MS2

The family of a patient newly diagnosed with hepatitis A asks the nurse what they can do to prevent becoming ill themselves. Which response by the nurse is most appropriate? "The hepatitis vaccine will provide immunity from this exposure and future exposures." "I am afraid there is nothing you can do because the patient was infectious before admission." "You will need to be tested first to make sure you don't have the virus before we can treat you." "An injection of immunoglobulin will need to be given to prevent or minimize the effects from this exposure."

"An injection of immunoglobulin will need to be given to prevent or minimize the effects from this exposure."

A clinic nurse is seeing a patient who is receiving treatment for condylomata. The patient asks the nurse, "Why is it important to get this treatment?" What is the best response by the nurse? "If you don't take this treatment, then it will turn into gonorrhea." "The human papillomavirus (HPV) also can cause you to develop a herpes outbreak." "Genital warts make you more likely to develop recurrent urinary tract infections (UTIs)." "Because this sexually transmitted infection increases the risk of developing cervical cancer."

"Because this sexually transmitted infection increases the risk of developing cervical cancer."

The nurse is obtaining the medical history of a male patient suffering from gynecomastia. Which responses given by this patient could be the possibilities for developing gynecomastia? Select all that apply. "I am smoking marijuana" "I am taking ranitidine for acidity" "I am taking spironolactone for cirrhosis" "I am taking ibuprofen for muscle aches" I am administering gabapentin for resolution of seizure attacks"

"I am smoking marijuana" "I am taking ranitidine for acidity" "I am taking spironolactone for cirrhosis"

A student nurse is learning about the characteristics of with fibrocystic breast complex. Which statement made by the student requires correction? "fibrocystic complex occurs most frequently in women 30 to 50 years old" "Patients with fibrocystic complex are at higher risk for developing breast cancer" "Pain and discomfort associated with fibrocystic complex tends to increase over time" "Fibrocystic complex pain usually occurs in the premenstrual phase and subsides after menstruation."

"Patients with fibrocystic complex are at higher risk for developing breast cancer"

A patient is diagnosed with polycystic ovary syndrome and asks the nurse how she could have developed this disorder. What is the best response by the nurse? "The disorder may result from hormonal abnormalities." "Taking immunosuppressive medications can cause it." "Obesity is an associated factor in the development of the disorder." "Contracting an infection caused by the human papillomavirus (HPV) is the cause."

"The disorder may result from hormonal abnormalities."

The nurse provides teaching to a severely obese patient who is scheduled for a Roux-en-Y gastric bypass (RYGB) procedure. Which statement made by the patient indicates effective learning? "This surgery will preserve the function of my stomach." "This surgery will remove the fat cells from my abdomen." "This surgery can be modified whenever I need it to be changed." "This surgery decreases how much I can eat and how many calories I can absorb."

"This surgery decreases how much I can eat and how many calories I can absorb."

The nurse teaches a student nurse about traction. Which statement made by the student nurse reflects effective learning? "Traction prevents active and passive exercise." "Traction provides immobilization to the joint or body part." "Traction decreases the joint space before a major joint reconstruction." "A Buck's traction boot is a type of skeletal traction."

"Traction provides immobilization to the joint or body part."

While assessing the level of consciousness in a patient with a stroke, the nurse asks the patient the month and the patient's age. The patient knew his or her age but could not state what month it was. What score should the nurse give to the patient, using the National Institutes of Health Stroke Scale (NIHSS)? Record your answer using a whole number.

1 The higher the number the more SEVERE! 42 is the worst.

What diet should the nurse provide to a patient during the immediate postoperative period after bariatric surgery? 20 mL of whole milk Porridge with water Protein-rich milk shake 30 mL water and sugar-free liquid

30 mL water and sugar-free liquid

A nurse is preparing a patient for cataract surgery. The nurse needs to instill different eye drops into the patient's eyes. How many minutes should the nurse wait between each set of eye drops? 5 minutes 10 minutes 30 minutes There is no wait time between instillations.

5 minutes

A patient is experiencing a side effect of antimalarial agent therapy for the treatment of systemic lupus erythematosus (SLE) patients. Which disorder does the nurse educate the patient is reversible when treatment is discontinued? A. Retinopathy B. Nephropathy C. Lymphadenopathy D. Peripheral neuropathy

A

The registered nurse teaches a student nurse about care of a patient with a fracture of the humerus, compartment syndrome, and a plaster cast in place. The student nurse provides discharge education to the patient. Which statement made by the student nurse needs correction? A. "Elevate the extremity above the heart level." B. "Use a hair dryer on a low setting to dry the cast thoroughly." C. "Avoid covering the cast with plastic for extended periods of time." D. "Control the itching sensation by using a hair dryer on a cool setting at the site of itching."

A

The nurse is caring for a group of patients on the acute care unit. Which patient is at greatest risk for the development of bacterial meningitis? A patient with a skull fracture A patient with prior brain trauma A patient with a pulmonary infection A patient with bacterial endocarditis

A patient with a pulmonary infection

The nurse is caring for four patients in the intensive care unit (ICU). Which patient with an infection is at the highest risk for the development of cerebral edema? A patient with encephalitis A patient with cerebral thrombosis A patient who sustained a contusion from a fall A patient with hydrocephalus from a malfunctioning shunt

A patient with encephalitis

A nurse is teaching an obese patient with gastroesophageal reflux disease (GERD) measures that should be taken to prevent complications. What instructions should the nurse give? Select all that apply. A. Avoid tea and coffee. B. Maintain a low-fat diet. C. Avoid smoking cigarettes. D. Lie down immediately after having food. E. Use anticholinergic drugs, as prescribed.

A, B, C

A patient due for surgery expresses concern about choosing between ambulatory surgery and inpatient regular surgery. Which information should the nurse include when comparing ambulatory to inpatient surgery for the patient? Select all that apply. A. It involves minimal laboratory tests. B.It requires fewer preoperative medications. C. It reduces the risk of hospital-acquired infections. D. It helps patients recover comfortably in the hospital. E. It is more expensive for both patients and insurers.

A, B, C

The patient with cirrhosis has an increased abdominal girth from ascites. The nurse should know that this fluid gathers in the abdomen for which reasons (select all that apply)? A. There is decreased colloid oncotic pressure from the liver's inability to synthesize albumin. B. Hyperaldosteronism related to damaged hepatocytes increases sodium and fluid retention. C. Portal hypertension pushes proteins from the blood vessels, causing leaking into the peritoneal cavity. D. Osmoreceptors in the hypothalamus stimulate thirst, which causes the stimulation to take in fluids orally. E. Overactivity of the enlarged spleen results in increased removal of blood cells from the circulation, which decreases the vascular pressure.

A, B, C

When performing a physical assessment on a patient with amyotrophic lateral sclerosis, which manifestations is the nurse likely to find? Select all that apply. Limb weakness Difficulty swallowing Difficulty articulating words Twisting movements of the face Involuntary movements of the body

A, B, C

An obese patient underwent biliopancreatic diversion with a duodenal switch. The nurse should monitor the patient for which complications? A. Malabsorption of fat-soluble vitamins B. Steatorrhea C. Iron deficiency D. Dumping syndrome E. Calcium deficiency

A, B, C ,D

A severely obese patient has undergone Roux-en-Y gastric bypass (RYGB) surgery. The nurse will monitor for dumping syndrome, which is characterized by which symptoms? A.Diarrhea B.Sweating C. Faintness D. Constipation E. Nausea and vomiting

A, B, C, E

Which are components of a secondary intracranial injury? Select all that apply. Hypoxia Ischemia Hypotension Blunt force trauma Impact of a car accident Increased intracranial pressure

A, B, C, F

A patient has been diagnosed with breast cancer and has been prescribed doxorubicin. Which assessments should the nurse make before administering the drug? Select all that apply. A. Check for signs and symptoms of infections B. Check whether any recent live vaccinations have been received by the patient C. Check whether the patient has high sugar levels D. Check whether the patient is in contact with any person who has received live attenuated virus E. Check the cholesterol levels of the patient

A, B, D

A patient with a fracture of the femur is to be placed in Buck's traction. How should the nurse explain the functions of Buck's traction to the patient? Select all that apply. A. It immobilizes the fracture. B. It reduces muscle spasms. C. It reduces injury-related edema. D. It prevents hip flexion contractures . E. It helps in union of the fractured bone.

A, B, D

An older adult person has fallen from a step stool and has a lower sacral fracture. The investigation reports also show that there is injury to the conus medullaris. What are the symptoms that the nurse should expect while assessing the patient? Select all that apply. A. Bowel incontinence B. Urinary incontinence C. Difficulty in breathing D. Hypotonicity of the lower limbs E. Hypotonicity of the upper limbs

A, B, D

The nurse is caring for a patient with scleroderma. Which medications does the nurse anticipate educating the patient regarding? Select all that apply. A. Diltiazem - CCB for tx of Raynaud's B. Reserpine - adrenergic blocker that increases blood flow C. Allopurinol D. Epoprostenol - vasodilator to prevent digital ulcers. E. Hydroxychloroquine

A, B, D

Which statements are true regarding Raynaud's phenomenon? Select all that apply. A. It can precede the onset of a systemic disease. B. Cyanosis occurs as hemoglobin releases oxygen. C. It occurs more often in diffuse scleroderma than in limited scleroderma. D. It can lead to diminished blood flow to fingers and toes with exposure to cold. E. Numbness and tingling sensations differentiate the white phase from the other two phases.

A, B, D

A patient has been diagnosed with cholelithiasis. The nurse will monitor for manifestations of obstructed bile flow, including which of these? Select all that apply. A. Jaundice B. Steatorrhea C. Dark, tarry stools D. Dark, amber urine E. Bleeding tendencies

A, B, D, E

The nurse provides care for patients on a medical surgical unit. Which patients are likely candidates for parenteral nutrition? Select all that apply. a. A patient with a gastrointestinal (GI) obstruction b. A patient experiencing intractable diarrhea c. A patient diagnosed with megaloblastic anemia d. A patient with severe anorexia nervosa e. A patient that had a complicated surgery

A, B, D, E

What discharge instructions should the nurse provide to a patient who has undergone Roux-en-Y gastric bypass surgery? A. "You will need to take a calcium supplement." B. "You should take an iron supplement." C. "You will likely experience belching and heartburn." D. "Report vomiting, weakness, or faintness, which may indicate dumping syndrome." E. "You should experience a decrease in total cholesterol."

A, B, D, E

A patient is diagnosed with scleroderma. What should the nurse anticipate educating the patient regarding the pharmacologic treatment plan? Select all that apply. A. Bosentan B. Reserpine C. Leflunomide D. Methotrexate E. Cyclophosphamide

A, B, E

The nurse is caring for the patient with skeletal traction for an extremity fracture. What action(s) by the nurse are most appropriate? Select all that apply. A. Keep the weights off of the floor. B. Elevate the end of the bed as needed. C. Ensure that the weights are secured to the pulleys. - no, needs to be free D. Confirm that the forces are pulling in the same direction. - no, oppositional E. Make sure that the traction ranges from 5 to 45 pounds (2.3 to 20.4 kg). F. Apply the traction intermittently as prescribed by the health care provider (HCP).

A, B, E

The nurse recognizes that parenteral nutrition (PN) may be the only feasible option for patients with what conditions? Select all that apply. a. Nonfunctioning GI tract b. GI obstruction c. Head cancer d. Facial swelling e. Short bowel syndrome

A, B, E

11. What are the contraindications of enteral nutrition? Select all that apply A. Peritonitis B. Burns C. Ileus D. Intestinal obstruction E. Hyperlipidemia

A, C, D

A patient has had Raynaud's phenomenon for some time. Now the patient reports red spots on the hands, forearms, palms, face, and lips. For what other manifestations should the nurse assess when assessing for scleroderma? Select all that apply. A. Calcinosis B. Weight loss - not a manifestation C. Sclerodactyly D. Difficulty swallowing E. Weakened leg muscles - not a manifestation

A, C, D

The nurse is caring for a patient who has undergone bariatric surgery. Which nursing interventions will be beneficial to this patient? Select all that apply. A. Assisting the patient to walk in the evening after the surgery B. Administering carbohydrate-rich foods C. Maintaining the patient in the semi-Fowler's position D. Being prepared to perform a head-tilt maneuver E. Maintaining the patient on large quantities of liquid intake

A, C, D

A patient has been diagnosed as BRCA1 and BRCA2 positive. The health care provider has suggested a prophylactic bilateral oophorectomy for this patient. What information should the nurse provide before this patient decides to undergo this procedure? Select all that apply. A. This procedure will reduce the risk of acquiring breast cancer by 50% B. This procedure can decrease the patient's susceptibility to acquiring heart disease C. The patient will not be able to bear children naturally after this procedure D. This procedure will increase the patient's susceptibility to developing osteoporosis E. The patient will not have menstrual cycles after the surgery

A, C, D, E

A patient has been diagnosed with a right-sided brain tumor resulting in significant increased intracranial pressure (ICP). The nurse can expect to document which assessment findings? Ipsilateral pupil dilation Ipsilateral hemiparesis Contralateral hemiparesis Contralateral pupil dilation Altered level of consciousness

A, C, E

A patient with cirrhosis of the liver is admitted to the hospital. What hematologic symptoms might be noted in this patient? Select all that apply. A. Anemia B. Leukemia C. Leukopenia D. Polycythemia vera E. Thrombocytopenia

A, C, E

The nurse is caring for a patient in the neurologic intensive care unit with increased intracranial pressure (ICP). What nursing actions will promote the most positive outcome for the patient? Select all that apply. ICP monitoring Cerebral angiography Elevating the head of the bed 30 degrees Maintaining PaO 2 of 90 mm Hg or greater Taking a patient history and physical examination Maintaining a systolic arterial pressure of 100-160 mm Hg

A, C, F

A nurse has applied Buck's traction to a patient who has sustained a fractured femur. What are the main purposes of this type of traction? Select all that apply. A. Reduce muscle spasms B. Reduce the risk of a fat embolism C. Repair the fracture without surgery D. Immobilize and stabilize the fracture E. Reduce the amount of analgesics required F. Allow the nursing staff to care for the patient more easily

A, D

The nurse is caring for a patient with renal dysfunction who is scheduled for surgery. What are the priority nursing interventions in this situation? Select all that apply. A. Order renal function test preoperatively. B. Order coagulation studies preoperatively. C. Check for the serum potassium levels preoperatively. D. Report to perioperative team if the patient has a problem voiding. E.Ready the sequential compression device in the preoperative holding area.

A, D

The nurse is obtaining the medical history of a male patient suffering from gynecomastia. Select all that apply A. "I am smoking marijuana." B. "I am taking ranitidine for acidity." C. "I am taking spironolactone for cirrhosis." D. "I am taking ibuprofen for muscle aches." E. "I am administering gabapentin for resolution of seizure attacks."

A. "I am smoking marijuana." B. "I am taking ranitidine for acidity." C. "I am taking spironolactone for cirrhosis."

A patient suspected of having syphilis tests positive on the Venereal Disease Research Laboratory (VDRL) test. Which other diseases can give false-positive results when testing for syphilis? Select all that apply. A. Hepatitis B. Hyperlipidemia C. Infectious mononucleosis D. Systemic lupus erythematosus E. Type 2 Diabetes mellitus

A. Hepatitis C. Infectious mononucleosis D. Systemic lupus erythematosus

Which information should the nurse include when teaching a group of postmenopausal women about the risk of osteoporosis? select all that apply. A. Inform that raloxifene prevents bone loss B. Emphasize the need for estrogen replacement C. Inform that biphosphonates enhance bone mineral destiny D. Emphasize the need for adequate intake of calcium and vitamin E E. Encourage avoidance of weight-bearing exercises, because they cause bone loss

A. Inform that raloxifene prevents bone loss C. Inform that biphosphonates enhance bone mineral destiny

A patient is infected with the herpes virus exhibiting lesions on the genital area. What instructions should the nurse give to this patient? Select all that apply. A. Maintain good hygiene. B. Keep the lesions clean and dry. C. Take frequent sitz baths. D. Burst the vesicles to drain the fluid. E. Use hot fomentation on the vesicles. F. Wear loose-fitting cotton undergarments

A. Maintain good hygiene. B. Keep the lesions clean and dry. C. Take frequent sitz baths. F. Wear loose-fitting cotton undergarments

When teaching a group of young women about pelvic inflammatory disease (PID), what information should the nurse include? Select all that apply. A. PID is associated with a higher risk of ectopic pregnancy. B. Old age and multiple sex partners are risk factors for PID C. Causative organisms reach the pelvic organs through blood. D. PID is an infectious condition of the fallopian tubes, ovaries, and uterus. E. Causative organisms reach the pelvic organs through the cervix in an ascending manner

A. PID is associated with a higher risk of ectopic pregnancy. E. Causative organisms reach the pelvic organs through the cervix in an ascending manner

When performing a physical examination of a male patient with suspected gonorrhea, what symptoms is the nurse likely to find? Select all that apply. A. Pain during urination B. Purulent discharge from the urethra C. Warts and growths on the penis D. Swollen testicles E. Erectile dysfunction

A. Pain during urination B. Purulent discharge from the urethra D. Swollen testicles

The nurse is explaining the clinical manifestations of breast cancer to a group of young women. Which characteristics are true for breast cancer? Select all that apply. A. Presence of nipple retraction B. Presence of a lump in the breast that is highly mobile and tender C. Presence of peau d'orange in the skin of the involved breast D. Presence of a lump that is irregular in shape and poorly delineated E. Presence of a lump in the lower outer quadrant of the breast

A. Presence of nipple retraction C. Presence of peau d'orange in the skin of the involved breast D. Presence of a lump that is irregular in shape and poorly delineated

When teaching a patient about the prevention of breast cancer, what should be included as helpful in decreasing the risk of breast cancer? Select all that apply. A. Prevent smoking and alcohol intake. B. Prevent exposure to harmful radiation. C. Increase the use of oral contraceptives . D. Prevent gaining excess weight during adulthood. E. Use combined hormone therapy (progesterone and estrogen) after menopause.

A. Prevent smoking and alcohol intake. B. Prevent exposure to harmful radiation. D. Prevent gaining excess weight during adulthood.

The nurse is caring for a patient who has difficulty breathing, along with symptoms suggestive of Raynaud's phenomenon. Which disease does the nurse suspect is the cause of the symptoms? A. Scleroderma B. Lyme disease C. Sjögren's syndrome - dry eyes and dry mouth D. Rheumatoid arthritis

A. Scleroderma

While assessing a patient, the nurse notes red spots on the hands, forearms, palms, face, and lips. Which condition does the nurse suspect? (Indicative of telangiectasia) A. Scleroderma B. Lyme disease C. Psoriatic arthritis D. Systemic lupus erythematosus

A. Scleroderma

A patient had successful treatment for an existing sexually transmitted infection (STI). What instructions should the nurse provide to this patient to prevent reinfection or complications? Select all that apply. A. Use condoms B. Avoid using tampons C. Use an intrauterine device D. Avoid having multiple sexual partners E. Make sure to get periodic pap smear

A. Use condoms D. Avoid having multiple sexual partners E. Make sure to get periodic pap smear

The nurse is caring for a patient with breast cancer receiving tratuzumab therapy. What conditions could result as adverse effects of the drug that the nurse should monitor for? Select all that apply. A. Ventricular Dysfunction B. Heart Failure C. Deep Vein Thrombosis D. Gastroenteritis E. Retinopathy

A. Ventricular Dysfunction B. Heart Failure

The nurse expects what physical finding in a patient with cholecystitis? Spider angioma Flapping tremors Abdominal rigidity Grey Turner's sign

Abdominal rigidity

A pregnant patient has been diagnosed with a sexually transmitted infection. Which sexually transmitted infection (STI) would warrant a cesarean delivery? Genetial warts Syphilis Gonorrhea Active Herpes

Active Herpes

A patient reports severe pain in the abdomen to a nurse. The nurse finds the patient's body temperature is 100° F. The laboratory reports show a white blood cell (WBC) count of 13,000/μL, lipase of 180 U/L, and amylase of 150 U/L. What finding does the nurse anticipate? Hepatitis Cholelithiasis Liver Cirrhosis Acute Pancreatitis

Acute Pancreatitis

A patient with meningitis has seizures, cranial nerve (CN) III palsy, and bradycardia. What is the most likely cause for the development of these symptoms? Cerebral abscess Subdural effusion Acute cerebral edema Increased intracranial pressure

Acute cerebral edema

A patient comes to the clinic reporting difficulty urinating, flu-like symptoms, genital tingling, and blister-like vesicles on the upper thigh and vagina for the first time. Which medication does the nurse anticipate the primary health care provider will prescribe? Acyclovir Certriaxone Azithromycin Penicillin G

Acyclovir

The registered nurse (RN) is providing care to a patient who requires a bladder irrigation after a transurethral resection of the prostate (TURP) to treat benign prostatic hyperplasia (BPH). Which interventions should the nurse delegate to the licensed practical nurse (LPN) who is assigned to the patient's care team? Select all that apply. Assessing patency by measuring intake and output Implementing manual irrigation for bladder spasms Administering prescribed antispasmodics as needed Monitoring catheter drainage for increased blood or clots Increasing the flow of the solution to maintain a light pink color of the outflow

Administering prescribed antispasmodics as needed Monitoring catheter drainage for increased blood or clots Increasing the flow of the solution to maintain a light pink color of the outflow

While caring for a patient with pancreatitis, a nurse finds that the patient's blood pressure is 80/70 mm Hg and the nurse suspects hypovolemia. Which treatment option does the nurse expect to be effective? Administration of albumin Administration of octreotide Administration of cyclosporine Administration of acetazolamide

Administration of albumin

The nurse is monitoring a patient's intracranial pressure (ICP) after a craniotomy. Which finding must be reported immediately to the health care provider? An ICP of 5 mm Hg An ICP of 10 mm Hg An ICP of 15 mmHg An ICP of 20 mm Hg

An ICP of 20 mm Hg

Which interventions would the registered nurse provide when caring for a patient receiving continuous bladder irrigation (CBI) after invasive prostate surgery? Select all that apply. Record intake and output. Clean around catheter daily. Assess for bleeding and clots. Discontinue CBI and notify the primary health care provider if obstruction occurs. Provide care instructions for patients being discharged with an indwelling catheter.

Assess for bleeding and clots. Discontinue CBI and notify the primary health care provider if obstruction occurs. Provide care instructions for patients being discharged with an indwelling catheter.

The nurse is preparing to administer Temozolomide to a patient with a brain tumor and assesses the patient's neutrophil count to verify it is greater than 1500. What is the rationale behind this nursing intervention. a. To reduce nausea and vomiting b. To prevent immune related complications c. To prevent drug interactions with corticosteriods d. To prevent metabolic inactivation.

B

A patient is reported to have a brain abscess in the occipital lobe. When assessing the patient, which symptoms would the nurse expect to find? Select all that apply. Visual field defects - temporal lobe Headache and fever Nausea and vomiting Psychomotor seizures - temporal lobe Visual impairment and hallucinations

B, C , E

A patient is suspected of having fat embolism syndrome (FES) following a traumatic femur fracture. Which assessment data gathered by the nurse supports this suspicion? Select all that apply. A. Increased hematocrit B. Chest pain C. Mental status changes D. Petechiae on the anterior chest wall E. Increased partial pressure of arterial oxygen

B, C, D

When considering the use of hypertonic saline treatment in a patient with increased intracranial pressure (ICP), which factors should the nurse consider? Select all that apply. The nurse should closely monitor blood sugar levels in the patient. The nurse should frequently monitor the blood pressure and sodium levels. Hypertonic saline treatment works similarly to mannitol in treating increased ICP. Hypertonic saline treatment provides massive movement of water out of swollen brain cells. The nurse should ensure that antacid is given to prevent gastrointestinal complications.

B, C, D

A woman has had a T4 level complete spinal cord injury (SCI). She wants to know about the impact of this injury on her sexuality. What information and instructions should the nurse tell her regarding her sexuality? Select all that apply. A. The injury does not cause amenorrhea.- no, they still have menses B. Precautions for unplanned pregnancy are necessary. C. The patient does have the capacity to become pregnant. D. Erotic and sexual thoughts may not cause vaginal lubrication to take place. E. Fatal complications like autonomic dysreflexia could be associated with pregnancy.

B, C, D, E

A patient suspected of having myasthenia gravis suffers injury and has related pain, infection, and inflammation. Which drugs must be used with caution? Select all that apply. NSAIDs - these are part of their tx Diuretics Antibiotics Corticosteroids - these are apart of their tx Opioid analgesics

B, C, E

A patient with anorexia nervosa with refeeding syndrome also has hypophosphatemia. The nurse will monitor closely for which possible outcome? Select all that apply. A. Diarrhea B. Paresthesias C. Respiratory arrest D. Nausea and vomiting E. Cardiac dysrhythmias

B, C, E

A patient with breast cancer chooses to undergo a radical mastectomy and take hormone therapy but is concerned about the effects of this treatment on her sex life. What information should the nurse provide the patient? A. Mastectomy does decrease sexual satisfaction B. Hormone therapy may cause a decreased sexual drive C. Vaginal dryness may be present D. Sex should be avoided for a few months after surgery E. Lubrication may be used during sexual intercourse

B, C, E

The nurse provides information to a group of nursing students about diagnostic test results of patients with scleroderma. What information is appropriate to include in the teaching? Select all that apply. A. Expect a decreased creatinine level. B. Antibody SCL-70 can be found in patients with diffuse disease. C. Mild hemolytic anemia may be present due to damaged red blood cells. D. The patient will experience increased vital capacity and lung compliance. E. When there is renal involvement, proteinuria and hematuria are likely to be present.

B, C, E

The nurse recognizes that parenteral nutrition is often prescribed for which patient conditions? a. Cancer b. Complicated surgery c. Severe malabsorption d. Nutritional disorders e. Gastrointestinal obstruction

B, C, E

What are the precautions that nurses and hospital staff should follow while handling patients suffering from hepatitis infections? Select all that apply. A. The patient must be in a private room, and door should be closed. B. Dispose of the needles and syringes used on the patient carefully. C. Wear gloves while handling articles contaminated by urine or feces. D. Always wear a mask, gown, and gloves when entering the patient's room. E. Follow infection control precautions while injecting the patient, and avoid getting pricked by the used needle.

B, C, E

A patient with cirrhosis of the liver is on furosemide. The nurse should monitor the patient for which findings to prevent complications of diuretic therapy? Select all that apply. A. Lethargy B. Tachycardia C. Hypotension D. Hypertension E. Muscle weakness F. Cardiac arrhythmias

B, C, E, F

A patient is diagnosed with scleroderma. Which symptoms does the nurse recognize that might indicate involvement of an internal organ? Select all that apply. A. Calcinosis B. Dysphagia C. Dental caries D. Sclerodactyly E. Telangiectasia F. Esophageal dysfunction

B, C, F

11. A nurse discusses pain medications when providing preoperative teaching to a patient. The patient asks the nurse about the effects of opioid medications. What should the nurse include in the explanation? Select all that apply. A. Opioids cause amnesia. B. Opioids decrease intraoperative pain. C. Opioids decrease the risk of infections. D. Opioids relieve pain during preoperative procedures. E. Opioids decrease intraoperative anesthetic requirements.

B, D, E

A nurse is caring for several postoperative clients. For what clinical manifestations of a pulmonary embolus should the nurse monitor these clients? (Select all that apply.) A. Bronchial wheezes B. Feeling of impending doom C. Feelings of apathy D. Dypsnea E. Hemoptysis

B, D, E

A patient is diagnosed with a brain abscess. When performing an assessment on this patient, what causes does the nurse determine for the development of this problem? Select all that apply. Acne or skin abscess Prior brain trauma or surgery Prior leg fracture or ligament tears Distant spread from a pulmonary infection Direct extension from an ear or sinus infection

B, D, E

A patient with hemorrhagic stroke has undergone aneurysmal occlusion via clipping and has a blood pressure of 90/60. what should be included in postoperative care of the patient. SATA. start warfarin start dopamine start clopidogrel encourage fluid intake start crystalloid solution

B, D, E

The parent of a pediatric patient suffering from hepatitis A approaches the nurse and is worried about the spread of infection to other family members through use of the same bathroom. What should the nurse advise the patient's parent? Select all that apply. A. Buy a separate commode for your son. B. Clean the bathroom and commode thoroughly. C. There is no need for concern; just use disposable toilet covers. D. Ask your son to wash his hands thoroughly after using the bathroom. E. Ask all other family members to wash their hands thoroughly before eating and after using the bathroom.

B, D, E

A nurse is assessing a patient with a T2-level spinal cord injury. The nurse notices that there is a kink in the catheter, the bladder is distended, and the blood pressure is 220/100 mm Hg. What nursing interventions would be appropriate for this patient if the nurse suspects autonomic dysreflexia? Select all that apply. A. Lower the head of the bed. B. Monitor blood pressure regularly. C. Make the patient lie flat on the bed. D. Notify the primary health care provider. E. Check for the presence of bowel impaction. F. Remove the kink in the catheter and drain the bladder.

B, D, E, F

The nurse is caring for a patient with breast cancer who is receiving doxorubicin therapy. To prevent complications, which interventions should be included in the care plan? Select all that apply. A. Monitor estrogen levels B. Monitor for signs of cardiotoxicity C. Provide a low-protein diet to prevent food interactions D. Recommend that the patient take aspirin to obtain pain relief E. Instruct the patient to not receive any immunizations without the health care provider's approval

B, E

The patient is being treated for a recurrent episode of chlamydia. What should the nurse include in this teaching? A. If you are treated, your sexual partner will not need to be treated. B. Abstain from sexual intercourse for seven days after finishing the treatment C. You will probably get gonorrhea if you have another recurrence of chlamydia D. Because you have been treated before, you do not need to take a full course of medication this time

B. Abstain from sexual intercourse for seven days after finishing the treatment

The patient tells the nurse in the preoperative setting that they have noticed diffuse skin rashes when hospitalized in the past and have food allergies to bananas and avocados. What is the priority action by the nurse? A.Notify the anesthetist to evaluate the patient. B. Ask additional questions to assess for a possible latex allergy. C. No intervention is needed because the patient needs to have this surgery. D. Notify the operating room (OR) staff immediately so that latex-free supplies can be used.

B. Ask additional questions to assess for a possible latex allergy.

A patient with breast cancer has been prescribed tamoxifen. What side effects should the nurse advise the patient to monitor for while taking this medication? Select all that apply. A. Chest Pain B. Blurred Vision C. Leg Cramps D. Gastrointestinal Disturbances E. Irregular Vaginal Bleeding

B. Blurred Vision C. Leg Cramps E. Irregular Vaginal Bleeding

The newborn nursery nurse administers Erythromycin ophthalmic ointment prophylactically to a neonate to prevent blindness. What is the nurse explanation to the parent as to why this is being done? A. Due to potential exposure to syphilis B. Due to potential exposure to gonorrhea C. Due to potential exposure to chlamydia D. Due to potential exposure to Pseudomonas

B. Due to potential exposure to gonorrhea

A patient with genital herpes reports severe pain and a burning sensation during urination. What are the measures that a nurse can implement to ease this discomfort? Select all that apply. A. Catheterize the patient. B. Give frequent sitz baths to sooth the area. C. Advise the patient to void urine in a warm tub of water or a warm shower. D. Keep the patient on a fluid-only diet and do not allow the patient to move about. E. Use drying agents, such as colloidal oatmeal and aluminum salts, and local anesthetics, such as lidocaine.

B. Give frequent sitz baths to sooth the area. C. Advise the patient to void urine in a warm tub of water or a warm shower. E. Use drying agents, such as colloidal oatmeal and aluminum salts, and local anesthetics, such as lidocaine.

The nurse is assessing a patient with breast cancer for the presence of any metastasis. The nurse suspects that the patient may have brain involvement. Which signs and symptoms would have led the nurse to this conclusion? Select all that apply. A. Dyspnea B. Incoordination of movements C. Unilateral sensory loss D. Progressive radiating back pain E. Nausea and vomiting which are unrelated to medication

B. Incoordination of movements C. Unilateral sensory loss E. Nausea and vomiting which are unrelated to medication

The nurse is caring for an obese patient who is being considered for bariatric surgery. What do the criteria guidelines for bariatric surgery include? BMI of 40 kg/m 2 or more BMI of 28 kg/m 2 or more BMI of 30 kg/m 2 or more BMI of 32 kg/m 2 or more with other significant co-morbidities

BMI of 40 kg/m 2 or more

A patient's cerebrospinal fluid (CSF) culture findings showed a white blood cell count of 1200 cells/µL, protein 600 mg/dL, and glucose 25 mg/dL. What could be the diagnosis for the patient? Brain abscess Viral meningitis Viral encephalitis Bacterial meningitis

Bacterial meningitis

A male patient states during the health history interview that he has no problems with urinary elimination except that the "stream is less than it used to be." The nurse should give the patient anticipatory guidance that what condition may be developing? A tumor of the prostate Benign prostatic hyperplasia Bladder atony because of age Age-related altered innervation of the bladder

Benign prostatic hyperplasia

The nurse is caring for a patient four days after the patient experienced food poisoning. Admission assessment findings include abdominal pain associated with restlessness, elevated liver enzyme levels, increased direct and indirect bilirubin levels, and an increased white blood count. The nurse suspects what diagnosis? Liver cirrhosis Acute liver failure Bile flow obstruction Hepatic encephalopathy

Bile flow obstruction

Which type of bariatric surgery decreases the amount of small intestine available for nutrient absorption and also removes part of the patient's stomach? Biliopancreatic diversion Adjustable gastric banding Sleeve gastrectomy Roux-en-Y gastric bypass surgery

Biliopancreatic diversion

An intubated and mechanically ventilated patient is ordered dexmedetomidine. Which side effect of the medication would the nurse monitor for in this patient? (a-adrenergic agonist used for sedation) Insomnia Blood pressure changes Hyperanxiety Sedative effect

Blood pressure changes

A patient is suspected of having Paget's disease. What clinical manifestation assed by the nurse would correlate with this diagnosis? Sticky nipple discharge Bloody nipple discharge Palpable fluid-filled mass Hard mass with irregular borders

Bloody nipple discharge

A patient is diagnosed with coronary artery disease and elevated serum triglyceride and cholesterol levels. The nurse finds that the patient is on androgen drug therapy. Which medications does the nurse suspect is the reason for the patient's condition? Select all that apply. Buserelin Cypionate Enanthate Vardenafil Leuprolide

Buserelin Leuprolide

A client who had an infratentorial craniotomy is admitted to the intensive care unit after discharge from the postanesthesia care unit. Frequent assessments reveal that the client's intracranial pressure is increasing. What should the nurse do first? a. Administer the next dose of osmotic diuretic earlier than scheduled b. Elevate the head of the bed c. Notify the healthcare provider d. Reduce the flow rate of the IV fluid

C

The nurse suspects that a patient is experiencing a fat embolism after sustaining a femur fracture. What clinical manifestations does the nurse expect? A. Tachypnea, tachycardia, shortness of breath, and paresthesia B. Paresthesia, bradycardia, bradypnea, petechial rash on the chest and neck C. Tachypnea, tachycardia, shortness of breath, petechial rash on the chest and neck D. Bradypnea, bradycardia, shortness of breath, petechial rash on the chest and neck

C

The nurse is educating a patient with a new diagnosis of scleroderma. What should the nurse include in the education? Select all that apply. A. "Avoid yawning with an open mouth." B. "Avoid the use of pillows when sleeping." C. "Use moist heat applications on your skin." D. "Use paraffin baths in order to take good care of your skin." E. "Monitor blood glucose with frequent finger-stick blood testing."

C, D

A patient is receiving parenteral nutrition. The nurse should monitor the patient for what metabolic complications? Select all that apply. a. Phlebitis b. Dislodgment c. Hypoglycemia d. Hyperglycemia e. Hyperlipidemia

C, D, E

A patient with a body mass index (BMI) of 45 is admitted for abdominal surgery. The nurse explains to the patient the potential complications of abdominal surgery caused by obesity. Which statements should the nurse include in the explanation? Select all that apply. A. Access to the surgical site is easy. B. Recovery from anesthesia is faster C. The risk of wound infection is higher. D. Anesthesia administration is more difficult. E.The risk of a postoperative incisional hernia may be higher.

C, D, E

A patient with a spinal cord injury (SCI) at the level of the seventh cervical vertebra (C7) has experienced episodes of autonomic dysreflexia. What signs and symptoms occur with this condition? Select all that apply. Involuntary stool Severe drop in blood pressure Sudden onset of severe headache Sweating above the level of the SCI Flushed face and chest above the level of the SCI

C, D, E

A patient with scleroderma reports hyperacidity and epigastric pain. What instructions should the nurse give to the patient to help alleviate this condition? Select all that apply. A. Use dairy products. B. Increase coffee intake. C. Elevate head position while sleeping. D. Use antacids 45 to 60 minutes after meal. E. Do not sleep immediately after eating food

C, D, E

The patient is being evaluated for thrombolytic therapy. Which findings support the use of thrombolytic agents? Select all that apply. The onset of symptoms was five hours ago - no, must be within 3 - 4.5 hrs The patient had a hip replacement one week ago. - no surgery within 2 weeks There has been no head trauma for three months. The patient's blood pressure (BP) is 180/100 mm Hg. (BP must be < 185/110) There is a recent history of gastrointestinal (GI) bleeding. - must be none w/i 22 days The computed tomographic (CT) scan is clear of hemorrhage.

C, D, F

The nurse is preparing to admit a patient to the operating room. According to the National Patient Safety Goals, what documents must be in the chart prior to the surgery beginning? Select all that apply. a. Electrocardiogram b. Functional status evaluation c. Signed consent form d. Renal and liver function test e. A history and physical

C, E

A patient voices concerns to the nurse about taking procainamide, stating that a friend was recently hospitalized for drug-induced systemic lupus erythematosus (SLE). What is the nurse's best response? A. "Procainamide is not typically associated with drug-induced SLE." B. "If this hasn't occurred yet, there is no continued risk of drug-induced SLE." C. "Drug-induced SLE generally occurs months to year after continuous use of this drug." D. "Drug-induced SLE is a common side effect of medication therapy, particularly this medication

C. "Drug-induced SLE generally occurs months to year after continuous use of this drug."

A patient was started on hydralazine for hypertension after a recent hospitalization. The patient is accompanied by a parent who has systemic lupus erythematosus (SLE). What is the best intervention by the nurse? A. Alert the healthcare provider to screen for SLE. B. Tell the patient to immediately discontinue taking the hydralazine. C. Alert the healthcare provider to the medication and family history. D. Educate the patient that family history of SLE does not increase risk for this disease.

C. Alert the healthcare provider to the medication and family history.

A patient is on intravenous acyclovir for management of genital herpes-related pneumonitis. For which symptoms should the nurse look in this patient? Select all that apply. A. Disorientation B. Loss of sense of taste C. Elevated creatinine levels D. Decreased urinary output E. Peripheral edema, especially in the feet

C. Elevated creatinine levels D. Decreased urinary output E. Peripheral edema, especially in the feet

A patient's cholecystitis worsens overnight, and the patient is taken for a laparoscopic cholecystectomy. Upon returning to the medical-surgical unit, the patient begins to complain of shoulder pain, rated as an 8 out of 10 on the pain scale, and mild difficulty breathing. Which is the nurse's most appropriate action? A. Administer supplemental oxygen. B. Page the physician to report the patient's change in condition. C. Reassure and reposition the patient, and administer ordered analgesics. D. Perform an immediate electrocardiogram because this could be a sign of an impending cardiac event.

C. Reassure and reposition the patient, and administer ordered analgesics.

The nurse is educating a patient with systemic lupus erythematosus (SLE) about precipitating factors of the disease. Which precipitating factors should the nurse be sure to include when discussing them? A. Azathioprine, hydralazine, and procainamide B. Procainamide, chloroquine, and sun exposure C. Sun exposure, hydralazine, and oral contraceptives D. Cyclophosphamide, oral contraceptives, and azathioprine

C. Sun exposure, hydralazine, and oral contraceptives

What does a nurse anticipate that the primary health care provider will prescribe for a patient with pancreatitis who reports irritability and tingling around the lips? Insulin Vitamin K Cholestyramine Calcium gluconate

Calcium gluconate

Upon examination of a male patient, the nurse notes profuse, purulent urethral discharge and the patient states that he has dysuria and "painful testicles." Based on these findings, which medication does the nurse anticipate the primary health care provider will prescribe? Acyclovir Penicillin G Podofilox Ceftriaxone

Ceftriaxone

A patient receives a prescription for central parenteral nutrition (PN) therapy. Which principle should guide the nurse's administration of the patient's nutrition? Central PN is indicated when protein and caloric requirements are not high. Central PN must be infused in a large central vein so rapid dilution can occur. The solution is hypotonic, so infusion rates should be adjusted accordingly. The glucose content ranges from 10% to 15%.

Central PN must be infused in a large central vein so rapid dilution can occur.

A patient with meningitis has a weakness of the left upper limb and lower limb, blurred speech, and reduced vision. The symptoms did not resolve after treatment. What does the nurse infer from these symptoms? Cerebral abscess Acute cerebral edema Neurologic dysfunction Increased intracranial pressure

Cerebral abscess

A patient comes to the clinic after being informed by a sexual partner of a possible recent exposure to syphilis. The nurse will examine the patient for what characteristic finding of syphilis in the primary clinical stage? Chancres Alopecia Condylomata lata Regional Adenopathy

Chancres

A patient is suspected to have a distant metastasis of breast cancer to the spinal cord. What clinical manifestation does the nurse anticipate assessing? Muscle weakness Swelling in the abdomen Change in bowel function Loss of sensation in one side

Change in bowel function

When evaluating a patient for sexually transmitted infections (STIs), the nurse is aware that which STI is the most common bacterial STI? Gonorrhea Syphilis Chlamydia Trichomaniasis

Chlamydia

When evaluating a patient for sexually transmitted infections (STIs), the nurse is aware that which STI is the most common bacterial STI? Gonorrhea Syphilis Chlamydia Trichomoniasis

Chlamydia

A patient presents with pain in the right side of the upper quadrant, a body temperature of 101° F, and indigestion. The laboratory reports show a white blood cell count (WBC) of 14,000 cells/µL. The nurse suspects that the patient is experiencing which condition? Cirrhosi Pancreatitis Cholecystitis Pancreatic cancer

Cholecystitis

Which of the conditions is not a common cause of an upper gastrointestinal (GI) bleed? Cholecystitis Stomach cancer Esophageal varices Nonsteroidal antiinflammatory drugs (NSAIDS)

Cholecystitis

A patient reports nausea, vomiting, and abdominal tenderness. The patient's laboratory reports reveal an erythrocyte sedimentation rate of 32 mm/hr, a white blood cell (WBC) count of 12,000/-µL, 2.2 mg/dL of bilirubin, and serum alkaline phosphatase of 120 U/L. What does the nurse suspect that this indicates? Cirrhosis Gallstones Liver cancer Chronic pancreatitis

Chronic pancreatitis

Which pathophysiologic condition is associated with duodenal ulcers? Shock Sepsis Cirrhosis Large hiatal hernia

Cirrhosis

A patient with a long leg cast reports pain in the toes. The nurse discovers that the toes are pale and cool to the touch with intact pulses and minimal neuropathy. The findings indicate that the patient may be experiencing what? Osteomyelitis A fat embolism A pressure ulcer Compartment syndrome

Compartment syndrome

A patient being treated for MS complains of flu like symptoms and reports feeling depressed. The patient also reports frequent thoughts of committing suicide. Which drugs in the patient prescription may be responsible for these symptoms? a. Natalizumab b. Dalfampridine c. Mitoxantrone d. B interferon

D

A patient is admitted to the emergency department with a closed head injury. The patient is awake but lethargic, and the baseline vital signs include a blood pressure of 120/80 mm Hg, pulse of 78 beats/minute, and respirations of 20 breaths/minute. Two hours later the nurse assesses the patient. Which finding indicates deterioration in the patient's condition? The patient does not remember what happened. The patient is sleeping but awakens in response to painful stimuli. Blood pressure is 110/80 mm Hg, pulse is 78 beats/minute, and respirations are 20 breaths/minute. Blood pressure is 160/74 mm Hg, pulse is 53 beats/minute, and respirations are 10 breaths/minute.

D

A patient who underwent a cholecystectomy is now complaining of pain referred to his right shoulder. What is the most probable cause for this pain? Select all that apply. A. Myocardial infarction B. Pericarditis after surgery C. Gallstone left accidentally D. Irritation of the phrenic nerve E. Carbon dioxide that was used in surgery

D, E

A patient with scleroderma has been recommended to exercise daily. Which exercises should the nurse suggest to the patient? Select all that apply. A. Jogging B. Dancing C. Swimming D. Mouth excursion E. Isometric exercises

D, E

A patient who underwent bladder surgery three hours ago is receiving a continuous bladder irrigation (CBI). The nurse should increase the rate of the CBI for what type of return? Slow Absent Dark red Yellow and cloudy

Dark red

The nurse determines that a patient's mean arterial pressure (MAP) is below 70 mm Hg. What outcome of this MAP should be of most concern to the nurse? Decreased cerebral blood flow (CBF) Increased intracranial pressure (ICP) Increased cerebral perfusion pressure (CPP) Normal intracranial pressure (ICP)

Decreased CBF

The nurse is administering mannitol intravenously to a patient with a head injury. Which assessment will help the nurse determine if the medication is having the desired outcome? Increased blood pressure Decrease in body temperature Decreased intracranial pressure Decreased serum blood glucose

Decreased ICP

A patient with increased intracranial pressure (ICP) is prescribed a high dose of barbiturates. What outcome does the nurse anticipate the patient will have after administration of the medication? Reduces vasogenic edema Decreases cerebral metabolism Causes plasma expansion and osmotic effect Brings massive movement of water out of brain cells

Decreases cerebral metabolism

The nurse finds that a patient reporting infertility has polycystic ovary syndrome (PCOS) that has been left untreated. About which complications does the nurse anticipate educating the patient? Select all that apply. Leukorrhea Cervical stenosis Diabetes mellitus Cardiovascular disease Hematogenous metastases

Diabetes mellitus Cardiovascular disease

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

A young adult female patient is having screening for breast cancer but has dense breast tissues. What radiological procedure should the nurse prepare the patient for? Ultrasound Digital mammography Fine needle aspiration Sterotactic core needle biopsy

Digital mammography

The nurse is caring for a patient suspected of having benign prostatic hyperplasia (BPH). For what diagnostic assessment should the nurse prepare the patient? Colonoscopy Serum sodium Prevoid residual Digital rectal examination

Digital rectal examination

The nurse assesses that a newly admitted male patient has gynecomastia. What medications should the nurse question the patient about taking? Select all that apply. Aspirin Digitalis Isoniazid Spiranolactone Ranitidine

Digitalis Isoniazid Spiranolactone Ranitidine

A male patient presents to the clinic with new-onset gynecomastia. The nurse reviews the patient's medication list and correctly identifies which medications as possibly causing the patient's gynecomastia? Digitalis Ranitidine Acetaminophen Spironolactone Acetylsalicylic Acid

Digitalis Ranitidine Spironolactone

The patient's vitals are a blood pressure (BP) of 180/100 mm Hg, a heart rate of 100 beats/minute, a respiratory rate of 22, and a body temperature of 98.9 F. The doctor has ordered labetalol by slow intravenous (IV) push. What is recommended for BP management after a stroke? A lower BP is a protective response to maintain cerebral perfusion. The BP must be lower than 180/105 mm Hg to receive fibrinolytic agents. Elevated BPs are expected after a stroke, and drug therapy should be initiated. Drugs to lower blood pressure are recommended if the BP is 220/120 mm Hg or higher.

Drugs to lower blood pressure are recommended if the BP is 220/120 mm Hg or higher.

A patient has been diagnosed with a noninvasive form of breast cancer . What type of cancer should the nurse educate the patient about? Tubular carcinoma Mucinous carcinoma Medullary carcinoma Ductal carcinoma in situ

Ductal carcinoma in situ

The patient is having a gastroduodenostomy (Billroth I operation) for stomach cancer. What long-term complication is occurring when the patient reports generalized weakness, sweating, palpitations, and dizziness 15 to 30 minutes after eating? Malnutrition Bile reflux gastritis Dumping syndrome Postprandial hypoglycemia

Dumping syndrome

Two weeks after a subtotal gastrectomy, a patient reports the sudden onset of faintness, weakness, and diaphoresis after eating a meal. The nurse suspects what complication? Acute pancreatitis Dumping syndrome Acute myocardial infarction Mesenteric artery embolism

Dumping syndrome

A patient has been found to have ALS. What classic symptom of the disorder does the nurse recognize? Dysuria Dyspnea Dysphagia Dysreflexia

Dysphagia

A patient is suspected to have benign prostatic hyperplasia (BPH). Which signs and symptoms reported by the patient correlates with BPH? Select all that apply. Anuria Dysuria Nocturia Incontinence Intermittency

Dysuria Nocturia Incontinence Intermittency

A patient sustained head trauma during a skiing accident and lost consciousness but was then awake and alert. What complication of a head trauma might this patient have developed that results in bleeding between the dura and the inner surface of the skull? Contusion Epidural hematoma Subdural hematoma Intracerebral hematoma

Epidural Hematoma

The nurse plans care for a patient who has a fractured femur. During the 48 to 72 hours after the fracture the nurse should monitor the patient for the development of what? Fat emboli Renal calculi Muscle atrophy Bone demineralization

Fat emboli

The nurse is caring for a patient with meningitis that has a fever. Which parameter should be monitored to prevent complications for this patient? Fluid intake Urine output Blood pressure Respiratory rate

Fluid intake

What test is most reliable in confirming a diagnosis of syphilis? Rapid plasma reagin (RPR) A nucleic acid amplification test (NAAT) Venereal Disease Research Laboratory (VDRL) Fluorescent treponemal antibody absorption (FTA-abs)

Fluorescent treponemal antibody absorption (FTA-abs)

A 65-year-old female patient who has been on warfarin for five years reports nausea, episodes of vomiting and pain in the abdomen upon palpitation. What could be the reason for the patient's condition? Gastritis Oral Cancer Stomach cancer Peptic Ulcer Disease

Gastritis

What should the nurse include in a postoperative plan of care for a patient who has undergone bariatric surgery? Avoid ambulating the patient. Give 30 mL of water every 2 hours. Give solid foods along with liquids. Avoid sugar-free liquids in the patient's diet.

Give 30 mL of water every 2 hours

Which is the manifestation of bacterial vaginosis? Bloody vulvar discharge Thick, white vulvar discharge Gray vulvar discharge with a fishy odor Yellow vulvar discharge with an unpleasant odor

Gray vulvar discharge with a fishy odor

Which side effect would the nurse discuss with a patient being treated for prostate cancer with leuprolide? Diarrhea Priapism Gynecomastia Elevated liver enzymes

Gynecomastia

A patient is newly diagnosed with gynecomastia. What reason for development of gynecomastia should the nurse explain to the patient? Gynecomastia causes excessive secretion of prolactin. Gynecomastia causes abnormal functioning of the thyroid gland. Gynecomastia is caused by a disturbance in the normal ratio of testosterone to progesterone. Gynecomastia is caused by a disturbance in the normal ratio of active androgen to estrogen.

Gynecomastia is caused by a disturbance in the normal ratio of active androgen to estrogen.

A man is determined to be at risk for breast cancer during a routine health screening by the nurse. The patient does not give any history of radiation exposure or genetic inheritance. Which other factor would have led the nurse to label the patient at high risk? History of on and off fever History of allergic rashes History of taking hormone replacement therapy for changing sex

History of taking hormone replacement therapy for changing sex

A patient with prostate cancer is receiving drug therapy with androgen receptor blockers. Which side effects should the nurse inform the patient to expect? Select all that apply. Hot flushes Loss of libido Joint swelling Muscle discomfort Erectile dysfunction

Hot flushes Loss of libido Erectile dysfunction

A patient has tested positive for syphilis. For which other condition should the patient be tested for, based on the positive syphilis test result? Tuberculosis Human Immunodeficiency Virus (HIV) Genetial Warts Diabetes type II

Human Immunodeficiency Virus (HIV)

A patient is administered a benzodiazepine as an adjunct to general anesthesia. For what should the nurse monitor in this patient? Select all that apply. Insomnia Hypotension Tachycardia Pulse oximetry Abdominal distention

Hypotension Tachycardia

A patient has a systemic blood pressure of 120/60 and an intracranial pressure (ICP) of 24 mm Hg. After calculating the patient's cerebral perfusion pressure (CPP), how does the nurse interpret the results? High blood flow to the brain Normal intracranial pressure Impaired blood flow to the brain Adequate autoregulation of blood flow

Impaired blood flow to the brain

The nurse assesses a vesiculopustular lesion with a thick, honey-colored crust surrounded by erythema on the left side of a patient's arm. The patient states that he or she had a few bumps in the area that the patient had been scratching. What complication has the patient developed from this condition? Cellulitis Furuncle Impetigo Folliculitis

Impetigo

During an admission assessment, the nurse decides to implement contact precautions if which of these disorders is present in a patient? Psoriasis Tinea unguium Impetigo on the lower legs Candidiasis in the groin area

Impetigo on the lower legs

After assessing the patient, the nurse declines to administer mannitol to the patient. Which condition supports this nursing intervention? Cerebral edema Cerebral tissue swelling Increased serum osmolality Increased intracranial pressure (ICP)

Increased serum osmolality

A patient is diagnosed with chronic cholecystitis. The nurse expects what assessment finding? Urticaria Flatulence Indigestion Weight loss

Indigestion

A young woman with polycystic ovary syndrome (PCOS) is on clomiphene therapy. Which is the rationale for use of this medication in this patient? Manage insulin resistance Induce ovulation Manage weight gain Reduce cardiovascular risk

Induce ovulation

A patient asks the nurse whether it is alright to take regularly scheduled insulin on the morning of surgery. What is the most appropriate nursing action? Inform the patient to skip the insulin dose on the morning of surgery. Tell the patient to take half the usual dose on the morning of surgery. Tell the patient to take the same dose as he or she is currently taking every day. Inform the surgeon of the patient's insulin use and ask whether the dose needs to be adjusted.

Inform the surgeon of the patient's insulin use and ask whether the dose needs to be adjusted.

A diabetic patient taking insulin is scheduled for a thyroidectomy. What should the nurse tell the patient about insulin injections around the time of the surgery? Insulin should be given only after the surgery. Insulin should be stopped one day before surgery. Insulin should be stopped at least one week before surgery. Insulin will be given after arrival in the preoperative holding area.

Insulin will be given after arrival in the preoperative holding area.

A patient with polycystic ovary syndrome (PCOS) is prescribed metformin. The patient seeks an explanation, as the drug is usually prescribed for diabetes. What explanation should the nurse provide to this patient? Select all that apply. It restores ovulation. It reduces ovarian cysts. It reduces plasma insulin. It increases plasma insulin. It improves hyperandrogenism.

It restores ovulation. It reduces plasma insulin. It improves hyperandrogenism.

A patient who does not exhibit signs or symptoms of syphilis receives a positive treponemal antibody test result. On the basis of these data, which stage of syphilis does the nurse suspect? Late Latent Primary Secondary

Latent

A patient has been diagnosed with pelvic inflammatory disease (PID). What is a priority topic that the nurse should discuss with the patient? The importance of contraception Benefits of hormone therapy (HT) Manifestations of further infection The importance of maintaining hygiene

Manifestations of further infection

The nurse is caring for a patient with increased intracranial pressure (ICP). Which osmotic diuretic does the nurse prepare to administer to lower the ICP? Mannitol Cimetidine Dexamethasone Hypertonic saline

Mannitol

A patient with breast cancer reports shortness of breath, weakness, and light-headedness. The laboratory reports reveal a count of 2.2 million red blood cells/μL and a hemoglobin value of 8.4 g/dL. Which condition does the primary health care provider suspect? Metastasis to the brain Metastasis to the spinal cord Metastasis to the bone marrow Metastasis to the skeletal muscle

Metastasis to the bone marrow

A patient with polycystic ovary syndrome (PCOS) is being treated to restore ovulation. What medication does the nurse administer to the patient? Flutamide Megestrol Metformin Clomiphene

Metformin

A patient seen in the clinic reports a fishy-smelling, thin, white, watery vaginal discharge and is diagnosed with bacterial vaginosis (BV). The patient reports an allergy to sulfa. Which medication does the nurse expect to administer? Doxycycline 100 mg PO BID for one week. Metronidazole 500 mg PO BID for one week. Penicillin G, 2 million units intramuscularly (IM) one time. Azithromycin 1 gram by mouth (PO) twice a day (BID) for two weeks.

Metronidazole 500 mg PO BID for one week.

The nurse is preparing to administer medication to a patient during a minor surgical procedure. What type of anesthesia is the nurse able to administer without the presence of an anesthesia care provider? Moderate sedation General anesthesia Regional anasthesia Monitored anesthesia

Moderate sedation

Which intervention would the nurse include in the care plan for a patient who is on doxorubicin and cyclophosphamide therapy? Monitor for signs of stroke. Monitor for vaginal bleeding. Monitor for signs of pulmonary embolism. Monitor for electrocardiogram (ECG) changes.

Monitor for electrocardiogram (ECG) changes.

The nurse is monitoring a patient who has undergone a craniotomy. What is the priority action by the nurse? Monitor the patient for pain. Monitor the patient for infection. Monitor the patient for hemorrhaging. Monitor the patient for increased intracranial pressure (ICP).

Monitor the patient for increased intracranial pressure (ICP).

The nurse is caring for a patient with a fracture who has a Buck's traction boot in place. Which complication is prevented by the use of the boot? Muscle spasms Posttraumatic arthritis Intraarticular adhesions Extraarticular adhesions

Muscle spasms

When reviewing the preoperative forms, the nurse notices that the informed consent form is not signed. What is the best action for the nurse to take? Have the patient sign a consent form. Have the family sign the form for the patient. Notify the health care provider to obtain consent for surgery. Teach the patient about the surgery and get verbal permission.

Notify the health care provider to obtain consent for surgery.

A patient reports back pain after a hysterectomy, and the nurse observes that urine output is less than 30 mL/hr. What is the priority intervention provided by the nurse? Administering analgesics Monitoring other signs and symptoms Notifying the primary health care provider Documenting the condition as normal observation

Notifying the primary health care provider

The nurse is caring for a patient who has polycystic ovary syndrome (PCOS). When preparing to teach this patient, the nurse should know that which classic manifestation is associated with the severity of symptoms, including infertility? Obesity Hirutism Amenorrhea Irregular Menstrual Periods

Obesity

The nurse hears snoring sounds in a patient with increased intracranial pressure (ICP). What does the nurse recognize these sounds indicate that require immediate action? Obstruction Oversedation Normal finding Decreasing ICP

Obstruction

A newly married couple is interested in using a combined oral contraceptive containing both estrogen and progesterone. What information should the nurse include when explaining about combined oral contraceptives to this couple? Select all that apply. Oral contraceptives increase risk of breast cancer. Oral contraceptives increase risk of ovarian cancer. Oral contraceptives decrease the risk of liver cancer. Oral contraceptives need to be taken after sexual intercourse. Oral contraceptives increase blood pressure and serum cholesterol.

Oral contraceptives increase risk of breast cancer. Oral contraceptives increase blood pressure and serum cholesterol.

A woman with chlamydial infection complains of pelvic pain, nausea, vomiting, fever and abnormal vaginal bleeding. What might be the possible cause of these symptoms? Pelvic Inflammatory Disease Ectopic Pregnancy Infertility Reactive Arthritis

Pelvic Inflammatory Disease

The nurse is assessing a patient suspected of having syphilis. What medication should the nurse prepare to administer? Podophyllin resin Acyclovir Azithromycin Penecillin G benzathine

Penecillin G benzathine

What instructions should the nurse tell a patient regarding the management of urinary incontinence after prostate surgery? Select all that apply. Limit fluid intake. Drink citrus juices. Perform Kegel exercise. Avoid caffeine products. Avoid alcohol consumption.

Perform Kegel exercise. Avoid caffeine products. Avoid alcohol consumption.

While providing postoperative care for a patient who underwent bariatric surgery, the nurse finds that the patient is unconscious and has not fully recovered from anesthesia. What action should the nurse take? Perform a jaw-thrust maneuver. Assist the patient with compression stockings. Administer intravenous fluids and electrolytes. Open nasal airways by closing the patient's mouth.

Perform a jaw-thrust maneuver.

The nurse is providing postoperative care for a bariatric surgery patient who experiences difficulty breathing and abdominal pressure. What action should the nurse take? Perform the jaw-thrust maneuver Assist the patient to walk a short distance Administer a low dose of heparin to the patient Place the patient's head at a 35- to 40-degree angle

Place the patient's head at a 35- to 40-degree angle

A patient reports the absence of menstruation, abnormal growth of hair of the body, weight gain, and infertility problems. What does the nurse infer from these clinical manifestations? Leiomyomas Cervical polyps Cervical cancer Polycystic ovary syndrome

Polycystic ovary syndrome

The health care provider advises expedited partner therapy (EPT) to a patient with a sexually transmitted infection (STI). What should the nurse explain to this patient about EPT? The patient should cut off all ties with the partner because the patient will become reinfected. Prescription or medications can be given to the patient's partner; no examination is required. The partner of the concerned patient will be examined and will be advised if treatment is needed. The partner of the patient will be given a vaccine to prevent transmission of the sexually transmitted infection.

Prescription or medications can be given to the patient's partner; no examination is required.

A patient who receives parenteral nutrition reports feeling tired and a burning and itching sensation. The nurse notes shallow respirations and a pulse rate of 40 beats/minute. What condition does the nurse suspect to have caused the patient's symptoms? Distention of the abdomen Displacement of a catheter Presence of refeeding syndrome Reduction in serum levels of fat-soluble vitamins

Presence of refeeding syndrome

A patient with increased intracranial pressure (ICP) has an order for phenytoin. What does the nurse anticipate the expected outcome of administering phenytoin will be for the patient? Decreased ICP Prevention of seizures Decreased systolic pressure Prevention of gastrointestinal (GI) ulcers

Prevention of seizures

A patient is suspected to have syphilis. Which stage of syphilis is most infectious and may have chancres? Primary Secondary Latent Tertiary

Primary

A patient recently had a unilateral, right total mastectomy and axillary node dissection for the treatment of breast cancer. What nursing intervention should the nurse include in the patient's care? Immobilize the patient's right arm until postoperative day Maintain the patient's right arm in a dependent position when at rest Administer diuretics prophylactically for the prevention of lymphedema Promote gradually increasing mobility as soon as possible following surgery

Promote gradually increasing mobility as soon as possible following surgery

What medication with a rapid onset and a short half-life can be used for anxiety and agitation in a patient with increased intracranial pressure? Propofol Opioids Benzodiazepines Nondepolarizing neuromuscular blocking agents

Propofol

A patient comes to the clinic with a chancre on the penis. Which diagnostic test does the nurse anticipate preparing the patient for? Rapid plasma region test Human papillomavirus DNA tests Treponema pallidum particle agglutination test Fluorescent treponemal antibody absorption test

Rapid plasma region test

An older adult male patient presents to the clinic reporting enlarged breasts. After reviewing the patient's medical record and performing an assessment, what does the nurse suspect is the reason for the patient's gynecomastia? A recent exposure to poison ivy Long-time daily ingestion of vitamin C Avoidance of drugs containing androgens and estrogens Recent computerized tomography (CT) scan showing a pituitary adenoma

Recent computerized tomography (CT) scan showing a pituitary adenoma

The nurse administers mannitol that has been prescribed for a patient with increased intracranial pressure. What outcome does the nurse expect after administration? Increased urine output Decreased blood pressure Reduced intracranial pressure Increased intracranial perfusion Mannitol is a powerful osmotic diuretic and plasma expander.

Reduced ICP

The nurse is caring for a patient with benign prostatic hyperplasia. What education should the nurse provide when discussing complications of this disorder if left untreated? Urinary calculi Bladder cancer Prostate cancer Renal insufficiency

Renal insufficiency

A patient presents with mild symptoms of benign prostatic hyperplasia (BPH). What should the nurse teach the patient to help minimize the symptoms? Select all that apply. Restrict fluids in the evening. Use decongestants as needed. Decrease caffeine consumption. Implement a timed voiding schedule. Use artificial sweeteners in place of real sugar.

Restrict fluids in the evening. Decrease caffeine consumption. Implement a timed voiding schedule.

The nurse recalls that which type of bariatric surgery may result in calcium and folic acid deficiency? Biliopancreatic diversion Roux-en-Y gastric bypass Sleeve gastrectomy Vertical banded gastroplasty

Roux-en-Y gastric bypass

A patient underwent an irreversible bariatric surgical procedure that involved creating a small gastric pouch and attaching it directly to the small intestine using a piece of the small bowel. The nurse recognizes that the patient had what surgical procedure? Biliopancreatic diversion Roux-en-Y gastric bypass (RYGB) Adjustable gastric banding Sleeve gastrectomy

Roux-en-Y gastric bypass (RYGB)

The nurse is reviewing the surgical notes of a patient who underwent bariatric surgery and notes that a small gastric pouch was created and attached directly to the small intestine. The remaining stomach and first segment of the small intestine are bypassed. Which surgical technique was performed? Adjustable gastric banding Sleeve gastrectomy Vertical banded gastroplasty Roux-en-Y gastric bypass surgery

Roux-en-Y gastric bypass surgery

The nurse is preparing to administer a hypertonic saline infusion to a patient to manage increased intracranial pressure (ICP). Which parameters require frequent monitoring? Select all that apply. Blood glucose Serum sodium Blood pressure Level of sedation Gastrointestinal disturbances

Serum Sodium Blood Pressure

3. While doing a neurologic assessment of a patient who sustained a thrombotic stroke, the nurse records the score of a patient as 40 on a National Institutes of Health Stroke Scale (NIHSS). What does this score indicate? Minor stroke Severe stroke Moderate stroke No stroke symptoms

Severe stroke

A patient who underwent restrictive bariatric surgery has a sleeved-shaped stomach with a 60 to 150 mL capacity and no bypass of the intestine. The nurse recognizes that the patient had what type of surgery? Biliopancreatic diversion Roux-en-Y gastric bypass Adjustable gastric banding Sleeve gastrectomy

Sleeve gastrectomy

A patient diagnosed with polycystic ovarian syndrome (PCOS) is experiencing hirsutism. About which medication does the nurse anticipate educating the patient? Flutamide Leuprolide Clomiphene Spironolactone

Spironolactone

The patient is admitted with a pressure ulcer with full thickness skin loss involving damage to the sub q tissue. how should the nurse document it? Stage 1 - nonblanchable, skin intact Stage 2 - partial thickness loss of dermis Stage 3 - full thickness, sub Q fat may be visible Stage 4 - full thickness with bone, tendon, or muscle visible Unstageable

Stage 3 - full thickness, sub Q fat may be visible

A nurse is examining the pressure ulcer of a patient and observes that subcutaneous fat is visible in the ulcer, but bones, muscle, and tendon are not visible. Slough is present, and there is tunneling of the ulcer. From this observation, what stage of the ulcer should the nurse record in the patient's medical record? Stage II Stage III Stage IV Unstageable

Stage III

The nurse is caring for a patient with polycystic ovarian syndrome. What nursing interventions are appropriate for this patient? Advise absolute bed rest. Instruct to take diet rich in carbohydrates and fat. Explain the advantages of early surgical intervention. Suggest use of a depilating agent or electrolysis to remove unwanted hair.

Suggest use of a depilating agent or electrolysis to remove unwanted hair.

The patient has inflammation and reports malaise, nausea, and anorexia. The nurse explains to the patient that these manifestations are related to inflammation in what way? Local response Systemic response Infectious response Acute inflammatory response

Systemic response

After having a mastectomy a patient is placed on a medication to reduce the estrogen levels. What medication should the nurse educate the patient regarding? Paclitaxel Tamoxifen Doxurubicin Cyclophophamide

Tamoxifen

During the initial postoperative period following bariatric surgery, the nurse recognizes the importance of monitoring obese patients for respiratory insufficiency based on what knowledge? The body stores anesthetics in adipose tissue. Postoperative pain may cause a decreased respiratory rate. Intubation may be difficult because of extra chin skin folds. The patient's head must remain flat for a minimum of 2 hours postprocedure.

The body stores anesthetics in adipose tissue.

A patient is one day postoperative following a transurethral resection of the prostate (TURP). Which event is not an expected finding in the care of this patient? The patient reports fatigue and claims to have minimal appetite. The patient requires two tablets of acetaminophen #3 during the night. The patient has continuous bladder irrigation (CBI) infusing, but output has decreased. The patient has expressed anxiety about his planned discharge home the following day.

The patient has continuous bladder irrigation (CBI) infusing, but output has decreased.

A patient will begin receiving peripheral parenteral nutrition (PPN). The nurse should question which part of the PPN prescription? The solution contains amino acids. The solution measures 1700 mOsm/L. The solution is to infuse at 100 mL/hour. The solution contains 30 mEq of potassium chloride.

The solution measures 1700 mOsm/L.

There are several pregnant women ready to deliver their babies. Which woman should the nurse expect to require a cesarean section to deliver her baby? The woman who had contact with an individual with syphilis two weeks ago The woman who had treatment for gonococcal pharyngitis before conception The woman who has herpes simplex virus type 2 vesicles on her cervix at time of delivery The woman who received treatment for Chlamydia trachomatis at her 20th week gestation

The woman who has herpes simplex virus type 2 vesicles on her cervix at time of delivery

The nurse is caring for a patient that had a craniotomy. In planning long-term care for the patient, what must the nurse include when teaching the patient, family, and caregiver? Seizure disorders may occur in weeks or months. The family will be unable to cope with role reversals. There are often residual changes in personality and cognition. Referrals will be made to eliminate residual deficits from the damage.

There are often residual changes in personality and cognition

The nurse recalls that which anatomical change is observed after biliopancreatic diversion surgery? The stomach is sleeve shaped with a 60- to 150-mL capacity. There is an anastomosis between the stomach and the intestine. A band encircles the stomach, creating a stoma and a gastric pouch. A gastric pouch is connected to the jejunum, and the remaining stomach is bypassed.

There is an anastomosis between the stomach and the intestine.

A patient is diagnosed with bacterial vaginosis. What kind of vulvar discharge would the nurse expect to find in this patient? Select all that apply. Bloody discharge White, thick, curdy discharge Frothy, green malodorous discharge Thin, gray or white discharge with copious flow Malodorous or fishy discharge

Thin, gray or white discharge with copious flow Malodorous or fishy discharge

A patient with hepatitis A asks whether other family members are at risk for "catching" the disease. The nurse's response will be based on the knowledge that hepatitis A is transmitted primarily: During sexual intercourse By contact with infected body secretions Through fecal contamination of food or water Through kissing that involves contact with mucous membranes

Through fecal contamination of food or water

The nurse is caring for a patient with pelvic inflammatory disease. The nurse knows that positioning the patient into supine position with the head of the bed to 30 degrees is known to do what? To promote circulation To prevent dehydration To reduce pelvic inflammation To promote drainage of the pelvic cavity

To promote drainage of the pelvic cavity

The nurse provides discharge education to a patient who has undergone bariatric surgery. Why does the nurse instruct the patient to restrict foods that are high in carbohydrates? To reduce the risk of hernia To reduce the risk of venous stasis To reduce the risk of dumping syndrome To reduce the risk of small bowel obstruction

To reduce the risk of dumping syndrome

The nurse is assessing a patient suspected of being infected with gonorrhea. What symptom elicited by a nurse assessing a male patient correlates with this suspicion? Scrotal edema Urethral discharge A rash on the penis Enlarged inguinal lymph nodes

Urethral discharge

A nurse is caring for a patient who has sustained a spinal cord injury. To prevent autonomic dysreflexia, what should the nurse instruct the patient to avoid? Urine retention Emotional stress Smoking cigarettes People with upper respiratory infections

Urine retention

The registered nurse observes another health care provider caring for a patient with multiple intravenous lines and a continuous enteral feeding in place. The nurse should intervene immediately when the care provider performs what action? Uses an IV pump to deliver the enteral feeding Teaches the visitors to notify the nurse if the enteral feeding line becomes disconnected Checks the patient's vital signs after making a connection During shift handoff, traces all tubes

Uses an IV pump to deliver the enteral feeding

The nurse recalls that bile salts in the body help with what function? Protein metabolism Vitamin absorption Glucose metabolism Ammonia elimination

Vitamin absorption

A patient who is scheduled for gastric bypass surgery asks for information about dumping syndrome. How should the nurse explain dumping syndrome? The inability to digest high-fat foods When the passage of food into the small intestine occurs too rapidly A decrease in the secretion of insulin caused by carbohydrates An increase in the secretion of both bile and pancreatic enzymes

When the passage of food into the small intestine occurs too rapidly

The nurse is caring for several patients with infections. Which require droplet precautions? Select all that apply. a. A patient with Clostridium difficile b. A patient with influenza A c. A patient with Tuberculosis d. A patient with bacterial meningitis e. A patient with measles

b. A patient with influenza A d. A patient with bacterial meningitis

An anesthesia care provider gives a regional block to a patient. The patient was administered ranitidine and metoclopramide IV preoperatively. While receiving the lidocaine injection for the block, the patient's blood pressure drops, and the patient experiences a seizure. The nurse recognizes that the probable cause of the patient's response is what? a. Side effect of lidocaine b. Accidental vascular injury c. Adverse effect of ranitidine d. Side effect of metoclopramide

b. Accidental vascular injury

A man is determined to be at risk for breast cancer during a routine health screening by the nurse. The patient does not give any history of radiation exposure or genetic inheritance. Which other factor would have led the nurse to label the patient as high risk? a.History of on and off fever b.History of allergic rashes c.History of taking hormone replacement therapy for changing sex d.History of sudden excessive hair loss resulting in alopecia

c.History of taking hormone replacement therapy for changing sex

What is the hallmark of refeeding syndrome? a. Hypokalemia b. Hyponatremia c. Hypomagnesemia d. Hypophosphatemia

d. Hypophosphatemia