MS 4
A patient who has benign prostatic hyperplasia (BPH) with urinary retention is admitted to the hospital with elevated blood urea nitrogen (BUN) and creatinine. Which prescribed therapy would the nurse implement first?
Insert a urinary retention catheter.
Which information will the nurse teach a patient who has chronic prostatitis?
Intercourse or masturbation will help relieve symptoms.
Which prescribed medication would the nurse give first to a patient who has just been admitted to a hospital with acute angle-closure glaucoma?
Mannitol (Osmitrol) 100 mg IV
After a transurethral resection of the prostate (TURP), a patient with continuous bladder irrigation reports painful bladder spasms. The nurse observes clots in the urine. Which action would the nurse take first?
Manually in still and withdraw 50 mL of saline through the catheter.
Which assessment would thenurse make to evaluate theeffectiveness of treatment for thepatient's myopia and presbyopia?
Near and distant vision
he nurse is teaching a patient about breast self-examination. Which area on the accompanying illustration would the nurse identify as the area that most breast cancers are located?
ONE
Which information would the nurse plan to teach a 67-yr-old patient who has been diagnosed with orchitis?
Pain management
A teenaged male patient who is on a wrestling team is examined by the nurse in the clinic. Which assessment finding would prompt the nurse to teach the patient about preventing the spread of pediculosis?
Papular, wheal-like lesions with white deposits on thehair shaft
Which information would the nurse include when teaching a young women's community service group about breast self-examination (BSE)?
Performing BSE after the menstrual period is more comfortable.
Which observation about the skin of an older patient is the priority for the nurse to discuss with the health care provider?
Petechiae on thechest and abdomen
Which topic would the nurse plan to teach a 57-year-old man who is scheduled for an annual physical examination?
Prostate-specific antigen (PSA) testing
There is one opening in theschedule at thedermatology clinic, and four patients are seeking appointments today. Which patient will thenurse schedule for theavailable opening?
38-year-old with a 7-mm nevus on theface that has recently become darker
Several patients call the urology clinic requesting appointments with the health care provider as soon as possible. Which patient will the nurse schedule to be seen first?
A 22-yr-old patient who has noticed a firm, nontender lump on his scrotum
The nurse in the clinic notes elevated prostate-specific antigen (PSA) levels in the laboratory results of these patients. Which patient's elevated PSA result requires further evaluation?
A 48-yr-old patient whose father died of metastatic prostate cancer
The nurse working in the clinic receives telephone calls from several patients who want appointments as soon as possible. Which patient should be seen first?
71-yr-old who has noticed increasing loss of peripheral vision
A 36-yr-old patient who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?
An area on the breast is hot, pink, and tender to the touch.
A 27-yr-old patient who has testicular cancer is being admitted for a unilateral orchiectomy. The patient does not speak to his wife and only responds briefly to the nurse to answer the admission questions. Which action would the nurse take?
Ask the patient if he has any questions or concerns about the diagnosis and treatment.
How would thenurse evaluate a patient for improvement after treatment of primary open-angle glaucoma (POAG)?
Assess for changes in thepatient's visual field
Which health history information would the nurse obtain from the patient who has possible testicular cancer?
Undescended testicles
Which instructions would thenurse provide for a patient who has impetigo?
Clean the crusted areas with soap and water.
The nurse is caring for a patient diagnosed with furunculosis. Which action could the nurse delegate to assistive personnel (AP)?
Cleaning the skin with antimicrobial soap
The nurse notes that a new patient at the outpatient clinic has dry, scaly skin; thin hair; and thick, brittle nails. Which action is the most important for thenurse to take?
Consult with thehealth care provider about further diagnostic testing.
Which instruction would the nurse give the patient who is incontinent of urine following a radical retropubic prostatectomy
Do pelvic muscle exercises.
A patient who was recently diagnosed with benign prostatic hyperplasia (BPH) tells the nurse that he does not want to have a transurethral resection of the prostate (TURP) because it might affect his ability to have sexual intercourse. Which action would the nurse take?
Explain that TURP may cause retrograde ejaculation.
What will the nurse ask the patient about to determine the severity of benign prostatic hyperplasia (BPH) symptoms?
Force of urinary stream
A patient with urinary obstruction from benign prostatic hyperplasia (BPH) tells the nurse, ―My symptoms are much worse this week Which response would the nurse make?
Have you taken any over-the-counter (OTC) medications recently?
The health care provider prescribes finasteride (Proscar) for a patient who has benign prostatic hyperplasia (BPH). Which information would the nurse provide about the drug?
His interest in sexual activity may decrease while he is taking the medication.
Which assessment data from an older patient admitted with bacterial pneumonia would be of concern to thenurse?
History of allergic rashes
The nurse is assessing a 65-yr-old patient for presbyopia. Which instruction would the nurse give the patient before the test?
Hold this card and read theprint out loud
A 70-yr-old patient who has had a transurethral resection of the prostate (TURP) for benign prostatic hyperplasia (BPH) is being discharged from the hospital today. Which patient statement indicates a need for the nurse to provide additional instruction?
I should call the doctor if I have incontinence at home
A 65-yr-old patient is being evaluated for glaucoma. Which information from the patient has implications for the patient's interprofessional treatment plan?
I take metoprolol (Lopressor) for angina.
Assessment of a patient's visual acuity reveals that theleft eye can see at 20 feet what a person with normal vision can see at 50 feet and theright eye can see at 20 feet what a person with normal vision can see at 40 feet. Which finding would thenurse record?
Left eye 20/50; Right eye 20/40
A patient with dark skin has been admitted to thehospital with acute decompensated heart failure. How would thenurse assess this patient for cyanosis?
Look at thelips and oral mucous membranes.
A 50-yr-old male is scheduled for an annual physical examination. Which diagnostic test will the nurse plan to explain to the patient?
Prostate-specific antigen (PSA)
The nurse is working in an urgent care clinic that has standardized treatment protocols for implementation by nursing staff. After reviewing thehistory, physical assessment, and vital signs for a 60-yr-old patient as shown in the accompanying figure, which action would the nurse take first?
Report a vision change to thehealth care provider.
When caring for a patient with continuous bladder irrigation after having transurethral resection of the prostate, which action could the nurse delegate to assistive personnel (AP)?
Report any patient reports of pain or spasms to the nurse.
Which clinical problem at is thepriority problem for a patient experiencing an acute attack with Meniere's disease?
Risk for falls
During assessment of the patient's skin, the nurse observes a similar pattern of discrete, small, raised lesions on the left and right upper back areas. Which term would the nurse use to document the distribution of these lesions?
Symmetric
After a 48-yr-old patient has had a modified radical mastectomy, the pathology report identifies the tumor as an estrogen-receptor positive adenocarcinoma. Which medication would the nurse plan to explain to the patient?
Tamoxifen
Which information about testicular self-examination will the nurse plan to include when teaching a young adult who has a family history of testicular cancer?
Testicular self-examination should be done at least weekly.
Which information would thenurse include when teaching a patient who has just received a prescription for ciprofloxacin (Cipro) to treat a urinary tract infection?
Use a sunscreen with a high SPF when exposed to the sun.
. A patient with glaucoma who has been using timolol (Timoptic) drops for several days tells thenurse that theeyedrops cause eye burning and visual blurriness after administration. Which response would thenurse provide?
The drops are uncomfortable, but using them can help to retain your vision.
Which patient risk factor would the nurse assign as the Priority focus of patient teaching?
Using a tanning booth weekly
The nurse teaches a patient about application of corticosteroid cream to an area of contact dermatitis. Which patient action indicates that further teaching is needed?
The patient applies a thick layer of thecream to theaffected skin.
The nurse is performing an eye examination on a 76-yr-old patient. Which finding indicates that thenurse would refer thepatient for a more extensive assessment?
The patient reports persistent photophobia.
Which information at will the nurse provide to a patient with metastatic breast cancer who has a new prescription for trastuzumab (Herceptin)?
The patient should call if she notices ankle swelling.
Which finding by thenurse performing an eye examination indicates that thepatient has normal accommodation?
The pupils constrict while fixating on an object being moved toward thepatient's eyes.
A patient with atopic dermatitis has been using a high-potency topical corticosteroid ointment for several weeks. the nurse would assess for which adverse effect?
Thinning of the affected skin
Which test will the nurse plan to explain to a 61-yr-old patient who has an enlarged prostate detected by digital rectal examination (DRE) and an elevated prostate-specific antigen (PSA) level?
Transrectal ultrasonography (TRUS)
Which information would thenurse include when teaching patients about decreasing therisk for sun damage to theskin?
Try to stay out of thedirect sun between thehours of 10 AM and 2 PM.
Which finding on a physical examination is a possible cause of the patient's infertility?
Varicocele
What is themost effective method to prevent thespread of infection to others when thenurse is changing thedressing over a patient's wound infected with Staphylococcus aureus?
Wash hands and properly dispose of soiled dressings.
Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?
bladder irrigation prevents obstruction of the catheter after surgery.
The health care provider prescribes the following interventions for a patient with acute prostatitis caused by Escherichia coli. Which intervention would the nurse question?
catheterize the patient as needed if symptoms of urinary retention develop.
A patient with atopic dermatitis has a new prescription for pimecrolimus (Elidel). Which statement by thepatient indicates that further teaching is needed?
if the medication burns when I apply it, I will wipe it off.
