*Endocrine, reprod, Sensory Lecture Practice questions, & Quiz 5*

Transurethral Resection of the Prostate (TURP)

A 55-year old client with Benign prostatic hyperplasia (BPH) 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, Nurse Gerry asks the surgeon which prostatectomy procedure will be done. What is the most widely used #1 procedure of the prostate gland removal?

-Report the finding to the surgeon immediately -Monitor the client's hemoglobin and hematocrit levels -Maintain the inflow of the bladder irrigating solution -Manually irrigate the urinary catheter with NS

A 77 year old male client with a history of obstructive pulmonary disease (COPD) was evaluated in an ambulatory clinic 6 mos ago after having experienced urinary hesitancy. And TURP procedure yesterday. Which priority actions will the nurse take?

A semi-fowlers position

A client arrives in the emergency department following an automobile crash. The client's forehead hit the steering wheel, and a hyphema is diagnosed. The nurse should place the client in which position?

Perform visual acuity.

A client arrives in the emergency department with a penetrating eye injury from wood chips that occured while cutting wood. The nurse assesses the eye and notes a piece of wood protruding from the eye. What is the initial nursing action?

Tinnitus

A client is diagnosed with a disorder involving the inner ear. Which of the following is the most common client complaint associated with a disorder in the inner part of the ear?

Shakiness

A client with Type 1 diabetes mellitus received an early AM dose of Regular insulin per sliding scale. The client ate 20% of breakfast. The nurse returns at 1000 to assess the client. Which sign will the nurse observe for HYPOglycemia?

-Avoid rubbing the eyes splashed with chemical substance, such as battery acid -Wear protective eyewear, such as goggles and glasses whenever possible -If water is accessible, irrigate affected eyes with lukewarm water 20min

A mechanic splashed battery acid in his eyes. What discharge instructions should the nurse provide to client to prevent further eye injuries at work?

Nervousness

A nurse has been teaching a patient about levothyroxine. Which side effect should the nurse teach the patient to observe for?

Avoid heavy lifting or straining during bowel movements

A nurse is caring for a client who has been diagnosed with Glaucoma. Which of the following is a priority nursing intervention.

-Standard precautions -Left limb alert

A nurse is caring for a woman who just underwent a left mastectomy with lymph node removal. Which of the following need to be implemented?

Calcitrol

A patient has HYPOparathyroidism. The nurse anticipates of which medication?

Prednisone is always given by injection

A patient has adrenocortical insufficiency (ACTH) and was taking hydrocortisone 240 mg every 12 h IV. Before discharge the drug was switched to prednisone. Which is appropriate teaching for discharging a patient with oral prednisone?

Irrigate the eyes with water

A woman was working in her garden, She accidentally sprayed insecticide into her right eye. She calls the emergency department, frantic and screaming for help. The nurse should instruct the woman to take which immediate action?

The client reports bladder spasms and the urge to void.

After having (TURP), Mr Lim 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?

Assess the irrigation catheter for patency and drainage.

After undergoing transurethral resection of the prostate (TURP) to treat benign prostatic hyperplasia (BPH), a male client returns to the room with continuous bladder irrigation. On the first day after surgery, the client reports bladder pain. What should the nurse Anthony do First?

Call the surgeon

During the early postoperative period, a client who has undergone a Cataract Extraction complains of nausea and Severe Eye Pain over the operative site. What should be the initial nursing action?

Painless mass and heaviness sensation in the scrotal area.

In assessing a patient for testicular cancer, the nurse understands that the manifestations of this disease often include:

Apply ice to the affected eye

The client sustains a confusion of the eyeball following a traumatic injury with a blunt object. Which intervention should be initiated immediately?

"Although some vision has been lost and cannot be restored, a further loss may be prevented by adhering to the treatment plan."

The client with Glaucoma asks the nurse if complete vision will return. The most appropriate response is:

Levothyroxine sodium

The nurse identifies which of the following as the method of treatment of chronic lymphocytic (HashimOto)...(HYPOthyroidism)

-Acne -Round face

The nurse is caring for a client diagnosed with Cushing's syndrome with a history of anterior pituitary tumor (pituitary adenoma. The nurse will assess for which of the following clinical manifestations/S&S of Cushing syndrome?

Total abdominal hysterectomy with bilateral salpingo-oophorectomy

The nurse is caring for a client who has just been diagnosed with ovarian cancer involving the lymph nodes. Which treatment should the nurse prepare the client for?

"Testicular cancer is highly treatable, and has a high survival rate."

The nurse is caring for a client who was recently diagnosed with testicular cancer. The client appears anxious and asks the nurse questions about his condition. Which of the following statements by the nurse is correct?

Speak at a normal volume.

The nurse is caring for a hearing-impaired client. Which approach will facilitate communication?

Disturbed sensory perception

The nurse is developing a plan of care for the client scheduled for Cataract surgery. The nurse documents which more appropriate nursing diagnosis in the plan of care.

Eye medications will need to be administered for life.

The nurse is developing a teaching plan for a client with Glaucoma. Which instruction should the nurse include in the plan of care?

Sense of a curtain across the field of vision

The nurse is performing an admission assessment on a client with a diagnosis of Detached Retina. Which sign or symptom is associated with this eye problem?

Inject lispro subq 15 min prior to eating

The nurse is providing instruction to a client on self administration of lispro (Humalog) insulin. The nurse will stress which time frames to administer the injection of lispro insulin?

A 30-year old white male with a history of cryptorchidism.

The nurse is teaching clinic patients about risk factors for Testicular cancer. Which individuals is at highest risk for developing testicular cancer?

Speak at a normal tone, slowly and clearly

The nurse notes that the primary health care provider has documented a diagnosis of presbycusis (hearing loss) on a client's chart. Based on this information what action should the nurse take?

Contact the primary health care provider

Tonometry is performed on a client with a suspected diagnosis of glaucoma. The nurse looks at the document test results... Intraocular pressure (IOP) value of 25? The normal eye pressure range is 10 to 21 mm Hg. What should the nurse do?

-Older than 65 -Father diagnosed and treated for early prostate cancer

Which factors would place a patient at a higher risk for prostate cancer? Select All

-Time spent with the client -Shielding against radiation -Distance to the client

While caring for a client receiving brachytherapy (treats cancer, w/ radiation) for endometrial cancer, the student nurse understands that there are Three important factors to consider.