Exam 5 Peptic Ulcer Dx, SLE, Cellulitis

A client comes to the clinic reporting urinary symptoms. Which statement would most likely alert the nurse to suspect benign prostatic hyperplasia (BPH)? "I'm waking up at night to urinate and I've noticed some burning, too." "I've had a fever and noticed I've been running to the bathroom more often." "I've had trouble getting started when I urinate, often straining to do so." "I've had some pain in my lower abdomen lately and felt a bit sick to my stomach."

"I've had trouble getting started when I urinate, often straining to do so."

A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met? "The surgeon is going to insert a scope through my urethra to remove a portion of the gland." "The surgeon is going to remove the entire prostate gland." "I'll have a small incision on my lower abdomen after the procedure." "I'll have to stay in the hospital for about 3 to 4 days after the surgery."

"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."

The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing interventions should be included in the care plan? Select all that apply. Making neurovascular checks every 4 hours Checking the blood pressure and pulse rate every 15 to 20 minutes Inserting an indwelling catheter for incontinence Frequently monitoring hemoglobin and hematocrit levels Observing stools and vomitus for color, consistency, and volume

Checking the blood pressure and pulse rate every 15 to 20 minutes Frequently monitoring hemoglobin and hematocrit levels Observing stools and vomitus for color, consistency, and volume

A patient comes to the clinic with the complaint, "I think I have an ulcer." What is a characteristic associated with peptic ulcer pain that the nurse should inquire about? Select all that apply. Pain that radiates to the shoulder or jaw Severe gnawing pain that increases in severity as the day progresses Feeling of emptiness that precedes meals from 1 to 3 hours Burning sensation localized in the back or mid-epigastrium Vomiting without associated nausea

Severe gnawing pain that increases in severity as the day progresses Feeling of emptiness that precedes meals from 1 to 3 hours Burning sensation localized in the back or mid-epigastrium

A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make? Testicular cancer is very difficult to diagnose. Testicular cancer is more common in older men. Testicular cancer is a highly curable type of cancer. Testicular cancer is the number one cause of cancer deaths in males.

Testicular cancer is a highly curable type of cancer.

2m 20s After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void

After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?

The client reports bladder spasms and the urge to void

A physician orders corticosteroids for a child with systemic lupus erythematosus (SLE). The nurse knows that the purpose of corticosteroid therapy for this child is to: prevent infection. prevent platelet aggregation. promote diuresis. combat inflammation.

combat inflammation

A client with severe peptic ulcer disease has undergone surgery and is several hours postoperative. During assessment, the nurse notes that the client has developed cool skin, tachycardia, and labored breathing; the client also appears to be confused. Which of the following complications has the client most likely developed? Perforation Pyloric obstruction Penetration Hemorrhage

hemorrhage

Which of the following suggests to the nurse that the client with systemic lupus erythematous is having renal involvement?

hypertension

Which of the following suggests to the nurse that the client with systemic lupus erythematous is having renal involvement? Decreased cognitive ability Chest pain Behavioral changes Hypertension

hypertension

A critical care nurse is closely monitoring a patient who has recently undergone surgical repair of a bleeding peptic ulcer. The nurse should prioritize assessments of which of the following signs and symptoms of a recurrence of hemorrhage? Bradypnea and pursed lip breathing Peripheral and pulmonary edema Restlessness and cyanosis Hypotension and tachycardia

hypotension and tachycardia

The nurse determines that teaching for the client with peptic ulcer disease has been effective when the client states: "I can buy whatever antacids are on sale because they all have the same effect." "I should stop all my medications if I develop any side effects." "I have learned some relaxation strategies that decrease my stress." "I should continue my treatment regimen as long as I have pain."

i have learned some relaxation strategies that decrease my stress

The Zollinger-Ellison syndrome (ZES) consists of severe peptic ulcers, extreme gastric hyperacidity, and gastrin-secreting benign or malignant tumors of the pancreas. The nurse recognizes that an agent that is used to decrease bleeding and decrease gastric acid secretions is octreotide (Sandostatin) omeprazole (Prilosec) ranitidine (Zantac) vasopressin (Pitressin)

octreotide

A patient is in the hospital for the treatment of peptic ulcer disease. The nurse finds the patient vomiting and complaining of a sudden severe pain in the abdomen. The nurse then assesses a board-like abdomen. What does the nurse suspect these symptoms indicate? Perforation of the peptic ulcer Gastric penetration The treatment for the peptic ulcer is ineffective. A reaction to the medication given for the ulcer

perforation of the peptic ulcer

A client is prescribed tetracycline to treat peptic ulcer disease. Which of the following instructions would the nurse give the client? "Be sure to wear sunscreen while taking this medicine." "Do not drive when taking this medication." "Expect a metallic taste when taking this medicine, which is normal." "Take the medication with milk."

wear sunscreen

The nurse is teaching a client about rheumatic disease. What statement best helps to explain autoimmunity? "You have antigens to the disease, but they do not prevent the disease." "You have inherited your parent's immunity to the disease." "You are not immune to the disease causing the symptoms." "Your symptoms are a result of your body attacking itself."

Your symptoms are a result of your body attacking itself

A nurse is teaching a group of middle-aged men about peptic ulcers. When discussing risk factors for peptic ulcers, the nurse should mention: a history of hemorrhoids and smoking. a sedentary lifestyle and smoking. alcohol abuse and smoking. alcohol abuse and a history of acute renal failure.

alcohol abuse and smoking

The nurse is teaching a client with peptic ulcer disease who has been prescribed misoprostol (Cytotec). What information from the nurse would be most accurate about misoprostol? Increases the speed of gastric emptying Prevents ulceration in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs) Decreases mucus production Works best when taken on an empty stomach

Prevents ulceration in clients taking nonsteroidal anti-inflammatory drugs (NSAIDs)

Which of the following disorders is characterized by an increased autoantibody production?

SLE

A client is being discharged from the hospital after being diagnosed with and treated for systemic lupus erythematosus (SLE). What would the nurse not include when teaching the client and family information about managing the disease? Maintain a well-balanced diet and increase fluid intake to raise energy levels and promote tissue healing. Pace activities. Avoid sunlight and ultraviolet radiation. If you have problems with a medication, you may stop it until your next physician visit.

stop medications until your next physician visit

A patient taking metronidazole (Flagyl) for the treatment of H. pylori states that the medication is causing nausea. What suggestion can the nurse provide to the patient to alleviate this problem? Take the medication with meals to decrease the nausea. Discontinue the use of the medication. Tell the patient to ask the physician to prescribe another type of antibiotic. Crush the medication and put it in applesauce.

take the medication with meals to decease nausea

The nurse is creating a discharge plan of care for a client with a peptic ulcer. The nurse tells the client to avoid octreotide. skim milk. decaffeinated coffee. acetaminophen.

decaffeinated coffee.

A physician suspects that a client has peptic ulcer disease. With which of the following diagnostic procedures would the nurse most likely prepare to assist?

endoscopy

The nurse is conducting a community education program on peptic ulcer disease prevention. The nurse includes that the most common cause of peptic ulcers is: alcohol and tobacco. stress and anxiety. gram-negative bacteria. ibuprofen and aspirin.

gram-negative bacteria.

A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?

Facial erythema, pericarditis, pleuritis, fever, and weight loss

Which disorder is characterized by a butterfly-shaped rash across the bridge of the nose and cheeks? Rheumatoid arthritis (RA) Scleroderma Systemic lupus erythematosus (SLE) Polymyositis

Lupus

Which of the following disorders is characterized by an increased autoantibody production? Polymyalgia rheumatic Rheumatoid arthritis (RA) Scleroderma Systemic lupus erythematosus (SLE)

Lupus

Peptic ulcer disease occurs more frequently in people with which blood type? AB A O B

O

A client is admitted to the health care facility with a diagnosis of a bleeding gastric ulcer. The nurse expects this client's stools to be: black and tarry. coffee-ground-like. clay-colored. bright red.

black and tarry

Which age-related change affects the male reproductive system?

Decreased plasma testosterone levels

A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease. Choose the drug that can be used for 4 weeks and has a 90% chance of healing the ulcer.

Omeprazole (prilosec)

Which of the following clients is at highest risk for peptic ulcer disease?

a 52 year old male accountant

A nurse is caring for a client who is undergoing a diagnostic workup for a suspected GI problem. The client reports gnawing epigastric pain following meals and heartburn. The nurse suspects the client has:

peptic ulcer disease

A client who is diagnosed with stage II prostate cancer asks the nurse if a transurethral resection of the prostate (TURP) can be done for this disorder. Which is the best response by the nurse? "Stage II means the cancer has already spread from the prostate gland." "A TURP is a viable option. Let's talk to the surgeon." "A TURP is a removal of only a portion of the prostate gland." "You have the right to choose which ever surgery you feel is best for you."

"A TURP is a removal of only a portion of the prostate gland

A client suspected of having systemic lupus erythematosus (SLE) is being scheduled for testing. She asks which of the tests ordered will determine if she is positive for the disorder. Which statement by the nurse is most accurate?

"The diagnosis won't be based on the findings of a single test but by combining all data found."

A client with peptic ulcer disease must begin triple medication therapy. For how long will the client follow this regimen?

10-14 days

A client is having prostate-specific antigen (PSA) testing done. Which result would the nurse identify as abnormal? 3.2 nanograms/milliliter 2.7 nanograms/milliliter 3.8 nanograms/milliliter 4.6 nanograms/milliliter

4.6 nanograms/milliliter

A nurse is receiving report from the emergency room regarding a new client being admitted to the medical-surgical unit with a diagnosis of peptic ulcer disease. The nurse expects the age of the client will be between

40 and 60 years

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective?

i should avoid prolonged sun exposure

The health care provider prescribes a combination of three drugs to treat peptic ulcer disease. The nurse, preparing to review the drug actions and side effects with the patient, understands that the triple combination should be in which order? Prostaglandin E1 analogs, antibiotics, and proton pump inhibitors Proton pump inhibitors, prostaglandin E1 analogs, and bismuth salts Antibiotics, prostaglandin E1 analogs, and bismuth salts Bismuth salts, antibiotics, and proton pump inhibitors

Bismuth salts, antibiotics, and proton pump inhibitors

Which treatment involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer? Chemotherapy Brachytherapy Hormone therapy Teletherapy

Brachytherapy

Which of the following is inconsistent with a digital rectal examination?

Can reveal a hydrocele (A fluid-filled sac around a testicle, often first noticed as swelling of the scrotum.)

The nurse is providing care to a client who has had a transurethral resection of the prostate. The client has a three-way catheter drainage system in place for continuous bladder irrigation. The nurse anticipates that the catheter may be removed when the urine appears as which of the following? Light yellow and clear Light pink with few red streaks Dark amber with copious mucous Reddish-pink with numerous clots

Light yellow and clear

Which is the most common type of prostate surgery? Perineal prostatectomy Suprapubic prostatectomy Transurethral resection of the prostate Retropubic prostatectomy

Transurethral resection of the prostate

The nurse is assessing a client with an ulcer for signs and symptoms of hemorrhage. The nurse interprets which condition as a sign/symptom of possible hemorrhage?

Hematemisis (vomiting of blood)

The nurse is cautiously assessing a client admitted with peptic ulcer disease because the most common complication that occurs in 10% to 20% of clients is: Perforation Hemorrhage Pyloric obstruction Intractable ulcer

Hemorrhage

A nurse practitioner prescribes drug therapy for a patient with peptic ulcer disease. Choose the drug that can be used for 4 weeks and has a 90% chance of healing the ulcer. Cimetidine (Tagamet) Ranitidine (Zantac) Omeprazole (Prilosec) Famotidine (Pepcid)

Omeprazole (Prilosec)

Which medication classification represents a proton (gastric acid) pump inhibitor? Omeprazole Sucralfate Famotidine Metronidazole

Omperazole

A patient with an indwelling catheter after a radical prostatectomy is having bladder spasms. What medication prescribed by the physician can the nurse administer to help alleviate the discomfort? Tadalafil (Cialis) Cephalexin (Keflex) Phenazopyridine (Pyridium) Oxybutynin (Ditropan)

Oxybutynin (Ditropan)

The nurse is conducting a community education class on gastritis. The nurse includes that chronic gastritis caused by Helicobacter pylori is implicated in which disease/condition?

Peptic ulcers

The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include?

Performing perineal exercises frequently throughout the day

The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include? Using a bearing down motion to promote complete bladder emptying when voiding Engaging in strenuous exercise to strengthen abdominal muscles Performing perineal exercises frequently throughout the day Waiting to urinate for 5 to 10 minutes after feeling the initial urge

Performing perineal exercises frequently throughout the day

A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal? Suprapubic prostatectomy Transurethral resection of the prostate (TURP) Transurethral laser incision of the prostate Retropubic prostatectomy

Transurethral resection of the prostate (TURP)

A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate? Prepare to remove the catheter. Restrict fluids to prevent the client's bladder from becoming distended. Use sterile technique when irrigating the catheter. Tell the client to try to urinate around the catheter to remove blood clots.

Use sterile technique when irrigating the catheter.

A physician has written an order for ranitidine (Zantac), 300 mg once daily. The nurse schedules the medication for which time?

at bedtime

The client has been taking famotidine (Pepcid) at home. The nurse prepares a teaching plan for the client indicating that the medication acts primarily to achieve which of the following?

inhibit gastric secretions

Which of the following would a nurse include in a teaching plan for a client with benign prostatic hyperplasia who is not yet a candidate for surgery?

maintaining optimal bladder emptying

A nurse is preparing a client with systemic lupus erythematosus (SLE) for discharge. Which instruction should the nurse include in the teaching plan?

monitor body temperature

A client with a peptic ulcer is diagnosed with Heliobacter pylori infection. The nurse is teaching the client about the medications prescribed, including metronidazole (Flagyl), omeprazole (Prilosec), and clarithromycin (Biaxin). Which statement by the client indicates the best understanding of the medication regimen?

the medications will kill the bacteria and stop the acid production

When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain to his right shoulder. The intial appropriate action by the nurse is to Irrigate the client's NG tube. Notify the health care provider. Place the client in the high-Fowler's position. Assess the client's abdomen and vital signs.

asses the client

When caring for a client with an acute exacerbation of a peptic ulcer, the nurse finds the client doubled up in bed with severe pain to his right shoulder. The intial appropriate action by the nurse is to

assess abdomen and vitals

After teaching a group of students about systemic lupus erythematosus, the instructor determines that the teaching was successful when the students state which of the following? The belief is that it is an autoimmune disorder with an unknown trigger. It has very specific manifestations that make diagnosis relatively easy. This disorder is more common in men in their thirties and forties than in women. The symptoms are primarily localized to the skin but may involve the joints.

autoimmune disorder with an unknown trigger

A client with a peptic ulcer is about to begin a therapeutic regimen that includes a bland diet, antacids, and famotidine (Pepcid). Before the client is discharged, the nurse should provide which instruction?

avoid aspirin and products that contain aspirin

The nurse is teaching the client newly diagnosed with systemic lupus erythematous about the condition. Which statement by the client indicates teaching was effective? "My medications will ultimately correct my problem." "I should avoid prolonged sun exposure." "I do not need to make any changes in my diet." "My energy level will gradually increase over time."

avoid prolonged sun exposure