232: Test 5

As the client prepares for discharge, the nurse provides discharge teaching. Which education does the nurse provide? (Select all that apply.) A. Sit upright 30 to 60 minutes after meals. B. Spices should be added to food to enhance flavor. C. Extreme vomiting should be reported to the health care provider. D. Continue taking triple therapy as prescribed until the medication is finished. E. The goal of initial intervention is to control symptoms and prevent further complications

A, C, D, E

A 20-year-old male client reports to the college health center, reporting burning upon urination. What priority question will the nurse ask? A. "Are you sexually active?" B. "Do you have low back pain?" C. "How long have you had these symptoms?" D. "Have you had a fever in the past 24 hours?"

A. "Are you sexually active?"

The nurse is caring for four clients. Which client does the nurse identify that is likely experiencing stress incontinence? A. Client who laughs and cannot retain urine B. Client who feels an urge to urinate and immediately does so C. Client who has dementia and does not understand how to toilet D. Client who has not voided in 12 hours and experiences minor leakage

A. Client who laughs and cannot retain urine

An older adult client diagnosed with bacterial gastroenteritis reports abdominal cramping, diarrhea, nausea and vomiting, and fatigue for the past 24 hours. The nurse will monitor the client for what condition? A. Dehydration B. Hypokalemia C. Hypernatremia D. Perineal skin breakdown

A. Dehydration

The nurse reviews medications the client has been taking recently. Which medication will the nurse question? A. Ibuprofen (Motrin) B. Mesalamine (Asacol) C. Loperamide (Imodium) D. Prednisone (Deltasone)

A. Ibuprofen (Motrin)

While reviewing laboratory results, which value does the nurse identify that support the diagnosis of peptic ulcer disease (PUD)? (Select all that apply.) A. Low hematocrit (Hct) B. Low hemoglobin (Hgb) C. Positive for H. pylori bacteria D. Low potassium of 3.1 mEq/L E. Low white blood cells (WBC)

A. Low hematocrit (Hct) B. Low hemoglobin (Hgb) C. Positive for H. pylori bacteria

An EGD (Esophagogastroduodenoscopy) confirms the client has PUD and a prescription for triple therapy is initiated. Which combination of drugs does the nurse prepare to administer? A. PPI and two antibiotics B. Antibiotic and two PPIs C. Histamine antagonist, antacid, and PPI D. Antacid, PPI, and prostaglandin analogue

A. PPI and two antibiotics

A nurse is preparing to discontinue a client's indwelling urinary catheter. which of the following actions should the nurse take first? A. Position the client supine B. Remove the tape or device securing the catheter to the client's thigh C. Deflate the catheter balloon using a sterile syringe D. Measure and document the urine in the drainage bag

A. Position the client supine

A nurse in a PACU is assessing a client who has a newly created colostomy. Which of the following findings should the nurse report to the provider? A. Purplish-colored stoma B. Rosebud-like stoma orofice C. Stoma oozing red drainage D. Shiny moist stoma

A. Purplish-colored stoma

The nurse is caring for a client with peptic ulcer disease (PUD). Which client statement requires further nursing teaching? A. "I eat out but I avoid spicy foods." B. "I have to take ibuprofen for back pain." C. "I sit up for an hour after I eat my meals." D. "I am changing jobs to decrease my stress." Copyright © 2021, Elsevier Inc. All Rights Reserved.

B. "I have to take ibuprofen for back pain."

A nurse is assessing a client who has an obstruction of the common bile duct resulting from chronic cholecystitis. Which of the following findings should the nurse expect? A. Tenderness in the left upper abdomen B. Fatty stools C. Straw-colored urine D. Ecchymosis of the extremities

B. Fatty stools

What priority laboratory analysis will the nurse review when caring for a client with Crohn's disease? A. Potassium B. Hemoglobin C. Serum albumin D. C-reactive protein

B. Hemoglobin

A 23-year old client admitted and just diagnosed with ulcerative colitis (UC) reports approximately 5 bloody stools daily. Vital signs show a pulse of 80 bpm, respiration rate of 18 breaths per minute, blood pressure of 124/88, and temperature of 97.6ºF. Mild abdominal tenderness on palpation is noted. The ESR is mildly elevated. 1. How is the severity of the client's ulcerative colitis documented? A. Mild B. Moderate C. Severe D. Fulminant

B. Moderate

A 66-year-old client presents to the ED the day after Thanksgiving, stating that he has "eaten and drunk quite a bit." He reports experiencing a sudden onset of pain in the left upper quadrant that radiates to the left flank about an hour ago that still persists. He rates the pain as an 8 on a 0-to-10 scale. The client is admitted with acute pancreatitis. 1. Which laboratory finding corroborates the diagnosis of acute pancreatitis? A. Serum lipase, 150 U/L B. Serum amylase, 200 U/L C. Serum glucose, 80 mg/dL D. White blood cells (WBCs), 6000 mcL Copyright © 2021, Elsevier Inc. All Rights Reserved.

B. Serum amylase, 200 U/L

A client with chronic cholecystitis reports pruritus, clay-colored stools, and voiding dark, frothy urine. Which priority laboratory finding will the nurse assess? A. Lipase level B. Total bilirubin C. Liver function tests D. White blood cell count

B. Total bilirubin

The client is preparing for discharge. She asks what is the best way to take care of her skin. Which teaching will the nurse provide? A. "Add high-fiber or high-cellulose foods to your diet." B. "Apply a pectin-based skin barrier after each bowel movement." C. "Wash with mild soap and warm water after each bowel movement." D. "Take a laxative bedtime to facilitate morning bowel movements."

C. "Wash with mild soap and warm water after each bowel movement."

The nurse has placed an indwelling urinary catheter via sterile technique into a client. The nurse recognizes that it is how long before bacterial colonization begins? A. 12 hours B. 24 hours C. 48 hours D. 72 hours

C. 48 hours

A client has been diagnosed with an active upper GI bleed. What is the nurse's priority action? A. Obtain vital signs. B. Initiate IV fluids as prescribed. C. Apply oxygen by nasal cannula. D. Type and cross match for blood products

C. Apply oxygen by nasal cannula.

A nurse is caring for a client who is receiving CISPLATIN to treat bladder cancer. After several treatments, the client reports fatigue. Which of the following actions should the nurse take? A. Evaluate the client for hypercalcemia B. Assess the client for a hypersensitivity reaction C. Check the results of the client's most recent CBC D. Examine the client for hepatomegaly

C. Check the results of the client's most recent CBC,

A nurse is caring for a client who reports having chronic constipation. which of the following herbal supplements should the nurse recommend? A. Ginseng B. Cranberry juice C. Flaxseed D. Coenzyme Q-10

C. Flaxseed

The nurse is interviewing a client who reports abdominal pain after meals for the past several months. The pain occurs often after eating or lying down to sleep. OTC antacids provide some relief. 1. Which assessment finding does the nurse anticipate that increases the client's risk for development of a peptic ulcer? A. Weight loss of 20 pounds B. History of GERD 4 years ago C. Use of NSAIDs to control arthritis pain D. Recent discontinuation of prednisone taper

C. Use of NSAIDs to control arthritis pain

A nurse is teaching a client who has a history of ulcerative colitis and a new diagnosis of anemia. Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia? A. Dietary iron restrictions B. Chronis blood loss C. Intestinal malabsorption syndrome D. Intestinal Parasites

Chronic blood loss

What priority question will the nurse ask when taking a history of a client with BPH? A. "Do you have high blood pressure?" B. "Have you had a recent urinary tract infection?" C. "Do you have a family history of kidney disease?" D. "Do you have difficulty starting and continuing urination?"

D. "Do you have difficulty starting and continuing urination?"

Which client is more likely to develop gallstones? A. 42-year-old Caucasian female with colon cancer B. 51-year-old African-American male with a history of hypertension C. 63-year-old Hispanic/Latino female with a history of irritable bowel syndrome D. 70-year-old American-Indian female with obesity

D. 70-year-old American-Indian female with obesity

The nurse is caring for a client who has had a transurethral resection of the prostate (TURP). Which assessment finding requires immediate nursing intervention? A. Temperature 99.9 °F B. Pain of 6 on 0-10 scale C. Report of bladder spasms D. Bleeding from the surgical site

D. Bleeding from the surgical site

A nurse is caring for a client who has benign prostatic cancer (BPH). The nurse should expect which of the following findings? A. Critically elevated prostate-specific antigen (PSA) level\ B. Painful Urination C. Urge incontinence D. Difficulty starting the flow of urine

D. Difficulty starting the flow of urine

A client has recently been placed on corticosteroids to treat ulcerative colitis. The nurse will monitor the client's laboratory results for evidence of which condition? A. Hyperkalemia B. Hypernatremia C. Hypercalcemia D. Hyperglycemia

D. Hyperglycemia

A 66-year-old client with a history of arthritis and hypertension is admitted with epigastric cramping, dyspepsia, nausea, and dark, sticky stools for 3 days. Which order will the nurse discuss with the health care provider? A. Guaiac stool sample 2 B. Stool sample for bacterial testing C. IV fluids, normal saline at 125 ml/hr D. Naproxen (Naprosyn) 500 mg twice daily

D. Naproxen (Naprosyn) 500 mg twice daily

A client with metastatic prostate cancer has been prescribed leuprolide, a bisphosphonate, and flutamide. Which statement by the client warrants further investigation by the nurse? a. "I go for a short walk each day, even when I am very tired." b. "My wife has noticed my eyes looking a little yellow." c. "I ordered some looser shirts to hide my enlarging breasts." d. "Now I understand my wife's hot flashes with menopause."

b. "My wife has noticed my eyes looking a little yellow."

A client has a recurrence of gastric cancer and is crying. What response by the nurse is most appropriate? a. "Do you have family or friends for support?" b. "Would you tell me what you are feeling now." c. "Well, we knew this would probably happen." d. "Would you like me to refer you to hospice?"

b. "Would you tell me what you are feeling now."

Side effects of finasteride

erectile dysfuction and decreased libido