final 1/2 2
42. A patients ideal body weight is 150 lbs. At which weight would the nurse patient be considered obese?
180
A 42-year-old woman is tearful after a hysterectomy. What information should the nurse use to respond appropriately to the patient? a. Loss of reproduction function may cause grieving. b. Most women are done bearing children by age 42. c. Hysterectomy is more traumatic for younger women. d. Most women are happy not to have periods after a hysterectomy.
a
A female patient is embarrassed because of not being able to walk to the bathroom in time before become incontinent of urine. Which type of incontinence should the nurse plan care for this patient? a. Urge b. Total c. Stress d. Functional
a
A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What response should the nurse make to this patients question? a. Abstinence b. Oral contraceptives c. Condom with spermicide d. Prophylactic oral antibiotics
a
A patient has just received a new prescription for a transurethral suppository for erectile dysfunction. What instructions should the nurse provide about this medication? a. Urinate before you insert the suppository into your urethra. b. Remove the suppository after you are finished having intercourse. c. Lubricate the suppository well, and insert it into your rectum before intercourse. d. Insert the suppository into the urethra at least 2 hours before anticipated intercourse.
a
A patient is diagnosed with a parasitic infection caused by close contact with another persons genitals. For which infection should the nurse plan care? a. Phthirus pubis b. Treponema pallidum c. Neisseria gonorrhoeae d. Chlamydia trachomatis
a
A patient is diagnosed with polycystic ovary syndrome. When preparing teaching for this patient, which hormone should the nurse explain as being too abundant in the patients body? a. Insulin b. Thyroxine c. Growth hormone (GH) d. Antidiuretic hormone (ADH)
a
A patient recovering from radiological studies of the renal system has a nursing diagnosis of Impaired Urinary Elimination. Which outcome indicates that the nursing interventions have been effective? a. Patient voids 35 mL/hour of clear urine. b. Patient voids 30 mL/hour of cloudy urine. c. Patient voids 10 mL/hour of reddish urine. d. Patient voids an average of 15 mL/hour of dark-colored urine.
a
A patient with pneumonia has a blood urea nitrogen (BUN) of 32 mg/dL and creatinine of 0.8 mg/dL. What should the nurse realize is the most probable explanation for this finding? a. The patient is dehydrated. b. The patient has septicemia. c. The patient is malnourished. d. The patient has kidney damage.
a
Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to describe these lesions to the patient? a. Warts b. Rashes c. Blisters d. Papules
a
It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care? a. Syphilis b. Gonorrhea c. Chlamydia d. Genital herpes
a
The mother is upset to learn that her sons testes have not descended into the scrotum. At what age should the mother consider surgery for her sons health problem? a. 1 b. 2 c. 3 d. 4
a
The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patients history is most consistent with a diagnosis of hepatitis? a. Jaundice b. Diabetes mellitus c. Bowel obstruction d. Chronic headaches
a
The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What would be an important part of the mans history to report to the physician? a. The patient has a history of syphilis. b. The patient was exposed to Chlamydia. c. The patient has a history of hepatitis B. d. The patient has a history of genital warts.
a
The nurse is caring for a man diagnosed with prostatitis. What symptom should the nurse expect when collecting data from the patient? a. Dysuria b. Polyuria c. Hematuria d. Glycosuria
a
The nurse is caring for a patient recovering from a hysterectomy earlier in the day. Four hours later, the woman is unable to urinate. What assessment should the nurse use to determine bladder distention and be comfortable for the patient? a. Perform a scratch test. b. Palpate for bladder distention. c. Palpate for rebound tenderness. d. Percuss the bladder for fullness.
a
The nurse is caring for a patient with primary dysmenorrhea. Which medication should the nurse anticipate being prescribed because it blocks prostaglandin synthesis? a. NSAIDs b. Antacids c. Vitamins d. Morphine
a
The nurse is catheterizing a patient after voiding to determine the amount of residual urine in the bladder. What should the nurse consider as being the normal amount of urine within the bladder after urination? a. 50 mL b. 75 mL c. 100 mL d. 150 mL
a
The nurse is identifying ways for a young adult to reduce the risk of contracting a sexually transmitted infection (STI). What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting an STI? a. Alcohol may reduce inhibitions. b. Alcohol increases risk for liver disease. c. Alcohol lowers the bodys resistance to infection. d. Alcohol impairs the integrity of the mucous membranes, providing a portal of entry for infection.
a
The nurse is making a visit to the home of a patient with functional incontinence. Which observation indicates that teaching about the disorder has been effective? a. Patient wearing sweat pants b. Patient drinking a cup of coffee c. Patient sitting with the legs elevated d. Patient restricting fluid intake after 6 pm.
a
The nurse is reviewing a patients history and physical report. What term should the nurse recognize is being used to describe waste products building up in the blood? a. Uremia b. Septicemia c. Nitrosemia d. Proteinemia
a
The nurse is reviewing the medical records for a couple who have been trying to conceive. How long must a couple attempt to conceive unsuccessfully before they are considered infertile? a. 1 year b. 2 years c. 3 months d. 6 months
a
The nurse is teaching a patient how to use a daily vaginal suppository. Which statement indicates that teaching has been effective? a. I should put the suppository in at night after I get into bed. b. I should put the suppository in each morning before I get out of bed. c. It is best to insert the suppository each morning after a shower or bath. d. The suppository should be put in late in the day when Im less likely to be active.
a
The nurse learns that a patient has a urine pH of 7.9. What question should the nurse ask the patient after learning of this laboratory value? a. Are you a vegetarian? b. Are you lactose intolerant? c. How much protein do you eat each day? d. How much acetaminophen do you take each day?
a
The nurse notes that a female patient has been treated for vaginal yeast infections 6 times in one year. For which additional health problem should the nurse suspect the patient should be evaluated? a. HIV b. Hepatitis B c. Tuberculosis d. Chronic inflammation
a
A patient in labor is diagnosed with mucopurulent cervicitis. For which health problems should the nurse anticipate providing care to the newborn? (Select all that apply.) a. Pneumonia b. Conjunctivitis c. Irregular heart rate d. Flaccid extremities e. Cyanotic extremities
a, b
The nurse reviews care orders written by the HCP for a patient recovering from a transurethral resection of the prostate. These orders include bladder irrigation, antispasmodic medication, and intravenous antibiotics every 6 hours. For which potential complications are these orders specifically addressing? (Select all that apply.) a. Infection b. Blood clots c. Bladder spasms d. Urinary retention e. Nausea and vomiting
a, b, c
While providing a bath the nurse suspects that an older female patient has a Trichomonas infection. What type of discharge did the nurse observe to come to this conclusion? (Select all that apply.) a. Frothy discharge b. Foul-smelling discharge c. Yellow-green discharge d. Open sores on the labia majora e. Wart-like growths on the labia minora
a, b, c
A female patient is diagnosed with mild uterine prolapse into the vagina. For which areas should the nurse prepare to reinforce teaching to help this patient? (Select all that apply.) a. Avoid weight gain b. Take care of the pessary c. Consume a healthy diet d. Perform Kegel exercises e. Perform vaginal douches
a, b, c, d
The nurse is assisting with the preparation of materials for a patient who is at risk for prostatitis. What should the nurse include in this teaching? (Select all that apply.) a. Practice safe sex b. Ensure good personal hygiene c. Avoid urinary catheterizations d. Avoid excessive intake of citrus juices e. Avoid excessive intake of animal products
a, b, c, d
The nurse is collecting data for a patient who has suspected kidney disease. What health problems should the nurse consider as being associated with a high urine specific gravity? (Select all that apply.) a. Nephrosis b. Dehydration c. Heart failure d. Diabetes mellitus e. Diabetes insipidus f. Fluid volume excess
a, b, c, d
The nurse is caring for a patient with an indwelling catheter. What should the nurse include in this patients routine care? (Select all that apply.) a. Encourage fluid intake. b. Maintain a closed system. c. Secure the catheter to the patients leg. d. Clamp the catheter for 1 hour each shift. e. Remove the catheter as soon as possible. f. Use sterile technique when emptying the drainage bag.
a, b, c, e
The nurse is participating in care planning for a patient with urge incontinence. What should the nurse recommend be included in this patients plan of care? (Select all that apply.) a. Void every 2 hours. b. Practice relaxation breathing. c. Use urge inhibition techniques. d. Reduce fluid intake for several hours before sleep. e. Gradually increase length of time between voidings.
a, b, c, e
The nurse is providing care for a woman experiencing premenstrual syndrome (PMS). Which nursing actions should be included in the plan of care? (Select all that apply.) a. Encourage the client to stop smoking. b. Teach client to limit alcohol consumption. c. Provide small, frequent meals to reduce food cravings. d. Encourage the client to develop a regular exercise regimen. e. Provide food that promotes increased intake of simple sugars. f. Instruct client to increase intake of products containing caffeine
a, b, d
The nurse is assisting in the preparation of an educational seminar about breast pathology. What characteristics of cancerous breast lesions should the nurse include in this teaching? (Select all that apply.) a. They tend to be harder. b. They tend to be less mobile. c. They tend to be more painful. d. They tend to be more irregularly shaped. e. They tend to have more clearly defined borders.
a, b, d,
After collecting data the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome. What findings did the nurse use to make this decision? (Select all that apply.) a. Sore throat b. Skin peeling c. Fluid retention d. Red palm and soles of feet e. Muscle pain and weakness
a, b, d, e
The nurse is collecting a medication history from a man with erectile dysfunction. For what medication classes and lifestyle substances should the nurse assess because they can cause erectile dysfunction? (Select all that apply.) a. Alcohol b. Caffeine c. Antibiotics d. Antihistamines e. Beta-blocking agents f. Oral hypoglycemic agents
a, b, d, e
The nurse is assisting with teaching a patient who has been exposed to hepatitis B. Which symptoms should the nurse explain may occur before jaundice appears? (Select all that apply.) a. Rash b. Nausea c. Confusion d. Dark-colored urine e. Muscle or joint pain f. Elevated blood glucose
a, b, e
The nurse is teaching a patient about the use of condoms to prevent sexually transmitted infections (STIs). Which information should the nurse include in this teaching? Select all that apply. a. Condoms can decrease the risk of transmitting STDs. b. Latex condoms are less likely to break than other types. c. Inflating the condom prior to use allows for effective inspection. d. Condoms should be used no more than twice and then discarded properly. e. Use of a water-soluble lubricant with a condom increases its effectiveness in preventing the spread of an STD. f. Use of a petroleum-based lubricant with a condom increases its effectiveness in preventing the spread of an STD.
a, b, e
The nurse notes that a patient is diagnosed with vulvovaginitis. What should the nurse expect when assessing this patient? (Select all that apply.) a. Vaginal edema b. Vaginal discharge c. Areas of ecchymosis d. Dark brown vaginal bleeding e. Complaints of vaginal itching and burning
a, b, e
The nurse is caring for a patient who is breastfeeding and receiving antibiotics for mastitis. What should be included in the patients teaching? (Select all that apply.) a. Wash hands before handling the breast. b. NSAIDs may be used to help control pain. c. Apply cool packs to the breast to ease pain. d. Stop breastfeeding, and switch to bottle feeding. e. Wear a bra to support the swollen painful breast. f. Change the infants feeding position on the breast frequently
a, b, e, f
The nurse is caring for a woman who has just had an uncomplicated abortion. What instructions should the nurse provide? (Select all that apply.) a. Call if you bleed for more than 3 days. b. Call if you have more bleeding than you would during a heavy period. c. The discharge often has a foul odor due to the procedure. d. Dont be surprised if you pass clots. Call if they are larger than a golf ball. e. You can expect moderate bleeding and a low-grade fever for about a week. f. You should abstain from sexual intercourse as directed by your physician.
a, b, f
A female patient asks what can be done to reduce symptoms associated with menopause. What should the nurse suggest to this patient? (Select all that apply.) a. Eat a healthy diet. b. Reflect on past experiences and challenges. c. Dress in layers so clothing can be removed. d. Reduce intake of caffeine, sugar, and alcohol. e. Use an oil-based vaginal lubricant to ease vaginal dryness
a, c, d
The nurse is collecting data for a patient with kidney disease. When reviewing a urinalysis report, which range should the nurse recognize as normal specific gravity of urine? a. 0.080 to 0.100 b. 1.002 to 1.035 c. 2.600 to 3.000 d. 4.612 to 5.030
b
A patient who is 6 weeks pregnant is contemplating having an abortion. What methods of abortion should the nurse explain as most commonly used to terminate a pregnancy of less than 14 weeks? (Select all that apply.) a. Vacuum suction b. Saline induction c. Menstrual extraction d. Dilation and curettage (D&C) e. Dilation and evacuation (D&E)
a, c, d
A male patient explains that manifestations of benign prostatic hyperplasia (BPH) have been occurring for several years. For which adverse effects of this health problem should the nurse consider when planning this patients caring? (Select all that apply.) a. Urosepsis b. Bladder cancer c. Renal insufficiency d. Evidence of hydronephrosis e. Recurrent urinary tract infections
a, c, d, e
The nurse is caring for a patient with an elevated uric acid level. Which health problems should the nurse consider as potentially causing this patients elevation? (Select all that apply.) a. Leukemia b. Steroid use c. Malnutrition d. Kidney disease e. Use of thiazide diuretics f. Gastrointestinal bleeding
a, c, d, e
The nurse is reviewing prescribed laboratory tests for a patient demonstrating manifestations of syphilis. What diagnostic tests should the nurse expect to be prescribed for this patient? (Select all that apply.) a. RPR b. NAT c. VDRL d. ELISA e. Culture f. CD4 counts
a, c, d, e
The nurse is providing care for a patient after a hysterectomy. Which interventions are appropriate to prevent constipation? (Select all that apply.) a. Encourage ambulation. b. Increase protein intake. c. Increase oral fluid intake. d. Provide a high-fiber diet. e. Withhold pain medication. f. Provide stool softener as ordered.
a, c, d, f
The nurse is reviewing a patients prescribed medications. Which medications are used to treat cancer by suppressing or blocking testosterone? (Select all that apply.) a. Leuprolide (Lupron) b. Finasteride (Proscar) c. Dutasteride (Avodart) d. Diethylstilbesterol (DES) e. Goserelin (Zoladex)
a, d, e
A patient is prescribed tamsulosin (Flomax) for treatment of benign prostatic hypertrophy. What instructions should be provided to this patient? (Select all that apply.) a. Dizziness may occur. b. Chew or crush tablets. c. Avoid unnecessary sunlight. d. Avoid the use of heavy machinery. e. Dry mouth and gastrointestinal upset may occur. f. Be careful when going from a sitting to a standing position.
a, d, e, f
The nurse is concerned that a female patient is at risk for developing cervical cancer. What risk factors for cervical cancer did the nurse assess in the patient? (Select all that apply.) a. Smoking b. Being nulliparous c. Using barrier contraceptives d. Having multiple sexual partners e. Being infected with herpes simplex virus type II f. Being infected with human papillomavirus
a, d, e, f
After collecting data the nurse suspects that an adolescent patient is at risk for developing anorexia nervosa. What data did the nurse use to come to this conclusion? (Select all that apply.) a. Age 17 years b. Phobia about weight gain c. Fearful of mother present during the interview d. Asked the nurse repeatedly why certain information was needed e. Texted with friends on the smartphone while interview in progress
a. Age 17 years b. Phobia about weight gain c. Fearful of mother present during the interview d. Asked the nurse repeatedly why certain information was needed
The nurse is contributing to a patients teaching plan on how to avoid dumping syndrome after a gastrectomy. What should be included in the teaching? a. Avoid fluids with meals. b. Increase activity after eating. c. Increase carbohydrate intake. d. Eat heavy meals to delay emptying.
a. Avoid fluids with meals.
A patient with morbid obesity is admitted to the hospital for leg wounds. Which observations should the nurse expect when collecting data from this patient? (Select all that apply.) a. BMI 41 b. Hyper-excitable c. Lethargy and malaise d. Shortness of breath with walking e. Body weight 120 lbs over ideal weight
a. BMI 41 d. Shortness of breath with walking e. Body weight 120 lbs over ideal weight
The nurse is caring for a patient recovering from a bleeding gastric ulcer. Which patient statements indicate correct understanding of beverages to avoid after treatment of a bleeding gastric ulcer? (Select all that apply.) a. Beer b. Milk c. Coffee d. Iced tea e. Lemonade f. Diet soda pop
a. Beer c. Coffee d. Iced tea f. Diet soda pop
The nurse is caring for a patient who has a nursing diagnosis of acute postoperative pain after a gastrectomy. The patient has a nasogastric (NG) tube. What interventions should the nurse implement? (Select all that apply.) a. Encourage total bedrest. b. Monitor NG tube functioning. c. Reposition NG tube once a shift. d. Provide pain medication as ordered. e. Start a regular diet once bowel sounds are detected. f. Evaluate pain regularly and report changes to the RN.
a. Encourage total bedrest. b. Monitor NG tube functioning. d. Provide pain medication as ordered.
The nurse is caring for a patient recovering from radical neck dissection for cancer and tracheostomy placement. What action by the nurse should take priority? a. Ensuring airway patency b. Ensuring adequate nutrition c. Teaching about smoking cessation d. Establishing ways of communication
a. Ensuring airway patency
The nurse is caring for a patient who complains of nausea related to gastric cancer. Which supplement should the nurse suggest? a. Ginger b. Lemon c. Butterscotch d. Black licorice
a. Ginger
The nurse is preparing to calculate a patients body mass index. What measurements does the nurse need to make this calculation? a. Height and weight b. Waist and hip measurements c. Weight and waist measurement d. Waist measurement and height
a. Height and weight
A patient is considering surgery to treat obesity. Which factors meet established criteria for the use of surgery in the treatment of obesity? (Select all that apply.) a. Hypertension b. Presence of gallstones c. Gross obesity for 5 years d. Psychiatric and social stability e. Body weight 50% above ideal weight f. Failure to reduce weight with other forms of therapy
a. Hypertension c. Gross obesity for 5 years d. Psychiatric and social stability f. Failure to reduce weight with other forms of therapy
The nurse is collecting data from a patient with kidney disease. Which adventitious lung sound should the nurse recognize as being caused by fluid overload? a. Stridor b. Crackles c. Wheezes d. Pleural friction rub
b
The nurse teaching a patient with gastroesophageal reflux about the influence of body position on the disease process. Which patient statement indicates that teaching has been effective? a. I elevate the head of the bed 4 to 6 inches. b. I elevate the foot of the bed 12 to 16 inches. c. I sleep on my back without a pillow under my head. d. I sleep on my stomach with my head turned to the left.
a. I elevate the head of the bed 4 to 6 inches
The nurse is teaching a patient about gastric surgery and dumping syndrome. Which statement indicates that the patient understands dumping syndrome? a. I need to eat small frequent meals. b. I should drink lots of fluids with meals. c. I need to sit up for 2 hours after each meal. d. I can expect the symptoms to begin 2 hours after eating.
a. I need to eat small frequent meals.
The nurse is caring for a patient with gastroesophageal reflux disease (GERD). Which patient statement indicates a need for nutritional instruction? a. I should drink milk, as it is the perfect food. b. Nutrition can affect health positively or negatively. c. Excessive intake of a nutrient can interfere with others. d. Classes of nutrients are carbohydrates, fats, proteins, vitamins, minerals, and water.
a. I should drink milk, as it is the perfect food.
A patient is recovering from a Billroth I procedure and has a nasogastric Levin tube set to low intermittent suction. As the patient turns in bed, the Levin tube is partially pulled out. Which action should the nurse take? a. Notify the registered nurse (RN). b. Irrigate the tube. c. Advance the tube. d. Place suction on continuous.
a. Notify the registered nurse (RN).
The nurse is visiting the home of a patient recovering from a sleeve gastrectomy. Which observation indicates that this surgery has been successful for the patient? a. Patient claims that she never feels hungry b. Patients skin is dry and hair is falling out c. Patient states that she is constantly hungry d. Patient has injected 100 mL of saline solution in the pouch
a. Patient claims that she never feels hungry
The nurse is participating in planning care for a patient who is experiencing nausea. Which interventions should be included in this patients plan of care? (Select all that apply.) a. Provide antiemetics as prescribed b. Ensure the environment is odor-free c. Monitor intake, output, and vital signs d. Provide oral care every 2 hours as needed e. Instruct to avoid odors or foods that precipitate nausea
a. Provide antiemetics as prescribed b. Ensure the environment is odor-free d. Provide oral care every 2 hours as needed e. Instruct to avoid odors or foods that precipitate nausea
A patient with a nasogastric tube connected to suction is NPO (nothing by mouth) and reports a dry mouth and gagging feeling. What action should the nurse take? a. Provide oral care. b. Pull tube out 1 inch. c. Offer ice chips to swallow. d. Give lidocaine solution to coat the mouth.
a. Provide oral care.
A patient who is unconscious begins to vomit blood. What action should the nurse take first? a. Turn patient onto side. b. Use water to rinse out mouth. c. Provide oral care to the patient. d. Administer antiemetic medication.
a. Turn patient onto side.
A health care provider (HCP) is anticipating the use of RU-486 to provide a chemically induced abortion for a patient. What information should the nurse obtain from the patient before this medication is provided? a. Type of contraception used b. Date of the first day of the patients last period c. Date of the first day of the patients first missed period d. Average number of times the bladder is emptied in one day
b
A male client comes into the emergency department experiencing a painful prolonged erection. What term should the nurse use to document this patients problem? a. Orchitis b. Priapism c. Paraphimosis d. Peyronies disease
b
A male patient has infertility caused by an endocrine problem. For which type of problem should the nurse plan care for this patient? a. Testicular b. Pretesticular c. Post-testicular d. Chronic testicular
b
A patient is being evaluated for renal dialysis. What creatinine clearance value should the nurse realize this patient must have to live without needing dialysis treatments? a. 5 mL b. 10 mL c. 20 mL d. 50 mL
b
A patient is being seen for the urinary bladder sagging into the vagina. How should the nurse document this health problem? a. Rectocele b. Cystocele c. Dyspareunia d. Bladder fistula
b
A patient is diagnosed with excessive fluid in the scrotal sac. What term should the nurse use when discussing the health problem with the patient? a. Orchitis b. Hydrocele c. Varicocele d. Epididymitis
b
A patient is discharged home after a prostatectomy. Two days later, he calls the nurse and says his bleeding has increased. The nurse asks what he has been doing since discharge. Which activity reported by the patient indicates the need for teaching by the nurse? a. The patient took an opioid for pain. b. The patient raked leaves in the yard. c. The patient took a walk around the block. d. The patient has been sitting in a recliner watching television.
b
A patient is scheduled for a hysterectomy and bilateral salpingo-oophorectomy. She asks what this means. How should the nurse respond? a. You will have your uterus removed and your bladder suspended. b. You are going to have your uterus, fallopian tubes, and ovaries removed. c. You will have your uterus removed and your fallopian tubes and ovaries sutured in place. d. You will have your uterus and fallopian tubes removed, but your ovaries will remain intact.
b
A patient is seen in a clinic for contact vaginitis. What information from her history helps the nurse to plan teaching for the patient? a. She has been under stress at work. b. She takes bubble baths every night. c. She has had a urinary tract infection (UTI). d. She has been on oral antibiotics for a sinus infection.
b
The nurse is helping to prepare a patient for a renal biopsy. In which position should the nurse help the patient assume? a. Sims b. Prone c. Supine d. Fowlers
b
The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? a. Gonorrhea b. Chlamydia c. Trichomoniasis d. Human papillomavirus
b
A patient who has just returned from a transurethral resection of the prostate (TURP) asks the nurse why he needs a urinary catheter. What is the correct explanation? a. The catheter keeps your bladder empty to reduce risk for infection. It is important to leave it in for at least 72 hours. b. The catheter is keeping pressure on the area to prevent bleeding. We will remove it when the risk for bleeding has passed. c. We can take the catheter out when you are able to urinate on your own. Ill ask the physician if we can remove it later today. d. The catheter is being used to irrigate your bladder with antibiotics. It is important to continue this until you can take antibiotics orally.
b
A patients urinalysis results are: white blood cells (WBC) 100+/hpf; red blood cells (RBC) 4/hpf; bacteria, moderate amount; nitrite, positive; specific gravity, 1.025; urine, cloudy. What should the nurse recognize these findings indicate? a. Dehydration b. Urinary tract infection c. Contamination from menstruation d. Contamination of the specimen from bacteria on the perineum
b
A woman tells the nurse, I am having terrible pain with my period. This has never happened before. What should I do? What is the best response by the nurse? a. Sometimes getting into a kneechest position is helpful. b. You should notify your doctor if this is a new experience for you. c. Dysmenorrhea is a common occurrence; NSAIDs or aspirin may help. d. The best way to combat painful menses is to exercise and drink plenty of fluids.
b
An adolescent comes into the emergency department requesting the morning-after pill. What should the nurse assess in this patient? a. Age of the patient b. Time of intercourse c. Use of contraception d. Location of the parents
b
An older male patient is upset to learn about the diagnosis of benign prostatic hyperplasia. What should the nurse explain to the patient about this health problem? a. This health problem is a precursor to prostate cancer. b. 75% of men over the age of 70 have this health problem. c. 50% of men with this health problem need the prostate removed. d. 25% of men with this health problem will have erectile dysfunction.
b
During an assessment, the nurse notes that a patient has crystals deposited on the skin. What should this finding indicate to the nurse? a. Gout b. Uremic frost c. Poor hygiene d. Metabolic alkalosis
b
During data collection the nurse notes the presence of a chancre on a male patients penis. For which sexually transmitted infection should the nurse focus additional data collection? a. Herpes b. Syphilis c. Gonorrhea d. Chlamydia
b
The nurse is assessing a patient after a mastectomy and thinks the patients affected arm appears swollen. What is the best way to verify this finding? a. Measure and document the circumference of the arm. b. Measure and compare the circumferences of both arms. c. Press a finger into the arm and measure the indentation. d. Ask the patient to hang the arm down for 3 minutes and check for increased swelling.
b
The nurse is assisting with a urology clinic intake assessment on a patient who reports erectile dysfunction. He has tried several treatments without success. He states, Im pretty useless to my wife now. I might as well become a monk. Which nursing diagnosis should take priority in guiding the nurses care? a. Anxiety related to uncertain future b. Powerlessness related to inability to fulfill role functions c. Noncompliance related to use of treatments for erectile dysfunction d. Knowledge Deficit related to lack of knowledge about treatments for erectile dysfunction
b
The nurse is caring for a male patient with functional incontinence. What action should the nurse take to help prevent incontinence? a. Teach the patient how to do Kegel exercises. b. Ensure that the patient has ready access to the urinal. c. Teach the patient to increase the time between voiding. d. Give the patient cranberry juice to keep the urine acidic.
b
The nurse is caring for a patient recovering from a renal biopsy. For which complication should the nurse monitor the patient during the 24 hours after the procedure? a. Polyuria b. Bleeding c. Infection d. Urinary obstruction
b
The nurse is caring for a patient who had a left mastectomy earlier in the day and informs the nurse of several concerns. Which should the nurse attend to first? a. Bowels have not moved in 48 hours. b. Pain level of is 7 on a 0-to-10 scale. c. A 3-cm area of blood is on the wound dressing. d. Feels anxious about how her husband will react to the surgery.
b
The nurse is caring for a patient who is scheduled for a cystoscopy (C&P) with basket extraction of a stone. What is the most important postoperative care for the nurse to provide? a. Limiting fluid intake b. Measuring urine output c. Monitoring daily weights d. Observing for acute kidney injury
b
The nurse is caring for a patient with a kidney infection. When providing prescribed medications, the nurse should recall that which structure is the capillary network in each nephron? a. Corpuscles b. Glomerulus c. Renal tubules d. Bowmans capsule
b
The nurse is caring for a patient with continuous bladder irrigation after a transurethral resection of the prostate (TURP). Which assessment finding should take priority? a. Pink-tinged urine b. 10-mL urine output in an hour c. Patient report of bladder spasms d. Leakage of small amounts of urine around the catheter
b
The nurse is caring for a patient with kidney disease. How should the nurse end a 24-hour urine test at the end of the 24 hours? a. The final voiding before 24 hours is discarded. b. The patient voids at the end of 24 hours, adding it to the collection container. c. One hundred milliliters of collected urine is placed into a specimen cup and sent to the laboratory. d. The patient voids, and the first and last specimens from 24 hours are sent to the laboratory.
b
The nurse is caring for a patient with prostatitis. Which manifestation should the nurse attend to immediately? a. Shaking chills b. Inability to urinate c. Fever 101F (38.3C) d. Low back pain rated 9 on a 0-to-10 scale
b
The nurse is caring for a pregnant woman who is fearful that her unborn child will be born blind because of having a sexually transmitted infection (STI). For which STI should the nurse plan care to prevent ophthalmia neonatorum in the newborn? a. Syphilis b. Gonorrhea c. Genital warts d. Genital herpes
b
The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? a. Interferon injection b. Antibiotic eyedrops c. Vitamin K injection d. Hepatitis B virus (HBV)-immune globulin
b
The nurse is teaching a male patient the early warning signs of testicular cancer. What should this instruction include? a. Skin of scrotal sac red in color b. Small painless lump on the testicle c. Presence of rugae on the scrotal sac d. Skin of scrotal sac cooler in temperature
b
The nurse needs to obtain a urine specimen from a female patient. What action should the nurse take when obtaining this specimen? a. Obtain the first voided urine of the day. b. Direct the patient to wash her perineum before collecting the urine specimen. c. Have the patient urinate into a bedpan, then pour the urine into the specimen container. d. Have the patient void, throw that urine away, and then collect another specimen at least 1 hour later.
b
While assisting with care, the nurse counsels the patient diagnosed with a sexually transmitted infection (STI) about notification of sexual partners. Which patient statement indicates the need for further teaching? (Select all that apply.) a. I can contact my sexual partners myself. b. Reporting regulations are the same throughout the country. c. A report form will be completed in my chart that includes a list of my sexual contacts. d. The public health authority can notify a list of sexual contacts without including my identity.
b
The nurse is providing care for a patient diagnosed with bacterial prostatitis who is being treated on an outpatient basis with oral antibiotic therapy. In addition to the medication, which interventions should the nurse include in discharge teaching? (Select all that apply.) a. Bedrest b. Stool softeners c. Warm sitz baths d. Anti-inflammatory agents e. Self-catheterization every 2 hours
b, c, d
The HCP suggests that a patient with benign prostatic hyperplasia have an invasive procedure to reduce the symptoms of the disorder. For which procedures should the nurse prepare materials for the patient? (Select all that apply.) a. Lithotripsy b. Prostatic stents c. Transurethral needle ablation d. Transurethral microwave therapy e. High intensity focused ultrasound
b, c, d, e
The nurse is reviewing normal kidney function with a patient experiencing an acute kidney injury. Which hormones should the nurse include that affect kidney function? (Select all that apply.) a. Estrogen b. Aldosterone c. Parathyroid hormone d. Antidiuretic hormone (ADH) e. Atrial natriuretic hormone (ANH) f. Thyroid-stimulating hormone (TSH)
b, c, d, e
A 24-year-old woman diagnosed with Chlamydia has been prescribed doxycycline. What should be included in the nurses teaching about the drug treatment? (Select all that apply.) a. Take this drug with a meal. b. Do not take with dairy products. c. Avoid unnecessary exposure to sunlight. d. Abstain from alcohol for at least 48 hours after treatment. e. Use birth control methods to ensure you do not become pregnant.
b, c, e
A patient is being treated for prostatitis. What instructions should the nurse provide to help this patient? (Select all that apply.) a. Avoid tub baths. b. Empty your bladder frequently. c. Avoid products that contain caffeine. d. Try to increase the amount of fiber in your diet. e. Increase your fluid intake to nearly 3000 mL/day. f. Take your antibiotics until your symptoms have completely resolved.
b, c, e
The nurse is assisting in the development of a program to instruct female high school students on ways to prevent the development of toxic shock syndrome. What should the nurse include in this program? (Select all that apply.) a. Increase oral fluid intake. b. Change tampons every 4 hours. c. Wash hands before inserting a new tampon. d. Take over-the-counter aspirin while menstruating. e. Use sanitary pads instead of tampons overnight when menstruating.
b, c, e
The nurse is caring for a patient with an indwelling urinary catheter. Which instructions should the nurse provide to help prevent development of a urinary tract infection? (Select all that apply.) a. Limit fluid intake to decrease the flow of urine. b. Position the tubing to allow free flow of the urine. c. Use aseptic technique when emptying the drainage bag. d. Wash the perineum with an antibacterial soap every 8 hours. e. Keep the catheter securely taped to prevent catheter movement. f. Empty the urinary bag every 4 hours to prevent stagnation of urine.
b, c, e
The nurse is collecting admission data from a patient recently diagnosed with benign prostatic hyperplasia. Which symptoms should the nurse expect the patient to report? (Select all that apply.) a. Low back pain b. Dribbling after urination c. Difficulty initiating an erection d. Difficulty maintaining an erection e. Difficulty starting the urine stream
b, e
The nurse is collecting data for a patient with kidney disease. Which information should the nurse identify as being normal urinalysis findings? (Select all that apply.) a. pH 3.5 b. Amber color c. Small amount of nitrite d. Red blood cells of 8/hpf e. Specific gravity of 1.010 f. Small quantities of enzymes
b, e, f
A patient with a hiatal hernia is experiencing heartburn. Which should the nurse suggest to this patient? a. Eat large meals. b. Avoid bedtime snacks. c. Sleep flat without a pillow. d. Recline 1 hour before meals.
b. Avoid bedtime snacks.
A patient with a duodenal peptic ulcer vomits old blood. What description should the nurse use to document the appearance of the vomitus? a. Duodenal fecal matter b. Coffee-ground particles c. Undigested particles of food d. Chyme streaked with a black syrupy material
b. Coffee-ground particles
The nurse is providing care to a patient anticipating radiation therapy for head and neck cancer. What should the nurse include in pre-therapy education? (Select all that apply.) a. Water is an appropriate substitute for saliva. b. Good oral hygiene habits are important to prevent decay. c. Tooth decay occurs less frequently when oral tissues are dry. d. It is important that you visit the dentist before radiation therapy begins. e. All of your teeth will need to be pulled before you start radiation therapy. f. Artificial saliva can be used if the radiation therapy causes drying of the mouth.
b. Good oral hygiene habits are important to prevent decay. d. It is important that you visit the dentist before radiation therapy begins. f. Artificial saliva can be used if the radiation therapy causes drying of the mouth.
The nurse is caring for a patient who has a nasogastric tube in place following gastric surgery. Why should the nurse use normal saline to irrigate the nasogastric tube? a. It decreases electrolytes. b. It maintains electrolytes. c. It maintains fluid volume. d. It increases fluid volume.
b. It maintains electrolytes.
The nurse is caring for a patient on a gastrointestinal unit. Which patient statement should cause the nurse the most concern? a. My stool has been dark green and hard to pass lately. b. Lately, Ive had two or three loose, sticky black stools every day. c. Usually I move my bowels every day and the stool is light brown. d. My stool is soft and dark brown; I usually move my bowels twice a day.
b. Lately, Ive had two or three loose, sticky black stools every day.
The nurse is evaluating care provided to a patient with bulimia nervosa. Which observation indicates that addition care is required? a. Patient sits and talks with others after eating a meal b. Patient states that looking in a mirror makes her nauseated c. Patient states importance of continuing with therapy sessions d. Patient plans meals and appropriate snacks at the beginning of the day
b. Patient states that looking in a mirror makes her nauseated
The nurse is reinforcing teaching with a patient who had a large portion of the stomach removed. Which patient statement indicates understanding of why the patient will need to receive vitamin B12 for life? a. Sickle cell anemia b. Pernicious anemia c. Iron-deficiency anemia d. Acquired hemolytic anemia
b. Pernicious anemia
The nurse is checks the gastric pH and provides antacids as prescribed to a patient recovering from a motor vehicle crash. What is the nurse attempting to prevent by these interventions? a. Shock b. Stress ulcers c. Malnutrition d. Metabolic acidosis
b. Stress ulcers
The nurse is collecting data for a patient who is taking Prevacid for peptic ulcer disease. Which data collection finding requires immediate intervention? a. A rash b. Tarry stools c. Constipation d. Changes in mental status
b. Tarry stools
A 70-year-old male arrives in the emergency department and says, I havent urinated in 24 hours. I feel like I have to go, but I cant. What care should the nurse anticipate providing first? a. STAT administration of IV fluids b. Emergency preparation for a cystoscopy c. STAT insertion of an indwelling catheter d. Emergency preparation for an intravenous pyelogram (IVP)
c
A patient comes to an outpatient clinic because of premenstrual syndrome (PMS) symptoms. What advice from the nurse may help her reduce her symptoms? a. There is no treatment for PMS other than rest and fluids. b. Ask the physician about a mild antianxiety agent. c. Avoidance of alcohol and caffeine may help reduce your discomfort. d. Avoid strenuous exercise for several days before and after your period.
c
A patient diagnosed with Trichomonas asks the nurse how the diagnosis will affect her risk for cervical cancer. Which response by the nurse is best? a. Wet-mount slides should be done yearly to help detect cervical cancer. b. Serological testing will be done to detect tumor proteins and screen for cervical cancer. c. Papanicolaou smears should be done more frequently because results may be altered by Trichomonas. d. Culture and sensitivity testing is done with Papanicolaou (Pap) smears every other year to determine if you have cervical cancer.
c
A patient diagnosed with benign prostatic hyperplasia is prescribed the alpha-blocking medication terazosin (Hytrin) to reduce symptoms. For which side effect should the nurse monitor this patient? a. Dry mouth b. Headaches c. Hypotension d. Urinary frequency
c
A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? a. Sarcoptes scabiei b. Hepatitis A and B c. Human papillomavirus d. Chlamydia trachomatis
c
A patient is scheduled for an intravenous pyelogram (IVP). What care should the nurse provide before the patient has this procedure? a. IV antibiotics b. Opioid pain medication c. Enema evening before the test d. Bedrest for 16 hours before the test
c
A patient is using a suction device and penile ring to treat erectile dysfunction. What instructions must the patient receive to prevent tissue damage? a. Loosen the penile ring before having intercourse. b. Remove the penile ring as soon as an erection occurs. c. Remove the penile ring within 15 to 20 minutes of putting it on. d. Leave the penile ring on no more than an hour after intercourse.
c
A patient must prevent pregnancy while receiving chemotherapy that could harm a fetus. About which type of birth control should the nurse anticipate teaching the patient? a. Condom b. Depot medication c. Oral contraceptive d. Diaphragm with spermicide
c
Because Trichomonas is relatively large, unusually shaped, and diagnosed quickly, the nurse is asked to assist the physician obtain which type of specimen? a. Culture b. Blood test c. Wet mount d. Litmus paper
c
The nurse contributes to the plan of care for a patient with edema. Which action should the nurse take as the best indicator of this patients fluid volume status? a. Vital signs b. Skin turgor c. Daily weight d. Intake and output
c
The nurse enters the room of a patient with a new mastectomy and finds her crying. After confirming that the patient is crying because of the loss of her breast, which response by the nurse is best? a. At least they got all the cancer. You are fortunate. b. I know how you feel. It is difficult to lose a breast. c. How have you coped with other problems in your life? Do you have someone you can talk to? d. Here, have a tissue. I know you feel like crying now, but before you know it, you will feel much better, and this will all be behind you.
c
The nurse is assisting with a community education class on breast cancer prevention. Which risk factors should the nurse include in this training? a. History of breastfeeding b. Large or pendulous breasts c. High-fat diet and alcohol intake d. Early first pregnancy and late menarche
c
The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI). She says, I dont understand. My boyfriend always wears a condom. Which understanding by the nurse should guide teaching in this situation? a. Condoms are a reliable source of protection against STIs. b. It is a myth that condoms provide any protection against STIs. c. Condoms can decrease the risk of STIs, but they are not foolproof. d. Condoms must be used with a spermicide to guarantee protection against STIs.
c
The nurse is assisting with teaching a 56-year-old office manager who reports engaging in a variety of activities. Which one should the nurse explain most likely increased his risk for developing prostatitis? a. Sitting for long periods in his office b. Bowling once a week with the office team c. Drinking three to four martinis each night after work d. Having sexual intercourse with his wife once a week
c
The nurse is assisting with teaching a patient who has been placed on metronidazole (Flagyl) for bacterial vaginosis. What instruction by the nurse is appropriate? a. Take the Flagyl whenever you feel vaginal itching or irritation. b. Take the Flagyl until the discharge is gone for at least 24 hours. c. Take the Flagyl as prescribed, even if your symptoms are gone. d. You will need to take Flagyl for an extended period. This prescription has several refills.
c
The nurse is bathing an older male patient who has never been circumcised. What is proper care of the uncircumcised penis? a. Do not retract the foreskin; leave it in its natural position at all times. b. Use alcohol and a cotton swab to clean gently underneath the foreskin. c. Retract the foreskin, wash with soap and water, and replace the foreskin to its original position. d. Retract the foreskin, wash with soap and water, and leave the foreskin retracted to prevent collection of debris
c
The nurse is caring for a patient who had a mastectomy for breast cancer 2 days ago and is now developing pulmonary congestion. Why is a mastectomy patient at risk for pulmonary complications? a. Breast cancer has often spread to the lungs before diagnosis. b. Pathogens may have been introduced during the surgical procedure. c. The chest incision makes the patient hesitant to deep breathe and cough. d. Mastectomy patients must remain on bedrest for 48 to 72 hours postoperatively.
c
The nurse is caring for a young woman who is newly diagnosed with genital warts. She states, I heard you can get cancer from STIs. Is that true? Which response by the nurse is correct? a. No, you cannot get cancer from STIs. b. Yes, most STIs can lead to cancerous changes if not treated promptly. c. Yes, some STIs have been linked to cancer, so adequate treatment is very important. d. No, that is not true, but a diagnosis of cancer does increase the risk of contracting an STI.
c
The nurse is instructing a patient on the use of Kegel exercises. How many times a day should the nurse recommend that these exercises be performed? a. 10 to 20 b. 15 to 30 c. 30 to 80 d. 85 to 100
c
The nurse is providing care for a patient admitted with epididymitis. Which intervention is most appropriate? a. Frequent ambulation b. Pressure to the scrotum c. Elevation of the scrotum d. Warm packs to the scrotum
c
The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term should the nurse use to describe these lesions to the patient? a. Warts b. Rashes c. Blisters d. Papules
c
The nurse is reviewing a urinalysis report. What should the nurse recognize as the normal average pH of urine? a. 2 b. 4.2 c. 6 d. 7.4
c
The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching? a. Gonorrhea is not treatable. b. Only men experience symptoms; women are usually asymptomatic. c. Men and women may be asymptomatic and still transmit the infection. d. Treatment is associated with many serious side effects, so compliance is low.
c
The nurse is teaching a woman with a menstrual disorder how to measure menstrual flow. Which instruction should the nurse include? a. Use a perineal collection system. b. Use a vaginal catheter and collection bag. c. Weigh her perineal pads before and after use. d. Weigh the woman before and after her menses.
c
The nurse is to obtain orthostatic blood pressure measurements for a patient on dialysis for end-stage renal disease. What should the nurse do when measuring this patients blood pressure? a. Take blood pressure before and after dialysis treatments. b. Check blood pressure every minute three times for four readings. c. Obtain blood pressure while the patient is lying, sitting, and standing. d. Monitor blood pressure before and after an antihypertensive medication is given.
c
The nurse must bathe a patient with herpes. What is the nurses best protection against contracting sexually transmitted infections (STIs) from patients while providing perineal hygiene? a. Wearing gloves at all times b. Washing hands following care c. Practicing standard precautions d. Avoiding touching patients who have STIs
c
The nurse reviews the ways to prevent condom breakage with a patient. Which patient statement indicates that more teaching is necessary? a. Condoms should never be reused. b. I should use a water-soluble lubricant. c. Before I use a condom, I should inflate it and check it for holes and leaks. d. I should make sure to leave a half inch extra space at the end of the condom.
c
The treatment provided to a patient with prostatitis is being evaluated. What information should the nurse use to determine that treatment has been successful? a. No evidence of erectile dysfunction b. Stabilized hemoglobin and hematocrit levels c. Clean catch urine specimen absent of bacteria d. Prostate specific antigen level within normal limits
c
While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of severe pain during the bimanual examination. For which health problem should the nurse suspect this patient is going to need care? a. Syphilis b. Gonorrhea c. Pelvic inflammatory disease d. Human papillomavirus infection
c
While reviewing a medical record the nurse notes that patient has a strawberry cervix. For which sexually transmitted infection (STI) would the nurse plan care? a. Gonorrhea b. Herpes simplex c. Trichomoniasis d. Human papillomavirus infection
c
A patient diagnosed with syphilis reminds the HCP of having an allergy to penicillin. Which medications should the nurse expect to be prescribed for this patient? (Select all that apply.) a. Gentamicin b. Amoxicillin c. Tetracycline d. Doxycycline e. Erythromycin
c, d
The nurse is contributes to the plan of care for an older patient. What should the nurse recognize as normal signs of aging within the renal system? (Select all that apply.) a. Bladder size increases b. Urethral changes position c. Number of nephrons decreases d. Detrusor muscle tone decreases e. Glomerular filtration rate increases
c, d
A female patient approaching menopause asks about the use of hormone replacement therapy. Which findings from a study on hormone replacement therapy should the nurse explain to the patient? (Select all that apply.) a. A decrease in strokes b. A decrease in breast cancer c. An increase in heart attacks d. A reduction in total fractures e. A decrease in colorectal cancer f. An increase in thromboembolism
c, d, e, f
The nurse is providing care for a woman with trichomoniasis who is being treated with metronidazole (Flagyl). Which patient statements indicate that teaching has been effective? (Select all that apply.) a. I might notice a metallic taste with this medication. b. This medication should be taken on an empty stomach. c. I should take this medication until the symptoms are gone. d. I may have some vaginal dryness while taking this medication. e. My partner should see a physician for treatment as well. f. Drinking alcohol while taking this medication will cause nausea and vomiting.
c, d, e, f
A patient is recovering from a renal arteriogram. What actions should the nurse take when caring for this patient? (Select all that apply.) a. Check vital signs twice daily. b. Raise the head of the bed to 90 degrees. c. Check distal pulses in leg every 30 to 60 minutes. d. Encourage the patient to ambulate as soon as possible. e. A pressure dressing and sandbag used to apply pressure. f. Implement bedrest for 12 hours, and instruct the patient not to bend leg.
c, e, f
The nurse is reviewing data for a patient with acute kidney injury. Which diagnostic test results should the nurse recognize that indicate kidney injury? (Select all that apply.) a. Hematocrit 20% b. Uric acid 8 ng/dL c. Serum creatinine 4.2 mg/dL d. Blood urea nitrogen 40 mg/100 mL e. Urine output of 100 mL in 24 hours f. Fixed urine specific gravity of 1.010
c, e, f
The nurse is reviewing the results of a patients urinalysis. Which components should the nurse identify as being abnormal in urine? (Select all that apply.) a. Urea b. Water c. Protein d. Ammonia e. Hormones f. Red blood cells
c, f
The nurse is caring for a patient who has aphthous stomatitis. What care should the nurse provide? (Select all that apply.) a. Make patient NPO. b. Place on fluid restriction. c. Apply a topical anesthetic. d. Teach to avoid irritating foods. e. Suggest stress management techniques.
c. Apply a topical anesthetic. d. Teach to avoid irritating foods. e. Suggest stress management techniques.
The nurse is reinforcing teaching provided to a patient with a hiatal hernia. Which patient statement indicates a correct understanding of lifestyle modification to reduce symptoms? a. Avoid high-stress situations. b. Perform daily aerobic exercise. c. Avoid nicotine and alcohol use. d. Carefully space activity periods with rest.
c. Avoid nicotine and alcohol use
The nurse is caring for a patient who has developed esophagitis from gastroesophageal reflux disease (GERD). For which additional complication should the nurse anticipate providing care to this patient? a. Laryngospasm b. Bronchospasm c. Barretts esophagus d. Aspiration pneumonia
c. Barretts esophagus
The nursing assistant is delivering patient meals. Which meal should the nurse expect to be delivered to a patient who had gastric bypass surgery the day before? a. Soft diet b. Full liquids c. Clear liquids d. General diet
c. Clear liquids
The nurse has instructed a patient prescribed omeprazole (Prilosec) for peptic ulcer disease on use of the medication. What patient statements indicate understanding of the instructions? (Select all that apply.) a. I should not take antacids while Im on this medication. b. If I wish, I can open the capsule and sprinkle it on food. c. I will take the capsule before eating a meal in the morning. d. I will need to take this drug for 3 weeks for my ulcer to heal. e. I will report any abdominal pain, diarrhea, or bleeding that occurs. f. Ill have to have regular blood counts and tests of my liver enzymes.
c. I will take the capsule before eating a meal in the morning. e. I will report any abdominal pain, diarrhea, or bleeding that occurs. f. Ill have to have regular blood counts and tests of my liver enzymes.
The nurse is caring for a patient with a vented nasogastric tube ordered to suction after a gastrectomy. What type of suction should the nurse use to decrease the development of complications? a. Continuous low suction b. Continuous high suction c. Intermittent low suction d. Intermittent high suction
c. Intermittent low suction
The nurse is caring for a patient with a sliding hiatal hernia. In which position should the nurse expect the patient to report that the symptoms are more acute? a. Sitting b. Standing c. Lying down d. Semi-Fowlers
c. Lying down
The nurse is caring for a patient who suddenly begins having large amounts of bright red hematemesis. After the patient is turned onto the side, what should the nurse do? a. Encourage iced oral fluids. b. Lower the head of the bed. c. Obtain the patients vital signs. d. Place a cool cloth on the patients forehead.
c. Obtain the patients vital signs.
A 16-year-old girl is admitted to the hospital with toxic shock syndrome (TSS). Which action by the nurse should take priority? a. Teach the girl risk factors for TSS. b. Teach the girls mother risk factors for TSS. c. Educate the girl on signs and symptoms of TSS. d. Determine what the girl understands about risk factors for TSS.
d
A 30-year-old male patient has just received a diagnosis of testicular cancer. He appears sad and states, I always wanted to have children. Now it will be impossible. What nursing intervention would be most helpful? a. Contact pastoral care to counsel the patient. b. Provide the patient with literature about adoption. c. Inform the patient that children will be out of the question. d. Tell the patient that it may be possible to deposit sperm in a sperm bank before treatment is begun.
d
A 50-year-old woman states, It is such a relief not to need birth control any more. I havent had a period in 3 months. How should the nurse respond? a. Birth control is usually unnecessary after age 50, even if you are still having periods. b. It is still possible for you to get pregnant. You should consider having a tubal ligation. c. You should continue to use birth control for at least 6 months after cessation of your periods. d. You may still be fertile for several months after your last period. You should consult with your physician to know when to stop using birth control.
d
A female patient has just learned that she is infertile. She says, All I ever wanted in life was to have a baby. My life is over. What is the best response by the nurse? a. You are overreacting because you are upset. Your life really is not over. b. You have a wonderful husband. Maybe you should think about adoption. c. There is an infertility clinic I just heard about in Mexico. Do you want the address? d. A baby must have been very important to you. When you feel ready, we can talk about other alternatives.
d
A male patient has a curved penis. What term should the nurse use to document this observation? a. Priapism b. Phimosis c. Paraphimosis d. Peyronies disease
d
A male patient is experiencing erectile dysfunction. For which medication classification should the nurse assess if the patient is prescribed? a. NSAIDs b. Antibiotics c. Antidiabetics d. Antihypertensives
d
A patient asks why the physician has recommended systemic interferon treatment for genital warts. Which explanation should the nurse provide to the patient? a. Interferon can improve liver function. b. Interferons can increase your red blood cell count. c. Interferon treatment does not have any side effects. d. Interferon therapy can attack warts all over the body at the same time.
d
A patient at a walk-in clinic requests oral contraceptives (OCs) because she heard they can prevent sexually transmitted infections (STI). What information should the nurse use to base a response to this patient? a. OCs provide excellent protection against most STIs. b. There is no connection between OC use and risk of STIs. c. Only OCs with estrogen and progestin can prevent STIs. d. Not enough research has been done to prove that OCs can prevent STIs.
d
A patient has a glomerular filtration rate of 55%. What should this value indicate to the nurse? a. This is a normal value. b. The patient is in renal failure. c. The patient needs to be on a fluid restriction. d. The patients other tests will be in the normal range.
d
A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which condition? a. Syphilis b. Chlamydia c. Hepatitis B d. Genital warts
d
A patient reports long, heavy, irregular menses accompanied by headache and back pain for the past several months. How should the nurse document these symptoms? a. Polymenorrhea b. Oligomenorrhea c. Hypermenorrhea d. Menometrorrhagia
d
A patient with hepatitis B virus (HBV) delivers a 6-pound 2-ounce baby boy. Which action should the nurse anticipate will be needed for the infant? a. Intravenous antibiotics for 12 hours b. Antiviral eye medication less than 2 hours after birth c. There is no treatment that is safe and effective for infants. d. HBV-immune globulin less than 12 hours after birth and then HBV vaccine series
d
The nurse determines that a patients urine output is normal. How many mL of urine did the patient void within the last 24 hours? a. 150 to 400 mL b. 250 to 500 mL c. 750 to 1000 mL d. 1000 to 2000 mL
d
The nurse has just removed an indwelling catheter from a patient following transurethral resection of the prostate. What action by the nurse is most important? a. Monitor vital signs. b. Watch for bladder spasms. c. Offer the urinal every 15 minutes. d. Collect serial samples of urine to monitor for color.
d
The nurse is assisting a 28-year-old man who is undergoing testing for infertility. He says, I cant believe I have to stop wearing tight jeans. What on earth could that have to do with anything? Which response by the nurse is best? a. Tight jeans do not cause infertility. That is an old wives tale. b. The pressure on your scrotum from tight jeans can damage your testes. c. Its not the tight jeans, but the way they make you sit that causes the problem. d. Tight jeans hold your scrotum too close to your body, where the heat can inhibit sperm production.
d
The nurse is assisting a new mother who returns to a clinic for a 6-week visit. What instructions about birth control should the nurse provide? a. Breastfeeding has no effect on your ability to conceive. b. As long as you are breastfeeding, you will not get pregnant. c. You should avoid having intercourse until you are finished breastfeeding. d. You should plan to use birth control; breastfeeding is not a reliable form of contraception.
d
The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse teach that may transmit a sexually transmitted infection (STI)? a. Sharing a cigarette b. Borrowing a hairbrush c. Coughing and sneezing d. Sharing intravenous drug equipment
d
The nurse is assisting with teaching a patient who will be discharged with a catheter after a prostatectomy. Which patient statement indicates the need for further teaching? a. I should call you if the bleeding increases. b. I need to wash around the meatus with soap and water each day. c. I should keep the drainage bag below the level of my bladder at all times. d. Applying antibiotic ointment to the meatus twice a day will prevent skin breakdown.
d
The nurse is assisting with teaching a woman who is having difficulty conceiving. What instruction should the nurse provide about keeping a basal body temperature chart? a. Record your temperature in the late afternoon each day for 3 months. b. Record your temperature every 4 hours, starting the first day of each month. c. Record your temperature three times each day of your period, then once a day thereafter. d. Starting with the first day of your period, record your temperature first thing each morning.
d
The nurse is caring for a patient in the emergency department in a hypertensive crisis. He states he stopped taking his blood pressure medicine because it made him impotent. What should be the nurses first response? a. No, it is a myth that blood pressure medications cause erectile dysfunction. You should see a urologist to look for other causes. b. You are right; blood pressure medications can cause erectile dysfunction. You should consider seeing a urologist for treatment. c. No, blood pressure medications do not usually cause erectile dysfunction; it is the high blood pressure that can cause the problem. You need to be careful to take your medications to keep it under control. d. Yes, blood pressure medications can cause erectile dysfunction, but there are many different classes of drugs for high blood pressure. Lets ask your physician what might work better for you.
d
The nurse is caring for a patient with an acidbase imbalance from kidney disease. How should the nurse explain the role of the kidneys to maintain acidbase balance in the body to the patient? a. Promoting retention of proteins b. Promoting excretion of carbon dioxide c. Conserving or excreting potassium ions d. Conserving or excreting bicarbonate ions
d
The nurse is collecting data from a patient with stress incontinence. Which finding should the nurse document? a. The patient is unable to tell when there is the need to urinate. b. The patient is unable to hold urine when under emotional stress. c. The patient is unable to reach the bathroom and urinates in underwear. d. The patient loses small amounts of urine when he or she coughs or sneezes.
d
The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician? a. Painful urination b. Red conjunctivae c. Vaginal discharge d. Sharp pain at the base of the ribs
d
The nurse is providing pre-operative care for an 80-year-old patient who is scheduled to have prostate surgery. The patient says, I know a man who was impotent after this surgery. Will that happen to me? Which response by the nurse is most appropriate? a. There are many treatments available if it does occur. b. Most men your age learn to deal with erectile dysfunction if it does occur. c. Impotence should not be a problem; sperm production is not affected by this surgery. d. Some prostate surgery can cause erectile dysfunction. Ill ask your surgeon to explain the risks to you
d
The nurse is reviewing the anatomy of the kidney with a patient scheduled for renal surgery. What should the nurse explain as being the structural and functional unit of the kidney? a. Cortex b. Medulla c. Pyramid d. Nephron
d
The nurse is reviewing the health histories of several patients scheduled for appointments in the health clinic. Which patient should the nurse recognize as being predisposed to developing a vaginal yeast infection? a. A 23-year-old who eats a high-protein diet b. A 31-year-old woman who runs 2 miles every day c. A 38-year-old woman who frequently uses NSAIDs d. A 28-year-old woman who sits at a desk 5 days a week
d
The nurse is reviewing the male reproductive system with a couple being evaluated for infertility. What concentration of sperm should the nurse instruct this couple as being needed for normal conception to occur? a. 5 million sperm per mL of semen b. 10 million sperm per mL of semen c. 15 million sperm per mL of semen d. 20 million sperm per mL of semen
d
The nurse is providing care for a patient recently diagnosed with Chlamydia. Which information should the nurse recommend be included in patient teaching? (Select all that apply.) a. Women with Chlamydia may complain of a sore throat. b. Chlamydia is characterized by the development of chancres. c. Ophthalmia neonatorum is seen in infants born to women with Chlamydia. d. Chlamydia can be transmitted sexually and by blood and body fluid contact. e. The risk of ectopic pregnancy is increased in women with a history of Chlamydia. f. The Chlamydia virus can lie dormant in the nervous system tissues and reactivate when an individual is under stress or has a compromised immune system.
d, e
The nurse reviews the process to obtain a midstream urine specimen for culture and sensitivity with a female patient. Which patient statements indicate understanding of this process? (Select all that apply.) a. A 24-hour urine specimen is needed. b. A second-voided specimen is preferred. c. I should wash from the back to the front. d. The labia should be kept separated while voiding. e. When urine starts to flow, collect it in the clean container provided. f. The genitalia should be thoroughly cleaned with the towelettes provided.
d, f
The nurse is reinforcing teaching provided to a patient being tested for type B gastritis. Which patient statement indicates a correct understanding of the test that is used to diagnose this condition? a. Colonoscopy. b. Barium enema. c. Abdominal x-ray. d. Esophagogastroduodenoscopy.
d. Esophagogastroduodenoscopy.
The nurse is reinforcing teaching provided to a patient with a peptic ulcer. Which patient statement indicates understanding of the medication ranitidine (Zantac)? a. It clings to the ulcer. b. It coats your stomach. c. It neutralizes stomach acid. d. It reduces production of gastric acid.
d. It reduces production of gastric acid.
The nurse is caring for a patient with bulimia. Which complication should the nurse recognize that this patient is at risk for developing? a. Weight gain b. Fluid overload c. Ischemic stroke d. Metabolic alkalosis
d. Metabolic alkalosis
The nurse is providing care to a patient 3 days after a Billroth I procedure. About which observation should the nurse be most concerned? a. Pulse 58 beats per minute b. Incisional pain score 4 on a 1 to 10 scale c. Patient becomes tearful while viewing the incision d. Reports of abdominal cramping shortly after eating
d. Reports of abdominal cramping shortly after eating
The nurse is reinforcing teaching provided to a patient scheduled for pyloroplasty. Which patient statement indicates a correct understanding of the procedure? a. The doctor will stitch the top of my stomach to help me lose weight. b. The doctor will cut the nerve that goes to my stomach so less acid is released. c. The pylorus will be narrowed to prevent gastric reflux and help my ulcers heal. d. The surgery will improve the movement of food from my stomach to my small intestine.
d. The surgery will improve the movement of food from my stomach to my small intestine.
The nurse is reinforcing teaching provided to a patient with dumping syndrome. Which patient statement indicates a correct understanding of this condition? a. It is delayed gastric emptying. b. Glucose is dumped into the bloodstream. c. Digestive secretions enter the esophagus. d. There is rapid entry of food into the jejunum.
d. There is rapid entry of food into the jejunum.
A patient with a nasogastric tube to low intermittent suction after surgery begins to vomit bright red blood. Which action should the nurse take first? a. Administer oxygen. b. Irrigate the nasogastric tube. c. Increase the intravenous rate. d. Turn the patient onto his or her side.
d. Turn the patient onto his or her side.
