruit at the fistula site
A patient, age 36, is scheduled for a unilateral orchiectomy for treatment of testicular cancer. He is withdrawn and does not initiate interaction with the nurse. What is the most appropriate nursing action at this time?
Assess his concerns related to his diagnosis and treatment.
Tubal insufflation (Rubin's test) is a procedure used to check patency of the uterus
False
Phimosis and paraphimosis are two names for one condition
Flase
Which hormone is responsible about production and maturation of the ovum?
Follicle stimulating hormone (FSH)
A 37-year-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?
Glomerular filtration rate (GFR)
What does the diagnosis of secondary infertility refer to?
Has conceived but is now unable to do so
The nurse is caring for several older male patients who have problems with urinary disorders. Which patient is the best candidate for an external condom?
Has urge incontinence and functional incontinence related to a hip fracture
What is the action of urinary antimicrobial agents?
Have an antiseptic effect on the urine and the urinary tract
A female patient, age 48, is undergoing a routine physical examination for the first time in 5 years. Which procedure would be included in this examination?
Papanicolaou Smear
Which hormone is responsible about production of milk?
Prolactin
A patient, age 46, is recovering from an abdominal hysterectomy. Postoperative nursing assessment finding include a urinary output of 100 mL in 4 hours. What should the nurse do?
Report urinary retention to the charge nurse
Which condition occurs when urine is produced but cannot be removed from the bladder?
Retention
The pelvis of the kidney is:
an expansion of the upper end of the ureter
The tube that leaves the scrotal sac and enters the abdominal cavity is the
ductus deferens (Vas Deferens)
The essential organ of the male reproductive system is the
testes
The scrotum contains which of the following strucures?
testes
The urinary meatus is part of the
urethra
The kidneys do not play a vital role in regulating
blood cholesterol level
Sodium polystyrene sulfonate (Kayexalate) PO is ordered for a patient with hyperkalemia. Before administering the medication, the nurse should assess the
bowel sounds
What is the recommended age range for a baseline mammogram?
30 to 39 years
A 25-year-old woman comes to the clinic with a yellowish-green malodorous vaginal discharge. She says it makes her itch and makes it hard to urinate. After a microscopic examination that confirms trichomoniasis, the patient is placed on metronidazole (Flagyl) for 7 days. How should the nurse advise the patient?
Avoid alcohol while on Flagyl
cryptorchidism: Failure of one or more of the testes to descend completely from the abdomen to the scrotum
True
A patient, age 26, has had procedure to ascertain whether her fallopian tubes are patent. The procedure is:
Tubal insufflation
The nurse is reviewing the urinalysis report on an assigned patient. The nurse recognizes which findings to be normal?
Turbidity - clear straw colored Glucose negative
The trigone is found in the:
Urinary bladder
Until it leaves the body, urine is held by the
Urinary bladder
All the following are complication of hemodialysis except:
Urinary tract infection
After undergoing prostate surgery, a patient is discharged on the medication phenazopyridine hydrochloride (Pyridium) to assist with urinary catheter discomfort. What information will the nurse include in the discharge teaching?
Urine will appear reddish orange
Select the interventions that should be performed with caution, in the affected arm, on patients who have undergone a modified radical mastectomy
Vaccinations Taking BP or samples Insertion of IV line
A nurse is caring for a client who underwent mastectomy 1 day ago. To help restore arm function on the affected side, the nurse encourages the client to all the following activity except:
Wash her face and upper body and perform perineal care
Why do false-negative results in mammography occur in specific age groups?
Younger women have greater density of breast tissue.
A patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP) complains of "spams-like" pain over his lower abdomen. What should the initial intervention be by the nurse?
check the catheter and drainage system for obstruction
The muscle layer of the uterus is called the
myometrium
