EAQ Assignment 3

Which condition would the nurse anticipate in a client who reports swelling of the scrotum with no pain? -Chancroid -Hydrocele -Spermatocele -Incarcerated hernia

-Hydrocele

Which laboratory test provides evidence consistent with a client having renal impairment? Select all that apply. -Serum albumin: 4.7 -Serum creatinine: 2.0 -Serum potassium: 5.9 -Serum cholesterol: 120 -BUN: 32

-Serum creatinine: 2.0 -Serum potassium: 5.9 -BUN: 32

Which complication would the nurse monitor for in a client receiving hemodialysis for chronic kidney disease? -Peritonitis -Hepatitis B -Renal calculi -Bladder infection

-Hepatitis B

The urinalysis report of a client reveals a pH of 6.0, turbidity/cloudiness, specific gravity of 1.020, and 0.6 mg/dl of proteins. Which condition can be inferred from the findings? -Infection -Glomerular disorder -Acid-base imbalance -Decreased kidney perfusion

-Infection

Which nursing action during a focused urinary assessment would the nurse use to collect subjective client data? Select all that apply. -Inquire about painful urination. -Ask the client about changes in characteristics of urination. -Assess the levels of blood urea nitrogen and creatinine. -Palpate the abdomen for bladder distention or masses. -Inspect the urinary meatus for inflammation or discharge.

-Inquire about painful urination. -Ask the client about changes in characteristics of urination.

Which condition would the nurse suspect if a client's laboratory reports show white blood cells (WBCs) in the urine? -Pyelonephritis -Kidney trauma -Kidney infection -Acute tubular necrosis

-Kidney infection

Which condition would the nurse suspect in a client with mumps who reports pain, inflammation, and swelling of the testes? -Orchitis -Salpingitis -Ductal ectasia -Fibroadenoma

-Orchitis

Which disorder would the nurse suspect in a client reporting dysuria, hesitancy, urinary urgency, and urinary leakage whose serum prostate-specific antigen (PSA) level is 5 ng/ml with an elevated prostatic acid phosphatase (PAP) level? -Orchitis -Hydrocele -Prostatitis -Prostate cancer

-Prostate cancer

A postoperative client has 180 ml of urine in the urinary drainage bag from the past 8 hours. For which condition would the nurse monitor? -Renal failure -Liver cirrhosis -Diabetes mellitus -Rheumatoid arthritis

-Renal failure

Which finding of a client several hours after removal of a catheter inserted a week prior after pelvic surgery indicates a need for reinsertion of the catheter? -Anuria -Polyuria -Retention -Incontinence

-Retention

Which response would the nurse give to a client with cancer of the bladder and pending surgical intervention who asks, "If they remove my bladder, how will i be able to urinate?" -"You can still function normally without a bladder." -"I am sure this is very upsetting to you, but it will be over soon." -"I know you're upset, but there are alternatives to removing your bladder." -"The tests will help determine whether your bladder has to be removed."

-"I know you're upset, but there are alternatives to removing your bladder."

Which statements made by the student nurse indicate the need for further teaching about preparedness when responding to a fire in the health care facility? Select all that apply. -"I will direct the stable clients to walk to a safe location on their own." -"I will ask ambulatory clients to help push wheelchair clients out of danger." -"I will endanger myself while moving and protecting the clients from the fire." -"I will continue to provide oxygen to the clients that can breathe on their own." -"I will move immobile clients from the fire area in a bed, stretcher, or wheelchair."

-"I will endanger myself while moving and protecting the clients from the fire." -"I will continue to provide oxygen to the clients that can breathe on their own."

Which response would the nurse give to a client with end-stage renal disease who states, "I heard that it is inevitable that I will need a kidney transplant. If so, which one of my kidneys will be removed?" -"Neither of your kidneys will be removed unless they become infected." -"The kidney that is the most diseased is removed and replaced with a new one." -"Your primary health care provider determines which kidney is replaced with a new one." -" Your right kidney will be removed, because it has a longer renal vein, making transplantation easier."

-"Neither of your kidneys will be removed unless they become infected."

Which intervention would the nurse include in the plan of care of a 75-year-old male with a history of prostate cancer admitted for a prostatectomy whose prostate specific antigen (PSA) levels have been increasing? -Encourage the client to drink extra fluids. -Institute seizure precautions. -Monitor the plasma pH for acidosis. -Handle the client gently when turning.

-Handle the client gently when turning.

Which information would the nurse include when counseling a client with amyotrophic lateral sclerosis (ALS)? Select all that apply. -Space planned activities throughout the day. -Engage in social interactions with large groups. -Request an opioid if leg pain becomes excessive. -Anticipate the use of alternative ways to communicate. -Use leg restraints to decrease the risk for physical injury.

-Space planned activities throughout the day. -Anticipate the use of alternative ways to communicate.

Which scenarios are examples of the Quality and Safety Education for Nurses (QSEN) competency called quality improvement? Select all that apply. -The nurse studies old medical cases about clients with Alzheimer disease before formulating the care plan for a client. -The nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional health care practices. -The nurse demonstrates the method of using electronic health records to assure a client about confidentiality of the records. -The nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. -The nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.

-The nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional health care practices. -The nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators. -The nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.

Which nursing assessment would performed by a nurse before administering intravenous (IV) infusion of potassium chloride (KCl) 40 mEq in 100 mL of 5% dextrose and water to be infused over 2 hours? Select all that apply. -Urinary output -Deep tendon reflexes -Last bowel movement -Arterial blood gas results -Last serum potassium level -Patency of the intravenous access

-Urinary output -Last serum potassium level -Patency of the intravenous access

An older adult who has an endocrine disorder is scheduled for a diagnostic study with contrast medium. The nurse identifies that it is essential for which laboratory test to be performed before the procedure? -Urine pH -Serum creatinine -Serum albumin -Creatinine clearance

-Serum creatinine

Which foods would the nurse teach a client to avoid when diagnosed with calcium oxalate renal calculi? Select all that apply. -Milk -Tea -Liver -Spinach -Rhubarb

-Tea -Spinach -Rhubarb

Which instruction form the primary health care provider would the nurse anticipate reinforcing with a client who is on metformin therapy and is scheduled to undergo renal computed tomography (CT) with contrast dye? -"Discontinue metformin 1 day before the procedure." -"Discontinue metformin 1 week before the procedure." -"Discontinue metformin 3 days after the procedure." -"Discontinue metformin 7 days after the procedure."

-"Discontinue metformin 1 day before the procedure."

Which information is essential for the nurse to explain to the client who has scheduled a vasectomy? -Recanalization of the vas deferens is impossible. -Unprotected coitus is safe within 1 week to 10 days. -Some impotency is to be expected for several weeks after the procedure. -At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked.

-At least 15 ejaculations to clear the tract of sperm must occur before the semen is checked.

Which test result would confirm the diagnosis of benign prostatic hyperplasia (BPH)? -Digital rectal examination -Serum phosphatase level -Biopsy of prostatic tissue -Massage of prostatic fluid

-Biopsy of prostatic tissue

Which catheter would the nurse use when a primary health care provider has prescribed an indwelling urinary catheter for a client? -A -B -C -D

-C

Which medication is prescribed to improve the physical manifestations of Parkinson disease? -Carbidopa-levodopa -Isocarboxazid -Dopamine -Pyridoxine(vitamin B6)

-Carbidopa-levodopa

Which activities would the nurse include when teaching adults about activities that increase the risk of developing bladder cancer? Select all that apply. -Jogging 3 miles a day -Drinking three cans of cola a day -Smoking two packs of cigarettes a day -Working with dyes used in rubber every day -Using a jackhammer and chainsaw every day

-Smoking two packs of cigarettes a day -Working with dyes used in rubber every day

Which condition would the nurse suspect when an adolescent has pain, swelling, and inflammation of the testis; abdominal pain; and occasional immobilization of the scrotum? -Varicocele -Epididymitis -Testicular torsion -Testicular cancer

-Testicular torsion

Which renal complication is likely to cause a client to experience anorexia, itching, nausea, vomiting, and muscle cramps? -Uremia -Nephritis -Nephrosis -Renal colic

-Uremia

Which clinical finding would the nurse anticipate for a client who has an exacerbation of multiple sclerosis? Select all that apply. -Double Vision -Resting tremors -Flaccid paralysis -Scanning Speech -Intellectual disability

-Double vision -Scanning speech

A client arrives at a health clinic reporting a recent onset of hematuria, frequency, urgency, and pain on urination. Which diagnosis will the nurse observe in the client's medical record? -Chronic glomerulonephritis -Nephrotic syndrome -Pyelonephritis -Cystitis

-Cystitis

A client who has renal failure asks the nurse why anemia keeps recurring. Which reason would the nurse explain to the client? -Increase in blood pressure -Decrease in erthropoietin -Increase in serum phosphate levels -Decrease in sodium concentration

-Decrease in erthropoietin

Which adverse effect would the nurse explain to an ambulatory client with relapsing-remitting multiple sclerosis while receiving every-other-day injections of interferon beta-1a? Select all that apply. -Depression -Polycythemia -Flu-like symptoms -Increased risk for infection -Decreased perspiration

-Depression -Flu-like symptoms -Increased risk for infection

Which nursing action is most important for a client with urinary retention related to benign prostatic hyperplasia who has a secondary diagnosis of delirium related to urosepsis and a prescription for the insertion of an indwelling urinary retention catheter? -Secure a prescription for wrist restraints. -Orient the client to time, place, and person. -Involve family members in the client's care. -Determine whether any unsafe behavior patterns exist.

-Determine whether any unsafe behavior patterns exist.

Which clinical finding would the nurse expect when completing a health history and physical assessment for a client who has myasthenia gravis? Select all that apply. -Double vision -Problems with cognition -Difficulty swallowing saliva -Intention tremors of the hands -Drooping of the upper eyelids -Nonintention tremors of the extremities

-Double vision -Difficulty swallowing saliva -Drooping of the upper eyelids

Which cytokine would the nurse teach a client is treatment for multiple sclerosis? -B-Interferon -Interleukin-2 -Erythropoietin -Colony-stimulating factor

-B-Interferon

Which client would the nurse instruct to limit their number of visitors as a safety priority? -Client A-undergoing brachytherapy -Client B-undergoing prostate surgery -Client C-who underwent uterine artery embolization -Client D-who underwent an open spinal reconstructive surgery for scoliosis

-Client A-undergoing brachytherapy

A client with positive family history of testicular cancer arrives at the hospital and reports testicular pain. The primary health care provider reviews the laboratory reports and makes a diagnosis of testicular cancer. After surgery, the client will undergo chemotherapy. Which condition might occur in this client after chemotherapy? Select all that apply. -Infertility -Varicocele -Heart disease -Penile carcinoma -Metabolic syndrome

-Infertility -Heart disease -Metabolic syndrome

Which test result would the nurse anticipate in the laboratory reports of a client with a diagnosis of end-stage renal disease? -Arterial pH of 7.5 -Hct of 54% -K of 6.3 mEq/L -Creatinine of 1.2 mg/dL

-K of 6.3 mEq/L

Upon review of four clients' urinalysis reports, which client's results support the nurse's suspicion that the client may be developing kidney disease? -Client A-serum creatinine: 1.1 -Client B-BUN 18 -Client C-serum creatinine: 2.5 -Client D- BUN 20

-Client C-serum creatinine: 2.5

For which reason would a lumbar puncture (LP) be performed on a client? Select all that apply. -Confirming spinal cord injuries -Assessing sensory nerve problems -Measuring blood flow in many areas -Reading cerebrospinal fluid (CSF) pressure -Injecting contrast medium for diagnostic study

-Reading cerebrospinal fluid (CSF) pressure -Injecting contrast medium for diagnostic study

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

-Regularly offer the client a urinal.

Which physiological change that occurs with aging causes stress incontinence? Select all that apply. -Estrogen deficiency -Prostatic enlargement -Decreased bladder capacity -Decreased sensory receptors -Unstable bladder contractions -Weakening of the urinary sphincter

-Estrogen deficiency -Weakening of the urinary sphincter

Which clinical finding would the nurse expect when assessing a client newly diagnosed with myasthenia gravis? -Tearing -Diplopia -Nystagmus -Exophthalmos

-Diplopia

Which component of the client's nephron delivers blood from the glomerulus into the peritubular capillaries or the casa recta? -Arcuate artery -Efferent arteriole -Afferent arteriole -Interlobular artery

-Efferent arteriole

Which complication would the nurse assess in both clients who have Parkinson disease and clients who have myasthenia gravis? -Cogwheel gait -Impaired cognition -Difficulty swallowing -Nonintention tremors

-Difficulty swallowing

Which autoimmune disease affects the central nervous system? -Uveitis -Celiac disease -Multiple sclerosis -Goodpasture syndrome

-Multiple sclerosis

Which findings would support a client's diagnosis of Parkinson disease? Select all that apply. -Nonintentional tremors -Frequent bouts of diarrhea -Masklike facial expression -Hyperextension of the neck -Rigidity to passive movement

-Nonintentional tremors -Masklike facial expression -Rigidity to passive movement

A client is scheduled for a kidney ultrasound. Which instructions would be given by the nurse? Select all that apply. -"Drink plenty of fluids." -"Eat foods rich in fiber." -"Do not urinate before the examination." -"Lie flat and perfectly still during the test." -"A urinary catheter may be needed temporarily for the test."

-"Drink plenty of fluids." -"Do not urinate before the examination." -"Lie flat and perfectly still during the test."

An adolescent male complains of painful urination and yellow-green mucosal discharge from the urethra without abdominal pain. Which condition would the nurse suspect? -Varicocele -Testicular torsion -Epididymitis -Gynecomastia

-Epididymitis

When would the nurse observe a client to assess their level of functioning? Select all that apply. -During mealtime -When talking about pain -When preparing medication -During the assessment interview -When administering insulin injections

-During mealtime -When preparing medication -When administering insulin injections

Which goal is the nurse trying to achieve with continuous bladder irrigations (CBI) of a client who has undergone a suprapubic prostatectomy for cancer of the prostate? -Stimulate continuous formation of urine. -Facilitate the measurement of urinary output. -Prevent the development of clots in the bladder. -Provide continuous pressure on the prostatic fossa.

-Prevent the development of clots in the bladder.