NURS 346 Exam 3
The nurse identifies that a patient is at risk for upper GI bleeding based on the patient's history of taking medications in what drug class? - Antacids - Anticholinergics - Tricyclic antidepressants - NSAIDs
- NSAIDs
Which factors lead to a higher risk of accidents or injuries in older adults? SATA: - Decreased weight - Neurologic Impairment - Decreased visual acuity - Increased muscle strength - Changes in gait and balance
- Neurologic Impairment - Decreased visual acuity - Changes in gait and balance
Which identified clinical manifestation would the nurse associate with those exhibited with a cluster headache? - Hemiparesis - Photophobia - Conjunctivitis - Nuchal rigidity
- Conjunctivitis
Which condition involves inflammation of all layers of the bowel wall? - Peritonitis - Gastroenteritis - Crohn's disease - Ulcerative colitis
- Crohn's disease
The nurse is teaching an older patient about treatment and management of peptic ulcer disease. Which statement made by the patient indicates need for further teaching? - " I should report abdominal pain or discomfort to the HCP." - I should avoid irritating substances that worsen my ulcer." - " I should take NSAIDs with food, milk or antacids." - I should adhere to PPI and H2 receptor blocker therapy as prescribed."
- " I should take NSAIDs with food, milk or antacids."
The nurse is completing a health history on a patient diagnosed with PUD. Which questions are appropriate while assessing the patient's cognitive-perceptual pattern? SATA: - "Do you experience hematemesis?" - "Do you have any black, tarry stools?" - "Do you experience any nocturnal pain?" - "Do you have a family history of PUD?" - "Do you experience high epigastric pain one to two hours after eating?"
- "Do you experience any nocturnal pain?" - "Do you experience high epigastric pain one to two hours after eating?"
The nurse is giving a patient instructions regarding the management of GERD. Which statement indicates that further teaching is required ? - " So I don't have to follow a specific diet?" - "Chewing gum may help relieve my symptoms." - "I can have warm milk at bedtime, just not chocolate milk." - "Instead of eating three large meals a day, I should eat small frequent meals throughout the day."
- "I can have warm milk at bedtime, just not chocolate milk."
A patient with a peptic ulcer begins vomiting. The nurse would expect and be concerned with which type of vomitus? - Fecal - Bilious - "coffee ground" - undigested food
- "coffee ground"
Which prescribed medication would the nurse anticipate administering to the patient complaining of a severe headache, neck stiffness, and intensified pain upon exposure to sound? - Acetaminophen - Dexamethasone - Dihydroergotamine - Ergotamine tartrate
- Acetaminophen
The nurse is planning an educational course on risk factors for chronic kidney disease. Which factors should the nurse identify as nonmodifiable risk factors? SATA: - HTN - Type 2 DM - Age greater than 60 - Exposure to nephrotoxic drugs - family history of CKD
- Age greater than 60 - family history of CKD
Which medication is beneficial to a patient reporting coughing, dyspnea, and radiating pain to the back, neck and jaw? - Nifedipine - Prednisone - Isosorbide dinitrate - Aluminum hydroxide
- Aluminum hydroxide
Which medication increase the risk of ulcer development? SATA: - Aspirin - Fluoxetine - Misoprostol - Bethanechol - Metoclopramide
- Aspirin - Fluoxetine
For the patient with myasthenia gravis, which factors experienced in the patient's current life led to development of respiratory failure and a myasthenic crisis, requiring admission? SATA: - Attended the funeral of a family member earlier in the week - took an antibiotic prescribed for a UTI - was diagnosed with UTI previous week - Omitted pyridostigmine (Mestinon) on the previous day - Consistently took prescribed corticosteroid every other day - Laid down for a nap in a personal recliner after the noon meal each day
- Attended the funeral of a family member earlier in the week - took an antibiotic prescribed for a UTI - was diagnosed with UTI previous week - Omitted pyridostigmine (Mestinon) on the previous day
A nurse is teaching an obese patient with GERD measures that should be taken to prevent complications. What instructions should the nurse give? SATA: - Avoid tea and coffee - Maintain a low-fat diet - avoid smoking cigarettes - Lie down immediately after having food - use anticholinergic drugs, as prescribed
- Avoid tea and coffee - Maintain a low-fat diet - avoid smoking cigarettes
For the patient receiving initial medications for treatment of MS, which medication would the nurse associate with the patient's reports of flu-like symptoms, depressed feelings, and frequent thoughts of committing suicide? - Beta 1 interferon (Rebif) - Natalizumab (Tysabri) - Mitoxantrone (novantrone) - Dalfampridine (Ampyra)
- Beta 1 interferon (Rebif)
Which otolaryngologic symptoms occur in GERD? SATA: - Choking - Dyspnea - Wheezing - Hoarseness - Sore throat
- Choking - Hoarseness - Sore throat
For the patient with Parkinson's disease, which dietary adjustments would the nurse include in the plan of care to prevent malnutrition and constipation? SATA: - Cut food into bite-size pieces - Serve hot foods on a warmed plate - Include whole grains and fruits in the diet - Include plenty of food items high in protein - Provide three large meals rather than six small meals
- Cut food into bite-size pieces - Serve hot foods on a warmed plate - Include whole grains and fruits in the diet
Which prescribed IV injection would the nurse administer first for the patient experiencing status epilepticus? - Diazepam (Valium) - Phenytoin (Dilantin) - Vecuronium ( Norcuron) - Lactated Ringer's Injection
- Diazepam (Valium)
For the patient with Parkinson's disease who is taking levodopa with carbidopa (Sinemet), the nurse would monitor the potentional development of which side effects? SATA: - Dizziness - Dyskinesia - Severe Headache - Involuntary eyelid movements - severe nausea and vomiting
- Dyskinesia - Involuntary eyelid movements - severe nausea and vomiting
Which classic symptom of ALS would the nurse expect to identify when performing an assessment? - Dysuria - Dyspnea - Dysphagia - Dysreflexia
- Dysphagia
The nurse is preparing a lecture for nursing students on healthcare associated UTIs. Education should include ID of which organism as the primary cause? - Pseudomonas - Streptococcus - E. Coli - MRSA
- E. Coli
The nurse is reviewing the MAR for a patient with BPH. Which med inhibits the synthesis of dihydrotestosterone? - Tadalafil - Silodosin - Finasteride - Saw palmetto
- Finasteride
Which med is beneficial for a patient with a UTI secondary to fungal infection? - Ampicillin - Norfloxacin - Fluconazole - Phenazopyridine
- Fluconazole
A patient present with burning pain in the epigastrium accompanied by nausea. On interviewing the patient, the nurse finds that the patient has been taking NSAIDs on a regular basis to relieve headaches. Which condition should the nurse expect? - Gastritis - Achalasia - Esophagitis - GERD
- Gastritis
Which extracranial condition would the nurse associate with a patient's seizures? - Migraine - Meningitis - Brain tumor - HTN
- HTN
The nurse is caring for a patient with CKD. The patient's glomerular filtration rate if 15 mL/min. What are the treatment options the nurse would expect the HCP to discuss with the patient? SATA: - Nephrectomy - Hemodialysis - Peritoneal Dialysis - Kidney transplant in place of dialysis - Continuous ambulatory peritoneal dialysis
- Hemodialysis - Peritoneal Dialysis - Continuous ambulatory peritoneal dialysis
A patient with IBD is prescribed prednisone. For what complications that are associated with the medication should the nurse monitor? SATA: - TB - Hypokalemia - Hepatotoxicity - Hypersensitivity - Potential toxic megacolon
- Hypokalemia - Potential toxic megacolon
The nurse explains dietary modifications to a patient with hematuria and kidney stones. Which statement made by the patient indicates the need for further teaching? SATA: - I should limit my intake of asparagus - I should drink two glasses of milk everyday - i should limit my intake of carbonated beverages - I should include cheese in my diet, because it is rich in protein - I can have twi pieces of bread with butter for breakfast and dinner
- I should drink two glasses of milk everyday - I should include cheese in my diet, because it is rich in protein - I can have twi pieces of bread with butter for breakfast and dinner
The nursing instructor is evaluating the statements of a student nurse about medication safety for patients with acute kidney injury. Which statement by the student nurse indicates effective learning? - I should warn the patient about the use of OTC drugs - I should suggest that patients limit the course of antibiotics prescribed - I should instruct patients to go for a follow-up medical checkup every 6 months - I should instruct patients to take antihypertensives if their BP increases
- I should warn the patient about the use of OTC drugs
For the patient reporting difficulty with eye and eyelid movement, chewing, swallowing, speaking and breathing, which diagnostic findings would the nurse associate with myasthenia gravis? SATA: - Alteration of one copy of gene in DNA testing - Improved muscle contractibility during the Tensilon test - Presence of TRAP: tremor, rigidity, akinesia, and postural instability - Decreased response to repeated stimulation of hand muscles during EMG test - Increased immunoglobulin G levels in the CSF during CSF analysis test
- Improved muscle contractibility during the Tensilon test - Decreased response to repeated stimulation of hand muscles during EMG test
The result of a patient's recent endoscopy indicate the presence of PUD. Which teaching point should the nurse provide to the patient based on this new diagnosis? - "You'll need to drink at least 2-3 glasses of milk daily" - It would likely be beneficial for you to eliminate drinking alcohol." - Many people find a minced or pureed diet eases their symptoms of PUD." - Your medications should allow you to maintain your present diet while minimizing symptoms."
- It would likely be beneficial for you to eliminate drinking alcohol."
The nurse anticipates that which procedure will be prescribed as a therapeutic medical intervention for renal calculi? - Lithotripsy - Myelogram - Renal sonogram - Intravenous pyelogram
- Lithotripsy
The nurse is caring for a patient with IBS. To maintain remission, the nurse expects that the patient will receive a prescription for what medication? - Prednisone - Mesalamine - Azathioprine - Methotrexate
- Mesalamine
Which medication for PUD causes hallucinations? - Nizatidine - Sucralfate - Omeprazole - Metoclopramide
- Metoclopramide
For the patient voicing complaints of pain on the left side of the head, nausea, vomiting, and sensitivity, which potential condition would the nurse associate with the prescriber's treatment of corticosteroids? - Migraine - MS - cluster headache - Parkinson's disease
- Migraine
Which medication is prescribed for the prevention of peptic ulcers caused by NSAIDs and aspirin? - Famotidine - Imipramine - Misoprostol - Clarithromycin
- Misoprostol
A nurse assesses a male patient who reports numerous urinary symptoms. Which early signs of BPH does the nurse recognize? SATA: - Nocturia - Urinary frequency - ED - Overflow incontinence - reduced force of urinary stream - difficulty in starting the flow of urine
- Nocturia - Urinary frequency - reduced force of urinary stream - difficulty in starting the flow of urine
Which neurodegenerative disorder has the characteristics of rigidity and bradykinesia? - MS - Parkinson's Disease - Lou Gehrig's disease - Huntington's disease
- Parkinson's Disease
Which condition is consistent with excessive daytime sleepiness and a decreased dopamine level? - Narcolepsy - Jet lag disorder - Alzheimer's Disease - Parkinson's disease
- Parkinson's disease
Upon review of four patients' medical records, which patient would the nurse suspect as being susceptible to developing Parkinson's disease? - Patient A: Deficiency of dopamine - patient B: Cauda equine - Patient C: Intracranial injury - Patient D: Acute Hemorrhage
- Patient A: Deficiency of dopamine
Upon review of four assigned patients' diagnostic and medication reports, which patient's HCP would the nurse contact for clarification immediately? - Patient A with a migraine headache prescribed Naratriptan - Patient B with a cluster headache prescribed Zolmitriptan - Patient C with a tension-type headache on Sumatriptan/Naproxen - Patient D with a migraine headache prescribed acetaminophen, caffeine and aspirin
- Patient C with a tension-type headache on Sumatriptan/Naproxen
A nurse is caring for a patient diagnosed with PUD. On assessment, the nurse identifies spillage of gastric contents into the duodenal cavity. Which complication supports the finding? - Perforation - Hemorrhage - Dumping syndrome - Gastric outlet obstruction
- Perforation
When evaluating the presence of an initial symptom of Parkinson's disease, which clinical manifestation would the nurse evaluate? - Akinesia - Aspiration - Forgetfulness - Pill- rolling tremors
- Pill- rolling tremors
Regarding the patient with Parkinson's Disease who recently entered a long- term care facility, which action would the healthcare team implement to promote adequate nutrition for this patient? - Provide multivitamins with each meal - Provide a diet low in complex carbohydrates and high in protein - Provide small, frequent meals throughout the day that are easy to chew and swallow - Provide the patient with minced or pureed diet, high in potassium and low in sodium
- Provide small, frequent meals throughout the day that are easy to chew and swallow
For the patient with Parkinson's disease who has difficulty swallowing, which intervention would the nurse initially include in the patient's plan of care? - Arrange for someone to feed the patient - Provide the patient with semisolid or soft foods - Encourage the patient to drink fluids with meals - Place food into the unaffected side of the patient's mouth
- Provide the patient with semisolid or soft foods
What are the postrenal causes of acute kidney injury? SATA: - Renal calculi - Renal trauma - Prostate cancer - Kidney ischemia - Myoglobin release
- Renal calculi - Renal trauma - Prostate cancer
When planning the care for a patient with MS who has an exacerbation of sensory deficits, for which patient problem would the nurse develop nursing interventions? - Risk for injury - acute confusion - FVD - ineffective thermoregulation
- Risk for injury
A relapsing- remitting initial course followed by the disease with or without relapses are characteristics of which type of MS? - Relapse-remitting - Primary- progressive - Progressive- relapsing - Secondary- progressive
- Secondary- progressive
Which teaching will the nurse provide for a patient with SLE who presents to the ER after a grand mal seizure? - Seizures are caused by epilepsy; this is not related to SLE - Seizures are a common occurrence in SLE; this is nothing to worry about - Seizures are a common occurrence in SLE but can ideally be managed with oral meds - Seizures are extremely rare in patients with SLE; the patient will need a further workup to determine the cause of the seizure
- Seizures are a common occurrence in SLE but can ideally be managed with oral meds
For the patient taken to the hospital after a seizure, which characteristic pattern reported by the patient's caregiver would the nurse associate with those of a tonic- clonic seizure? - Stiffening of the body for 20 seconds, followed by jerking of the extremities for 40 seconds - jerking of the extremities for 20 seconds, followed by stiffening of the body for 40 seconds - stiffening of the body for 30 seconds, followed by jerking of the extremities for 10 seconds - jerking of the extremities for 20 seconds, followed by stiffening of the body for 10 seconds
- Stiffening of the body for 20 seconds, followed by jerking of the extremities for 40 seconds
A patient reports incontinence, nocturia, urgency and intermittency and is also found to have excessive accumulation of dihydroxytestosterone in the prostate cells. What meds does the nurse educate the patient about for treatment of this condition? SATA: - Terazosin - Vardenafil - Finasteride - Papaverine - Phentolamine
- Terazosin - Finasteride
Which explanation would the nurse provide the patient who asked why he or she is on 100% oxygen for cluster headaches? - The oxygen assists in increasing the release of glutamate in your brain - The administration of 100% oxygen increases your synthesis of serotonin - Acetylcholine secretion decreases with higher oxygenation saturation levels - Your dopamine levels are high, and the oxygen decreases dopamine secretion
- The administration of 100% oxygen increases your synthesis of serotonin
Which patient complaint would the nurse indicate that the individual may be experiencing clinical manifestations of a cluster headache? - This pain is followed by severe nausea - The pain lasts for longer than 8 hours - You don't understand, the pain is constant - The pain wakes me up and disturbs my sleep at night
- The pain wakes me up and disturbs my sleep at night
The nurse identifies that which drug should be used with caution in a patient with renal failure? - Cinacalcet - Paricalcitol - Gemfibrozil - Vancomycin
- Vancomycin
While caring for a patient with IBD, the nurse notes that the patient has malabsorption. What deficiency does the nurse expect to find in the patient? - Zinc deficiency - Iron deficiency - Calcium deficiency - Vitamin D Deficiency
- Vitamin D Deficiency
The patient with Parkinson's disease lost 35 pounds over the last two months, and a swallow study indicates ability to swallow without aspiration. Which intervention would the nurse discuss with the patient and spouse to improve nutritional intake? - Include chewy foods so that the patient builds up the jaw muscles - administer prescribed carbidopa/levodopa with a protein drink - allow adequate time for the patient to eat each of six small meals - encourage the patient to eat at least every 2 hours while awake
- allow adequate time for the patient to eat each of six small meals
For the patient with MS, which action would the nurse classify as a priority intervention when developing the patient's plan of care? - refer the patient for genetic counseling - teach the patient about meds used during acute exacerbations - assist the patient in identifying the factors that precipitate exacerbations - instruct the patient in the proper technique for self-administration of an enema
- assist the patient in identifying the factors that precipitate exacerbations
Nurses have a major role in prevention of UTIs. Which guidelines can help prevent hospital-acquired UTIs? SATA: - avoid unnecessary catheterization - perform intermittent catheterization every 4 hours - wash hands before and after contact with each patient - wash around catheter insertion site with betadine daily - perform routine and thorough perineal hygiene for hospitalized patients
- avoid unnecessary catheterization - wash hands before and after contact with each patient - perform routine and thorough perineal hygiene for hospitalized patients
The nurse explains to the patient with GERD that this is a disorder that can be aggravated by which of the following? SATA: - caffeine - chocolate - dietary fiber - orange juice - cigarette smoking - high protein foods
- caffeine - chocolate - orange juice - cigarette smoking
For which condition would the nurse administer 100% oxygen immediately? - cluster headache - MS - Parkinson's disease - migraine headache
- cluster headache
Which condition would the nurse anticipate integrating into the patient's care plan when the patient reports swelling around one eye, gum pain, unilateral lacrimation and nasal congestion after applying perfume? - cluster headache - MS - Parkinson's disease - Migraine headache
- cluster headache
Which type of headache would the nurse associate with the patient's report of the headache occurring on the right side of the head around the right eye and having a sharp, penetrating pain? - cluster headache - migraine headache - tension-type headache - medication overuse headache
- cluster headache
The nurse is teaching patient who are at an increased risk of UTIs about the use of cranberry products in preventing UTIs. What important instructions should the nurse include in the teaching? SATA: - cranberry has no effect on UTIs - cranberry juice is more effective than capsules - cranberry products have a protective effect in preventing UTIs - drinking an adequate amount of fluid is important in preventing UTIs - taking cranberry capsules and not drinking water will prevent UTIs
- cranberry juice is more effective than capsules - cranberry products have a protective effect in preventing UTIs - drinking an adequate amount of fluid is important in preventing UTIs
When reviewing the admission assessment data of a hospitalized pediatric patient, which findings would the nurse associate with the clinical manifestations of typical absence seizures? SATA: - birth injury - daydreaming - hyperventilation - loss of consciousness - Electroencephalogram (EEG)
- daydreaming - hyperventilation - Electroencephalogram (EEG)
A nurse is assessing a patient with CKD. The nurse finds that the patient has pallor, and the blood reports are suggestive of anemia. What could be the most likely cause of anemia? - excess blood loss - decreased intake of iron - decreased thyroid gland activity - decreased erythropoietin production
- decreased erythropoietin production
Which information would the nurse include when teaching a patient with MS about the advantages of exercise during remission? SATA: - decreases spasticity - increases coordination - helps to regain bladder control - delays the demyelination process - retrains unaffected muscles to substitute for impaired ones
- decreases spasticity - increases coordination - retrains unaffected muscles to substitute for impaired ones
A patient is diagnosed with urinary retention related to BPH. What is the purpose of urinary catheterization in the patient? - decreasing urinary stasis - facilitating bladder irrigation - collecting a sterile urine sample - facilitating med instillation
- decreasing urinary stasis
For which clinical manifestation that occurs in both ulcerative colitis and Crohn's disease should the nurse monitor the patient? - vomiting - diarrhea - hypocalcemia - rectal bleeding
- diarrhea
Which clinical manifestations of IBD are common to both patients with ulcerative colitis and Crohn's disease? SATA: - Restricted to rectum - strictures are common - diarrhea stools - cramping abdominal pain - lesions that penetrate the intestine
- diarrhea stools - cramping abdominal pain
When performing a physical exam of a patient with Parkinson's disease, which associated clinical manifestations would the nurse likely identify? SATA: - Nystagmus - Patchy blindness - drooling of saliva - decreased arm swelling - shuffling, propulsive gait
- drooling of saliva - decreased arm swelling - shuffling, propulsive gait
A patient with spinal cord injury has to be catheterized. Which nursing interventions will help to prevent UTI? SATA: - empty the urine bag whenever it is 25% filled - ensure regular and complete drainage of the bladder - start intermittent catheterization once the patient is stabilized - maintain the urine drainage bad above the level of the bladder - cleans the patient's genitalia using aseptic before placing the catheter
- ensure regular and complete drainage of the bladder - start intermittent catheterization once the patient is stabilized - cleans the patient's genitalia using aseptic before placing the catheter
A nurse assesses a patient with suspected PUD. Which symptom will the patient most likely report? - vomiting after meals - abdominal distention after eating - intolerance of fatty and spicy foods - epigastric discomfort relieved by eating
- epigastric discomfort relieved by eating
Which seizure activity would the nurse associate with a patient's jerky muscle movements of the extremities, as well as bowel and bladder incontinence during the event? - aura seizures - postictal seizures - generalized seizures - simple partial seizures
- generalized seizures
The nurse is teaching a patient who recently had an episode of urolithiasis with calcium oxalate stones about nutritional therapy. What instructions should the nurse include? SATA: - increase intake of milk - limit consumption of colas - increase consumption of coffee - take in at least 3 L of fluid daily - limit intake of dried fruits and nuts
- limit consumption of colas - take in at least 3 L of fluid daily - limit intake of dried fruits and nuts
If a patient has Parkinson's disease, which patient reaction would the nurse expect when performing a pull test by standing behind the patient and giving a tug backward on the patient's shoulders? - loses balance and sits down - loses balance and falls forward - loses balance and falls backward - loses balance and becomes unconscious
- loses balance and falls backward
The nurse is assessing the risk factors for urinary tract calculi in a group of patients. What are the factors that the nurse knows contribute to the development of urinary tract calculi? SATA: - low fluid intake - diet low in calcium - sedentary occupation - excessive intake of tea - adequate intake of dietary proteins
- low fluid intake - sedentary occupation - excessive intake of tea
Which patient actions would be responsible for a reported decrease in headache events at a follow-up clinic visit? SATA: - meditating in the evenings - taking lithium each morning - performing hot yoga in the mornings - taking sumatriptan once a day - taking a muscle relaxant before going to bed
- meditating in the evenings - performing hot yoga in the mornings - taking sumatriptan once a day
Which disorder would the nurse associate with a patient's clinical manifestations of a throbbing headache and photophobia occurring prior to the headache's onset, as well as a history of this type of headache? - polycythemia vera - cluster headache - migraine headache - hemorrhagic stroke
- migraine headache
Which patient statements, made during the nurse's neurological assessment, support the HCP's diagnosis of cluster headache? SATA: - my cheeks also ache during the headache - my skin appears pale during the headache - I feel like my limbs are moving during the headache - I don't feel like sitting in one place during the headache - I have a strong desire to eat ice cream and chocolate during the headache
- my cheeks also ache during the headache - my skin appears pale during the headache - I don't feel like sitting in one place during the headache
When a patient's clinical manifestations include visual disturbances and seizures, which area of the brain would the nurse identify as the most likely location of the diagnosed brain tumor? - subcortical - parietal lobe - occipital lobe - temporal lobe
- occipital lobe
The urinalysis of a male patient reveals a high microorganism count. What data should the nurse use to determine the area of the urinary tract that is infected? SATA: - pain location - fever and chills - mental confusion - urinary hesitancy - urethral discharge - postvoid dribbling
- pain location - urethral discharge
Which nursing strategy should be implemented when caring for a patient who has Parkinson's disease and is at a risk for falling? - obtain an order for physical restraints to be used - perform hourly rounds to assess the patient's needs - encourage the patient to stay in bed to nap frequently - ask family members to stay with the patient at all times
- perform hourly rounds to assess the patient's needs
The nurse reviews the medical record of a patient with IBD and notes hypoalbuminemia. The nurse recognizes that the finding is indicative of what condition? - perforation - inflammation - poor nutrition - toxic megacolon
- poor nutrition
Which criterion would the nurse associate with the HCP's diagnosis of Parkinson's disease? SATA: - decreased serum dopamine levels - tumor present in the thymus gland - positive response to antiparkinsonian medications - MRI shows areas of plaque on cranial nerves - presence of two of the three classic features: rigidity, bradykinesia, and tremor
- positive response to antiparkinsonian medications - presence of two of the three classic features: rigidity, bradykinesia, and tremor
When teaching a patient about techniques to manage urinary incontinence, which instructions are most important for the nurse to include? SATA: - practice timed voiding - drink a cup of coffee - perform pelvic floor muscle training - perform intermittent catheterization - use incontinence protective pads
- practice timed voiding - perform pelvic floor muscle training - use incontinence protective pads
During an acute exacerbation of the patient's MS, which interventions would the nurse implement? SATA: - assist the patient with the grieving process - prevent the complication of pressure ulcers - prevent the complication of UTIs - teach the patient to build a general resistance to illness - teach the patient to maintain a good balance between exercise and rest
- prevent the complication of pressure ulcers - prevent the complication of UTIs
Which intervention would the nurse implement when a patient experiences a generalized tonic-clonic seizure? - restrain the patient's arms and legs - control head movements of the patient - protect the patient's head and extremities - insert a tongue blade between the patient's teeth
- protect the patient's head and extremities
For patients with ALS, which treatment goal focuses on preventing a common cause of death in patients with ALS? - reduced fat intake - reduced risk of aspiration - decreased injury related to falls - decreased pain secondary to muscle weakness
- reduced risk of aspiration
The nurse is assessing a patient with hematuria. What possible causes does the nurse anticipate for this condition? SATA: - renal calculi - blood dyscrasias - DM - severe dehydration - Genitourinary tract cancer
- renal calculi - blood dyscrasias - Genitourinary tract cancer
A patient is on NSAIDs. Which complication does the nurse anticipate? - Achalasia - Duodenal ulcer - stomach cancer - silent peptic ulcer
- silent peptic ulcer
Which disorder would the nurse associate with a patient's seizure lasting longer than five minutes and occurring in rapid succession without a return to consciousness between seizures? - epilepsy - tonic seizure - absence seizure - status epilepticus
- status epilepticus
For the patient who sustained a head trauma, which type of seizure might he or she experience while on a ventilator and receiving sedation medications in the ICU? - atonic seizure - myoclonic seizure - subclinical seizure - tonic-clonic seizure
- subclinical seizure
Which nursing intervention is most appropriate in providing care for an adult patient with newly diagnosed adult onset polycystic kidney disease? - help the patient cope with the rapid progression of the disease - suggest genetic counseling resources for the children of the patient - expect the patient to have polyuria and poor concentration ability of the kidneys - implement appropriate measures for the patient's deafness and blindness in addition to the renal problems
- suggest genetic counseling resources for the children of the patient
When teaching the clinical manifestations of cluster headaches to a group, which statement would the nurse include? - you may experience the pain for 4 to 72 hours - when experiencing the pain, nausea os often present - the pain may switch to the anterior side of your head - the pain experienced in cluster headaches is unilateral
- the pain experienced in cluster headaches is unilateral
Which seizure disorder typically occurs in children and rarely continues beyond adolescence? - focal seizures - tonic-clonic seizures - psychogenic seizures - typical absence seizures
- typical absence seizures
Which diagnostic criterion would the nurse include for migraine headaches when explaining the difference between a migraine headache and a tension type headache? - unilateral pain - pain that does not throb - movement does not affect its severity - photophobia or phonophobia, but not both
- unilateral pain
Which type of urinary incontinence is caused by interstitial cystitis? - urge incontinence - stress incontinence - overflow incontinence - functional incontinence
- urge incontinence
A nurse assesses a patient with renal calculi and expects to find what clinical manifestations? - polyuria and fever - vomiting and flank pain - hematuria and diarrhea - abdominal pain and constipation
- vomiting and flank pain
When teaching a female patient about measures to prevent recurrent UTI, what instructions should the nurse include? SATA: - urinate every 6 hours - wipe from front to back after urinating - empty the bladder before and after sex - use vaginal douches or sprays to clean the perineal area - cleanse with warm soapy water after each bowel movement
- wipe from front to back after urinating - empty the bladder before and after sex - cleanse with warm soapy water after each bowel movement
Which specific patient assessments would the nurse perform immediately after a status epilepticus event subsides? SATA: - Pain -oxygenation - apical heart rate - oral body temperature - respiratory rate and pattern
-oxygenation - oral body temperature - respiratory rate and pattern
