PREP U TEST 2 MED-SURG

The nurse is providing care to a client who has had a renal biopsy. The nurse would need to be alert for signs and symptoms of which of the following? Bleeding Infection Dehydration Allergic reaction

Bleeding Renal biopsy carries the risk of postprocedure bleeding because the kidneys receive up to 25% of the cardiac output each minute. Therefore, the nurse would need to be alert for signs and symptoms of bleeding.

A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client? "You need to take this medication throughout the day to be effective." "The effects of this medication usually last for up to 48 hours." "You may experience headache and some flushing with this drug." "Your blood glucose level might increase when you take this drug."

"You may experience headache and some flushing with this drug." Sildenafil (Viagra) may cause headache, flushing, dyspepsia, diarrhea, nasal congestion, and lightheadedness.

A nurse is collecting a.data from a client who is postoperative following extracorporeal shockwave lithotripsy (ESWL). The nurse should identify that which of the following findings is the priority? a. Report of Palpitations b. bruising on the flank area c. stone fragments in the urine d. pink-tinged urine

A. Report of Palpitations The nurse should apply the ABC priority-setting framework. This framework emphasizes the basic core of human functioning - having an open airway, being able to breathe in adequate amounts of oxygen, and circulating oxygen to the body's organs via the blood.

A nurse is reinforcing teaching with a client prior to renal biopsy. Which of the following statements should the nurse make? A. "A creatinine clearance is needed prior to the procedure." B. "You will be NPO for 8 hours following the procedure." C. "You will need to be on bed rest following the procedure." D. "An allergy to shellfish is a contraindication for this procedure." .

C. "You will need to be on bed rest following the procedure." A renal biopsy involves a tissue biopsy through needle insertion into the lower lobe of the kidney. The client should maintain bed rest in a supine position with a back roll for support for 2 to 24 hr following the procedure to reduce the risk for bleeding. The nurse can elevate the head of the bed.

Which of the following recommendations would a nurse advocate during infancy and childhood to help reduce potential adult complications such as orchitis? Ensure immunizations against infectious diseases such as mumps. Engage in activities and exercises that minimize heavy lifting. Encourage the consumption of foods that are rich in fat and starch. Urge the limited intake of foods and fluids containing caffeine.

Ensure immunizations against infectious diseases such as mumps. Nurses should advocate for infant and childhood immunizations against infectious diseases such as mumps to reduce potential adult complications such as orchitis.

After teaching a group of students about erectile dysfunction, the instructor determines that the teaching was successful when the students identify which of the following as true? Erectile dysfunction is unrelated to anxiety or depression. Erectile dysfunction is primarily a normal response to aging. Erectile dysfunction may be due to testosterone insufficiency. Erectile dysfunction rarely occurs in clients with diabetes mellitus.

Erectile dysfunction may be due to testosterone insufficiency.

The diagnosis of prostate cancer is confirmed by which of the following? Histologic exam of tissue Computed tomography Bone scan Magnetic resonance imaging

Histologic exam of tissue The diagnosis of prostate cancer is confirmed by a histologic examination of tissue. Other tests that may be used to establish the extent of the disease include bone scans to detect metastases to the bones, and computed tomography scan to identify metastases in the pelvic lymph nodes.

A nurse is reviewing the history of a client who is experiencing difficulty sustaining an erection. Which of the following might the nurse suspect as a possible contributing factor? Lower back pain Hypertension Sinus infections Asthma

Hypertension Hypertension may be a contributing factor because some types of antihypertensive agents can reduce a male's ability to achieve or sustain an erection.

A nurse is providing teaching to a client who is preoperative prior to a transurethral resection of the prostate (TURP). Which of the following statements indicates an understanding of the information?

I will feel the urge to urinate following this procedure.

Which type of incontinence refers to the involuntary loss of urine due to extrinsic medical factors, particularly medications? Reflex Iatrogenic Overflow Urge

Iatrogenic* Iatrogenic incontinence: involuntary loss of urine due to extrinsic medical factors, predominantly medications. Reflex incontinence is the involuntary loss of urine due to hyperreflexia in the absence of normal sensations usually associated with voiding. Urge incontinence is the involuntary loss of urine associated with a strong urge to void that cannot be suppressed. Overflow incontinence is the involuntary loss of urine associated with overdistention of the bladder.

A client reports urinary frequency, urgency, and dysuria. Which of the following would the nurse most likely suspect? Obstruction of the lower urinary tract Acute renal failure Infection Nephrotic syndrome

Infection Frequency, urgency, and dysuria are commonly associated with urinary tract infection

Which statement is accurate regarding sildenafil? It can be taken twice daily for increased effect. The medication should be taken right before intercourse. Its side effects include headache, flushing, and dizziness. Sexual stimulation is not needed to produce an erection.

Its side effects include headache, flushing, and dizziness.

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

Respiratory distress Respiratory distress can occur during peritoneal dialysis due to fluid overload.

A patient comes to the emergency department and tells the nurse, "I took a pill to help me perform and then passed out." The nurse is assessing the patient and finds a nitroglycerin patch on his back. What is the first intervention the nurse must perform? Take the patient's blood pressure. Ask the patient to obtain a urine specimen. Start an IV. Administer atropine 0.5 mg.

Take the patient's blood pressure. Based on the patient's comments, he is most likely taking an oral medication to treat erectile dysfunction. Contraindicated in men who take organic nitrates (e.g., isosorbide [Isordil], nitroglycerin), taken together, these medications can cause side effects such as severe hypotension.

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 urine in the drainage bag appears red to pink. The client reports bladder spasms and the urge to void. The normal saline irrigant is infusing at a rate of 50 drops/minute. About 1,000 ml of irrigant have been instilled; 1,200 ml of drainage have been returned.

The client reports bladder spasms and the urge to void. Reports of bladder spasms and the urge to void suggest that a blood clot may be occluding the catheter.

The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated. The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? Transrectal ultrasonography Tissue biopsy Tumor marker studies Digital rectal exam

Tissue biopsy Obtaining an actual piece of the tissue and analyzing it for cancer is a definitive test when cancer is found.

The nurse advises a patient with renal stones to avoid eating shellfish, asparagus, and organ meats. She emphasizes these foods because she knows that his renal stones are composed of which of the following substances? Calcium Uric acid Struvite Cystine

Uric Acid Uric acid stones are found in patients with gout and myeloproliferative disorders. Therefore, a diet low in purines is recommended.

The nurse is caring for client who has had a vasectomy. Which would be most important to include in a teaching plan for this client? Using a reliable method of contraception for several weeks. Applying warm compresses to the scrotum for the first 24 hours Taking a prescribed opioid analgesic for pain relief Resuming sexual activity in 24 to 48 hours

Using a reliable method of contraception for several weeks. It may take several weeks or more after surgery before the ejaculatory fluid is free of sperm, and the client is informed to use a reliable method of contraception until sperm no longer are present.

A nurse is teaching a client who is preoperative for a cystoscopy. Which of the following statements should the nurse make?

expect to have pink-tinged urine after this procedure

A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following adverse effects?

peritonitis

A client comes to the outpatient clinic for information on a vasectomy. Which instruction should be included by the nurse? Vasectomies should be considered a permanent means of birth control. Following surgery, sexual intercourse should be avoided for 3 months. Postoperative discomfort can be relieved with use of warm sitz baths. Vasectomy can result in permanent impotence.

Vasectomies should be considered a permanent means of birth control. Although attempts to reverse a vasectomy have proven successful, a vasectomy should be considered a permanent means of birth control.

A nurse is assessing a client who was brought to the emergency department following a motor-vehicle crash. The nurse should recognize that which of the following findings is a manifestation of bladder trauma?

hematuria

The term used to describe total urine output less than 0.5 mL/kg/hour is oliguria. anuria. nocturia. dysuria.

oliguria. Oliguria is associated with acute and chronic renal failure. Anuria is used to describe total urine output less than 50 mL in 24 hours.

A client has been diagnosed with acute glomerulonephritis. This condition causes: proteinuria. pyuria. polyuria. No option is correct.

proteinuria. he disruption of membrane permeability causes red blood cells (RBCs) and protein molecules to filter from the glomeruli into Bowman's capsule and eventually become lost in the urine.

A client who has a history of neurogenic bladder presents with fever, burning on urination, and suprapubic pain. What would the nurse suspect is the problem? urinary tract infection urinary incontinence urinary retention urethral strictures

urinary tract infection