Med Surg Exam 3 PPT Questions

Which intervention is most important in preventing hospital-acquired catheter-associated urinary tract infections (CAUTI's)? A. Removing the catheter B. Keeping the drainage bag off the floor C. Washing hands before and after assessing the catheter D. Cleansing the urinary meatus with soap and water daily.

A. Removing the catheter

A client with a urinary catheter in place was admitted to the hospital and has a diagnosis of methicillin-resistant Staphylococcus aureus (MRSA) in the urine. No private rooms are available. Which room assignment would be appropriate for this client? A. A roommate who has a urinary catheter without any infectious illness B. A roommate who is bedridden and uses a bedpan for urination C. A roommate who has MRSA in the urine is ambulatory and is confused D. A roommate who is alert and oriented, has pneumonia and practices good hygiene.

C. A roommate who has MRSA in the urine is ambulatory and is confused

Which disease increases the risk for hyperkalemia? A. Urolithiasis B. Urinary tract infection C. End-stage renal disease D. Gastroesophageal reflux disease

C. End-stage renal disease

Which symptom is indicative of the need for dialysis in the client with chronic kidney disease? A. Hypotension B. Hypokalemia C. Hypervolemia D. Hypercalcemia

C. Hypervolemia

The patient tells the nurse that she is experiencing emotional stress related to concerns about her children and husband and whether she will be able to return to her job. Which GI condition is she at increased risk for? A. Exacerbation of irritable bowel syndrome B. Nausea accompanied with vomiting C. Stomach or duodenal ulcers D. Esophagitis

C. Stomach or duodenal ulcers

A male client complains of nocturia, bladder pain, urinary frequency, urgency, and dribbling at the end of urination. The digital rectal examination report indicates smooth, firm, and enlarged prostate tissue surrounding the urethra. Which condition would the nurse suspect? A. Prostatitis B. Paraphimosis C. Prostate cancer D. Benign Prostatic Hypertrophy

D. Benign Prostatic Hypertrophy

Which condition can be prevented when a client with chronic kidney disease receives medication to mange anemia? A. Uremic frost B. Chronic fatigue C. Tubular necrosis D. Dependent edema

B. Chronic fatigue

The nurse reviews the medical record of an older adult client admitted with chronic kidney disease. Which clinical finding is the priority requiring collaboration with the primary health care provider? A. Sodium level 135meq/L B. Potassium level 6 meq/L C. Creatinine results 20 ml/ min D. Blood pressure results150/100

B. Potassium level 6 meq/L

Which intervention would the nurse implement first when providing care for an older adult male client who is immobile and incontinent of urine? A. Restrict the client's fluid intake B. Regularly offer the client a urinal C. Apply incontinence pants D. Insert an indwelling urinary catheter

B. Regularly offer the client a urinal

After treatment for a bladder infection, a client asks whether there is anything she can do to prevent cystitis in the future. Which response would the nurse give? A. "Avoid regular use of tampons" B. "Decrease your intake of prune juice" C. "Increase your daily fluid consumption" D. "Cleanse the perineum from back to front"

C. "Increase your daily fluid consumption"

The nurse provides preoperative teaching for a client scheduled for transurethral resection of the prostate (TURP). To prepare the client for postoperative care, which instruction would the nurse include in the teaching session? A. The urine will be bright red for 24-48 hours B. Spasms of the bladder occurs during the first 24-48 hours C. To decrease bladder contractions, the Valsalva maneuver and Kegel exercises will be encouraged D. To maintain proper fluid balance, oral fluids are restricted during continuous urinary bladder irrigations

B. Spasms of the bladder occurs during the first 24-48 hours

Which goal would the nurse expect a client receiving treatment for bacterial cystitis to achieve before their discharge from the hospital? A. Understand the need to drink 4 L of water per day to prevent dehydration. B. Demonstrate an ability to identify dietary restrictions and plan menus. C. Achieve relief of clinical symptoms and maintain kidney function. D. Recognize signs of bleeding as a complication associated with this type of procedure.

C. Achieve relief of clinical symptoms and maintain kidney function.

The nurse is reviewing the clinical record of a client with a diagnosis of benign prostatic hypertrophy (BPH). Which test result would confirm the diagnosis? A. Digital rectal examination B. Serum phosphatase level C. Biopsy of prostatic tissue D. Massage of prostatic fluid

C. Biopsy of prostatic tissue

The nurse is monitoring a patient after an EGD (Esophagogastroduodenoscopy). Vital signs are stable and side rails are raised but the patient tells the nurse he is very thirsty. What is the nurse's best action? A. Administer a small amount of ice chips only. B. Give the patient small sips of water through a straw. C. Check to see if the patient's gag reflex has returned. D. Keep the patient NPO for at least 4 hours.

C. Check to see if the patient's gag reflex has returned.

Which findings in the older adult client are associated with urinary tract infection (UTI)? A. Fever B. Urgency C. Confusion D. Incontinence E. Slight rise in temperature

C. Confusion D. Incontinence E. Slight rise in temperature

Which is the reason that the bacterium Escherichia coli would be the probable causative agent in a client with cystitis? A. It thrives in the kidneys B. It is a virulent bacterium C. It inhabits the intestinal tract D. It competes with fungi for host sites

C. It inhabits the intestinal tract

Which information about benign prostatic hyperplasia (BPH) is important for the nurse to consider when caring for a client with that condition? A. It is a congenital abnormality B. A malignancy usually results C. It predisposes to hydronephrosis D. Prostate-specific antigen decreases

C. It predisposes to hydronephrosis

Before a transurethral resection of the prostate (TURP), a client asks about what to expect postoperatively. Which response would the nurse provide? A. "Your urine will be pink and free of clots." B. "You will have an abdominal incision and a dressing." C. "There will be an incision between your scrotum and rectum." D. "There will be a urinary catheter and a continuous bladder irrigation."

D. "There will be a urinary catheter and a continuous bladder irrigation."

Which finding would the nurse expect when assessing a client who has urolithiasis? A. Foul odor and dark urine B. Mild aching pain C. Frequency with large amounts of urine D. Hematuria with sharp pain when voiding

D. Hematuria with sharp pain when voiding

Which medication turns urine reddish-orange in color? A. Amoxicillin B. Ciprofloxacin C. Nitrofurantoin D. Phenazopyridine

D. Phenazopyridine

A client who has a ureteral calculus is seen in the hospital with severe flank pain, nausea, and hematuria. Which intervention would the nurse implement first? A. Strain all urine output B. Increase oral fluid intake C. Obtain a urine specimen for culture D. Administer a prescribed analgesic

D. Administer a prescribed analgesic

Which drugs predispose a patient to peptic ulcer disease and gastrointestinal (GI) bleeding? SATA A. Nonsteroidal anti-inflammatory drugs B. Anticoagulants C. Aspirin D. Lasix E. Digitalis

A. Nonsteroidal anti-inflammatory drugs B. Anticoagulants C. Aspirin

For which complications would the nurse monitor a client hospitalized with end-stage kidney disease? SATA A. Anemia B. Dyspnea C. Jaundice D. Hyperexcitability E. Hypophosphatemia

A. Anemia B. Dyspnea

What characteristic of urine changes in the presence of a urinary tract infection? A. Clarity B. Viscosity C. Glucose level D. Specific gravity

A. Clarity

Dyspepsia is characterized by which factors? SATA A. Indigestion associated with eating B. Loss of appetite for food C. Heartburn associated with eating D. Vomiting that occurs after eating E. Malabsorption

A. Indigestion associated with eating C. Heartburn associated with eating

The urinalysis report of a client reveals a pH of 6.0, turbidity/cloudiness, a specific gravity of 1.020, and no proteins. Which can be inferred from the findings? A. Infection B. Glomerular disorder C. Acid-base imbalance D. Decreased kidney perfusion

A. Infection

The nurse is caring for a patient who received a barium swallow to assess the lower esophageal sphincter. What key points must the nurse include in teaching this patient after the procedure? A."Drink lots of fluids." B. "Depending on the results, you may need further testing." C. "You will be on bedrest for about 6-8 hours." D. "A laxative will help reduce constipation caused by barium." E. "Your stools will be chalky white for a few days."

A."Drink lots of fluids." B. "Depending on the results, you may need further testing." D. "A laxative will help reduce constipation caused by barium." E. "Your stools will be chalky white for a few days."