Med surge final study guide
A nurse is assisting the healthcare provider to perform a needle biopsy of a client's kidney. What measure should the nurse employ?
Assess the client for sedation before the provider administers local anesthesia
A nurse is caring for a visually impaired client who is receiving eye medications. For which of the following side effects should the nurse observe the client? Select all that apply.
Bradycardia Dizziness Syncopy
What type of traction would be used for a 2 year old client with a fracture of the femur?
Bryant traction.
A nurse is caring for a client who is receiving hemodialysis. During dialysis, what measure should the nurse or the dialysis nurse employ when caring for this client?
Keep two clamps on the dressing over the cannula.
The nurse is teaching a student nurse about the incidence and etiology of nephromas. Which of the following accurately describes this condition?
Kidney tumors are rare in people under 30 years of age. Some nephromas have a hereditary risk factor.
A client diagnosed with an oblique fracture to the ulna. A cast is applied to the arm to immobilize the fractured area. What assessment would indicate complications of pressure due to immobilization?
Lack of distal pulse in the affected arm.
A 50-year-old client diagnosed with intervertebral disk disease has to undergo a type of lumbar decompression that exposes the spinal canal and allows for relief of compression of the spinal cord and spinal nerve roots. What is the term used for this procedure?
Laminectomy
The nurse is caring for a patient in the hospital who is visually impaired. Which of the following nursing considerations would be appropriate for this client? Select all that apply.
Let the client know when you are leaving the room. Identify self when entering the room. Place food on the plate in a "clock position" and identify the food.
Which statement is true about a client with malignant bone tumor?
Malignant bone tumors can lead to pathologic fractures.
A nurse is providing a client with information on hormonal contraception. Which could the nurse use as a example of hormonal contraception?
Medroxyprogesterone injection
The nurse working in a free health clinic explains to a student nurse the risk factors for genital herpes infections. Which of the following accurately describes one of these factors?
Minority ethnic origin
A 35-year-old client with a cervical injury is provided with a halo device to stabilize the neck. What measures must the nurse employ when caring for a client with this type of device?
Monitor the client for any difficulty in swallowing.
A nurse is caring for a client who has undergone uterine dilation and curettage. What nursing care measure should be employed when caring for this client?
Monitor the client for signs of urinary retention.
A nurse is caring for a client with benign prostatic hyperplasia (BPH). What nursing care measure will be performed when caring for this client?
Monitor the client for symptoms of acute urinary retention.
The high school nurse is teaching a class of adolescents the characteristics of sexually transmitted infections (STIs). Which of the following are considerations related to STIs? Select all that apply.
They cause infections that lead to PID. They can cause infertility. They cause significant side effects and/or death in newborns.
An OB/GYN nurse is teaching a new female client how to perform breast self- examination. Which of the following is a recommended step for this examination?
To examine the right breast, put a pillow or folded towel under the right shoulder
A client is undergoing transurethral resection of the prostate (TURP). What is the purpose of this procedure?
To remove a small tissue sample of the prostate
The nurse is assisting an ophthalmologist with a test to measure the pressure in the eyes of a client in order to detect glaucoma. Which of the following tests is being performed?
Tonometry
A teenager presents at the ER with severe scrotal and abdominal pain, vomiting, and nausea. He tells the nurse that he participated in a polar bear plunge in his community (jumping into cold water off-season). What conditions would the nurse suspect?
Torsion of the spermatic cord
The nurse is planning care for a client who is on prolonged bed rest following a hip replacement. Which of the following is a nursing consideration for this client?
Turn client frequently to prevent skin breakdown.
A nurse is caring for an elderly client who has undergone hip replacement surgery. What measures must the nurse employ when caring for the client? Select all that apply.
Turn the effected client every 1-2 hrs from the unaffected side to the back. Support the client with sandbags, pillows, or trochanter rolls Place a trapeze on the overhead frame over the clients bed.
The nurse is assessing the urinary functioning of a client. Which of the following conditions are most likely to result in urinary alterations? Select all that apply
Uncontrolled hypertension Diabetes mellitus Collagen/vascular disease
The ophthalmologist examining a client's eyes documents that the client has astigmatism. Which of the following describes this condition?
Unequal curvature in shape of the lens
A nurse is caring for a 12-year-old client diagnosed with muscular dystrophy. Which of the following complications is seen frequently in clients with muscular dystrophy?
Upper respiratory tract infection
The nurse monitoring clients for symptoms of renal failure knows that oliguria is common in the early phases of renal failure. How would the nurse describe this condition?
Urinary output is <400 mL in a 24-hour period.
A client presents to the same-day surgery unit for a dilation and curettage (D&C). The client experienced bleeding after the procedure, so the healthcare provider packed the client's vagina with gauze. Which is a potential complication?
Urinary retention
A client is diagnosed with hydronephrosis. What occurs in this condition?
Urine forms, but the flow of urine from the kidney is obstructed
The nurse is preparing a client for urodynamic tests. Which of the following of this series is a noninvasive assessment of the status of micturition and generally the first test done in a urodynamic evaluation?
Uroflowmetry
A nurse is caring for a client with an ileal conduit for urinary diversion following bladder removal. What measure should the nurse employ when caring for this client?
Use a solvent to loosen the appliance during removal.
A female client is interested in knowing the most effective procedure for permanent sterilization in women. The nurse would discuss which option with the client?
tubal ligation
The nurse is educating a client who is diagnosed with menstrual headaches. Which client statements indicate teaching was effective? Select all that apply.
• "I plan to eat lean meat and beans and less sugar and caffeine." • "I am glad you understand my headaches because others think the pain is 'all in my head." • "I may take a non-steroidal anti-inflammatory drug when I am having pain."
The nurse is counseling clients who are experiencing erectile dysfunction. Which of the following clients would be most likely to experience this disorder? Select all that apply.
• A client who is taking antidepressants • A client with diabetes mellitus • A client who has a spinal cord injury • A client who has had a stroke
Which are risk factors for developing prostate cancer? Select all that apply.
• Age older than 50 year. • Family history of prostate cancer • PSA elevation
A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply.
• Avoid using deodorant tampons. • Avoid the use of colored toilet tissue. • Wear only cotton panties and ventilated pantyhose.
A 25-year-old client is diagnosed with mumps. This client is at risk for developing orchitis, thus the nurse teaches the client testicular self-examination. What instructions should the nurse provide? Select all that apply.
• Consult the physician if there is any evidence of a small lump. • Locate the epididymis on the top and back of the testicle. • Roll the testis gently between the thumb and the fingers.
The nurse is providing teaching for a 7-year-old child who is having polyethylene (PE) tubes inserted because of recurrent inner ear infections. Which of the following is a teaching point for this client and family?
The child should not use a shower or swim.
A 30-year-old client with complaints of chronic wrist pain in his left arm along with numbness and tingling sensation in the fingers is diagnosed with carpal tunnel syndrome. Which of the following is true in a client with carpal tunnel syndrome?
The client exhibits positive Tinel's signs.
A client visits the healthcare facility for information on tubal ligation. Which of the following should the nurse inform the client?
The client needs only a minor dressing.
Which nursing consideration should the nurse encourage for a client undergoing a cystoscopy?
The client should drink plenty of fluids
The nurse tells a client that every woman past the age of puberty should have a complete pelvic examination, including a Pap test, every 1 to 3 years. What other information should the nurse provide to the client?
The pap tesr helps in the early detection of cervical cancer.
The nurse is testing a client's visual acuity. When the nurse documents "20/20" vision, what does the first "20" represent?
The person can see at 20 ft what most people with normal vision can see at 20 ft.
The nurse is explaining to a client whose cast is being removed what to expect under the cast. Which of the following is a normal finding?
The skin may be covered with scales.
A 50-year-old client is scheduled for a test for prostate-specific antigen (PSA). What should the nurse tell the client with respect to the procedure?
The test is often repeated each year even if this result is negative.
A young woman who is sexually active asks the nurse about using the vaginal sponge as a method of contraception. Which of the following is accurate information the nurse would include in the teaching plan?
The vaginal sponge must be removed within 30 hours of insertion.
Which of the following clients would be most likely to have an order for a sitz bath?
A client who has had a hysterectomy
A client visits the healthcare facility with an insect fluttering in his ear. Which of the following should the nurse do to extract the insect?
Administer a few drops of mineral oil.
The nurse is preparing a client for a pelvic examination. Which of the following would be included in the nurse's instructions?
Ask the client to empty her bladder prior to the exam.
The nurse is preparing a client for an electroretinogram (ERG) to confirm a diagnosis of retinitis pigmentosa. Which of the following explanations would be appropriate preparation for this client?
"A contact lens containing an electrode will be placed on your eye."
A 50-year-old male client asks the nurse what signs he should look for with prostate cancer. How would the nurse respond?
"Early cancer of the prostate does not usually produce symptoms."
The nurse is aware that clients with tactile difficulties may be in danger because they cannot react appropriately to external injuries or internal disorders. Which of the following clients should the nurse monitor for tactile sense disorders?
A client who has uncontrolled diabetes
A 72-year-old female client has been diagnosed with a prolapsed uterus. She is a poor surgical risk and has a pessary. Which statement made by the client would indicate that the client requires additional education?
"The pessary must be cleaned with bleach once a month."
The nurse explains to a client with prostate cancer that the surgeon has ordered a nerve- sparing radical prostatectomy. How would the nurse describe this procedure?
"The prostate will be removed through an incision below the umbilicus and above the symphysis pubis."
A nurse is providing preoperative teaching for a client who is scheduled for prostate surgery. Which of the following information would the nurse include?
"There is a strong possibility of postoperative erectile dysfunction."
The nurse is teaching a client who is in a body cast how to perform exercises to reduce the effects of immobilization. Which of the following is a recommended teaching point for clients confined to bed?
"Wiggle the fingers or toes of affected extremities."
The client has not had a Pap test since a hysterectomy 4 years ago. What is the best response by the nurse?
"Women with a cervix are at risk for cervical cancer and should have Pap tests"
The nurse is caring for a client with sensory nerve damage to the left anterior lower leg. What should the nurse instruct the client to do to ensure safety when discharged back to home?
*Be careful to not lean into the oven door when open.*
A nurse is caring for a client with glaucoma. What information should the nurse provide this client?
*Caution against atropine medications*
The nurse is instructing a client with a refractive error on the use of contact lenses. What information should the nurse provide during this teaching?
*Hard contact lenses require special cleaning, rinsing, and storage solutions.*
A nurse is assisting a healthcare provider in performing a caloric test to evaluate the functioning of a client's acoustic nerve. What measure should the nurse use when caring for this client?
*Provide only clear fluids before the test.*
A nurse is required to prepare a client for eye surgery. Which measure should the nurse take when clipping the eyelashes?
*Use blunt scissors coated with petrolatum*
A 60-year-old female client who is experiencing stress urinary incontinence is not considered a good candidate for surgical repair of the problem. Her healthcare provider recommends a pessary. Which of the following describes this treatment?
A device is inserted into the vagina to support the organs of the pelvis
A 28-year-old female client presents at the emergency department with a rapid onset of fever and chills, with flank pain, pyuria, nausea, vomiting, and headache. Laboratory results indicate bacteriuria, WBCs, and casts. What condition should the nurse suspect?
Acute pyelonephritis
The nurse at a fertility clinic determines the risk factors for clients using oral contraceptives. Which of the following clients would be at highest risk for heart attack or stoke related to use of these contraceptives?
38-year-old woman who smokes
A nurse is required to irrigate a client's ear for cerumen removal. To what temperature should the nurse heat the irrigating solution?
98.6
The nurse is aware that amputation is the absence or removal of all or part of a limb or body organ. Which of the following candidates is most at risk for amputation?
A homeless person with diabetes mellitus
The nurse is conducting a teaching session about HIV infection. Which information would the nurse include in the teaching plan?
A person who has an STI and is exposed to HIV is much more likely to acquire HIV.
A nurse is preparing a client for intrauterine device (IUD) insertion. What should the nurse inform the client when educating her on IUDs?
A regular check of threads must be done.
The nurse is caring for clients who have STIs. Which of the following clients is most at risk for becoming infertile due to the infection?
A woman diagnosed with chlamydia
A young couple having trouble getting pregnant ask their nurse practitioner for recommendations for assisted reproductive technology (ART). Their only concern is that they do not want a multiple pregnancy. Which of the following forms of ART would be the best procedure for this couple?
AI
The nurse is caring for a client who has severe back pain related to lordosis. Which of the following accurately describes this condition?
Abnormal curvature of lumbar vertebrae
The nurse is caring for a client who has renal failure. Which of the following is a characteristic of this disease?
Abnormal levels of potassium, calcium, and phosphate are found in the blood.
A routine urinalysis is performed on a 59-year-old female client who has kidney disease and electrolyte imbalances. Which of the following abnormality would the nurse suspect to be documented?
Abnormal specific gravity
A nurse is caring for a client with complaints of frequent urination. When assessing the urinalysis report, the nurse should look for what component to confirm a normal urinalysis?
Absence of glucose in the urine
A nurse is teaching a client about the various contraceptives on the market. Which of the following is a 100% effective method of birth control and protection against sexually transmitted infections (STIs)?
Abstenense
The nurse is caring for a client who has an amputated arm. How would the nurse classify the amputation?
According to limb and level of amputation
A nurse is caring for a client with prostatitis. The nurse knows that what nursing care measure will be employed when caring for this client?
Administer the prescribed dose of antibiotics
A client is in the recovery room following replantation of his severed arm. Which of the following is recommended postoperative management?
Administration of antibiotics
Starting at the age of 13 to 14 years, every male is encouraged to perform monthly self-testicular examinations. When is the best time for the man to perform this exam?
After a bath or shower
The nurse is counseling an adolescent who is diagnosed with anorexia nervosa. Which of the following is a symptom of this disorder?
Amenorrhea
A 16-year-old client presents to the gynecologist office for a routine visit. The client states she has not had a period in 4 months and she is not sexually active. Which may be a cause of her amenorrhea?
Anorexia and/or bulimia
A nurse is caring for a 20-year-old athlete with a sprained left ankle. What nursing measures should the nurse employ when caring for this client?
Apply an elastic bandage to immobilize the area.
Following identification of a mass by imaging studies, a client undergoes a needle biopsy of the kidney for a specific diagnosis. Which of the following is a nursing consideration for this procedure?
Apply pressure to the site to minimize bleeding
A client who was in a motor vehicle accident has a "black eye." What nursing intervention is appropriate for this client?
Apply warm packs to the eye once the swelling has stopped.
The nurse is caring for a client with blepharitis. Which interventions will be included in this client's plan of care? Select all that apply.
Apply warm packs to the eye. Cleanse the eyelid with mild soap and water. Apply prescribed antibiotic ophthalmic ointment
A nurse is caring for a client with a sty on his left upper eyelid. Which of the following measures should the nurse employ when caring for this client?
Apply warm, moist compresses over the eyelid
The nurse is caring for a client who has bursitis related to gout. What is an appropriate nursing intervention for this client?
Applying heat to the affected part
A client is undergoing a procedure to remove a bone spur from his shoulder. For which of the following procedures would the nurse prepare this client?
Arthroscopy
The nurse is examining a client who is manifesting symptoms of acute bacterial prostatitis. Which of the following conditions is the usual causative factor of this disorder?
Ascending urinary tract infection
The nurse is preparing a client with joint pain for an arthrogram. Which of the following is a nursing condition related to this test?
Ask the client about sensitivities to food, iodine, latex, or medications.
The nurse is caring for a client with a prosthetic eye. Which of the following is a recommended guideline for inserting a prosthetic eye?
Ask the client to blink to seat the prosthesis in place.
A nurse is caring for a client being treated for cervicitis. What information should be provided to the client to prevent recurrent cervicitis?
Avoid irrigating the vagina frequently with a douche.
A nurse is caring for a postoperative client who underwent an extracapsular cataract extraction. What instruction should the nurse provide the client to prevent disruption of the suture line?
Avoid sudden movements
A nurse is educating a client who has had orchiopexy about routine testicular self- examination (TSE). What instruction should the nurse provide to the client?
Avoid touching the scrotum with cold hands.
A male client visits a fertility clinic after one year of attempting unsuccessfully to impregnate his wife. Which of the following is a risk factor associated with male infertility?
Azospermia or oligospermia
A physician suspects a client presenting with oliguria may be in acute renal failure. The nurse can anticipate that the physician will order which laboratory tests? Select all that apply.
BUN Creatinine Sodium (Na)
A 72-year old man presents at a local clinic and states: "I have to urinate all the time, and I never feel like my bladder is emptied. It really bothers me at night." What condition might the nurse suspect related to this chief complaint?
Benign prostatic hyperplasia (BPH)
An older adult is diagnosed with the condition known as presbyopia, and is experiencing errors in far and near vision. Which of the following is the most common treatment option for this client?
Bifocals
A 60-year-old male client is recovering from prostate surgery. What intervention is ordered in the postoperative stage of this surgery?
Bladder irrigation
A female client who is taking oral contraceptives is diagnosed with metrorrhagia. Which of the following describes this condition?
Bleeding between menstrual periods
A nurse is caring for a client with conjuncti- vitis. Which measure should the nurse employ to help remove discharge from the client's eye?
Boric acid irrigations
A 60-year-old client undergoing preoperative chemotherapy and radiation therapy for prostate cancer has developed proctitis and cystitis. What nursing intervention should the nurse perform for this client?
Carefully monitor the client's urine output.
The nurse is preparing a cancer risk assessment for a 45-year-old female client. Which of the following cancers occurs commonly in women between the ages of 40 and 55 years?
Cervical cancer
An 18-year-old female client who is sexually active asks the nurse for information on barrier contraceptives. Which of the following should the nurse say is a mechanical barrier contraceptive?
Cervical cap
A client is being prepared for artificial insemination. Which finding is the most suggestive to determine if the client is ovulating?
Change in Cervical Mucous
A nurse is caring for a client admitted for a mastectomy. What instruction should be given to the client?
Instruct how to care for a Jackson-Pratt (JP) drain
A female client is diagnosed with pelvic inflammatory disease (PID). What would the nurse tell the client is the most common cause of this disorder?
Chlamydia
An elderly client is diagnosed with cataracts. The client complains of double vision and says he sees halos around lights. What should the nurse expect to find in the client's eyes during the nursing assessment?
Cloudiness of the lens
A client has a hearing impairment. Which activities need the assistance of a nurse? Select all that apply.
Communication Maintenance of balance Recreational needs
A young client with a cast on his fractured arm visits the healthcare facility with complains of pain that is unrelieved by medications and passive stretching of the arm. The client exhibits signs and symptoms of swelling, tightness, and paresthesia of the effected extremity. What do these symptoms indicate?
Compartment syndrome.
A young sexually active woman asks the nurse what type of birth control would help prevent sexually transmitted infections as well as pregnancy. Which of the following would the nurse recommend?
Condom
A teenaged male client asks the nurse if there is any 100% effective method of birth control and protection against sexually transmitted infections. Which should the nurse mention to him?
Continual abstinence
An intrauterine device has been inserted into a client as a requested birth control method. Which of the following is an advantage of intrauterine devices (IUDs)?
Continuous protection without client's active participation
A nurse is caring for a 30-year-old client with a simple fracture in the right hand supported in a plaster cast. What measures must the nurse employ when caring for a client with a cast?
Cover the edges of the cast with tape.
A 48-year-old client is undergoing testing to confirm kidney disease. Which of the following tests uses a collected urine specimen to indicate glomerular filtration rate and renal insufficiency?
Creatinine clearance test
Which treatment is often used for overflow incontinence?
Credé's maneuver
A nurse is caring for a 45-year-old client who has undergone arthroscopy. What client teaching should the nurse provide when caring for this client after the procedure?
Instruct the client on monitoring the site for infections.
A woman is undergoing testing for infertility. Her healthcare provider orders Rubin's test. The nurse explains to the client that this test is ordered to:
Determine patency of the oviducts
A nurse is preparing a client for an intravenous pyelogram (IVP). What measure should the nurse employ?
Determine whether the client is allergic to shellfish.
The nurse is reading the laboratory results of a client being evaluated for urinary functioning and notes that bilirubin is present in the urine. What condition would the nurse suspect?
Diabetes
The nurse is caring for a woman who had an incomplete abortion. For what procedure would the nurse prepare this client?
Dilation and Curettage (D&C)
A 50-year-old client is being discharged after a prostatectomy. What instruction should be provided to the client for self-care?
Instruct the client on the proper technique for Kegel exercises.
A 20-year-old male client is diagnosed with genital herpes. What client teaching should the nurse give him?
Do not share food or engage in kissing.
The nurse is providing care for a client who is in skin traction temporarily to stabilize an upper arm fracture before surgery. Which of the following types of skin traction is being used?
Dunlop's traction
The nurse is explaining to a client that during testing for arterial problems of his penis, an erection may occur that may not go away at first and he will need to be monitored until it has resolved or been medically reversed. What type of testing is this client undergoing?
Duplex Doppler ultrasonography
The nurse is reading the laboratory reports for a client who has severe rheumatoid arthritis. Which of the following tests may show inflammation related to an infection or inflammatory condition? Select all that apply
ESR RF CK
The nurse caring for a client following eye surgery reports to the surgeon that the client is showing signs of ptosis (drooping eyelid). What might this finding indicate?
Edema
The nurse is caring for a client who is in an immobilization device to prevent movement of the spinal cord following trauma related to a motor vehicle accident. Which of the following accurately describes a key finding related to complications of pressure, which may occur with an immobilization device in place?
Edema
A client with Parkinson's disease is visiting a health clinic for a check-up. Which of the following tests might be ordered to determine whether the client's muscles respond appropriately to stimuli?
Electromyogram
A nurse is caring for a client receiving peritoneal dialysis following kidney failure. What measure should the nurse employ for this client?
Encourage the client to breathe deeply.
A young client is diagnosed with a dislocation of the hip joint after an motorcycle accident. The dislocated segment is repositioned and stabilized with traction. What measures must the nurse Employ when caring for a client with traction?
Encourage the client to frequently position the ankles to neutral position.
The nurse is caring for a 45-year-old male client following amputation of his right leg, which was crushed in a fall. Which of the following is a nursing consideration for this client?
Encourage the client to lie in a prone position
The nurse is counseling a female college student at a rape crisis center who states that she was attacked by a male on campus. Which of the following is appropriate advice for this rape victim?
Encourage the victim to seek physical help and have a "rape kit" documented.
A client is diagnosed with Chlamydia. Chlamydia is often the causative organism for which condition?
Epididymitis
What disorder prevents a man from obtaining and maintaining an erection?
Erectile dysfunction
A nurse is caring for a client who is diagnosed with Ménière's disease. Which of the following measures should the nurse take when caring for this client?
Explain all actions to the client ahead of time
The nurse is entering the hospital room of a client who has a severe hearing deficit. Which of the following nursing considerations would be appropriate for this client? Select all that apply.
Face the client on the same level. Speak slowly and clearly. Verify that the person understood the conversation.
A nurse is teaching an adolescent client about sexually transmitted infections (STIs). Which would the nurse include in the teaching plan?
Females have the most reported cases of chlamydia and gonorrhea.
The nurse is caring for a client who is in balanced suspension traction. What type of fracture is being treated with this device?
Femur
The nurse caring for clients with HIV infection knows that HIV infection can mimic many other illnesses. Which of the following are signs/symptoms of this disease? Select all answers that apply.
Fever, night sweats Severe diarrhea White spots on the tongue or mouth Purplish blotches under the skin
A client visits a community clinic with complaints of severe allergies causing a "crackling sensation" in the ear. The diagnosis is serous otitis media. Which of the following is a characteristic of this condition?
Fluid collects in the middle ear, causing an obstruction of the auditory tube.
A nurse is caring for a client affected with pelvic inflammatory disease (PID). In what position should the nurse place the client?
Fowlers position
A 23-year-old sexually active male tells the nurse practitioner that he is worried because he has been having "burning sensation when urinating and a yellowish discharge from his penis." On assessment, the nurse notes that his testicles are swollen. What sexually transmitted infection would the nurse suspect?
Gonorrhea
A 3-year old client is diagnosed with a fracture of the ulnar bone after a fall from the stairs. The fracture appears to be on one side of the bone, whereas the other side is bent. What type of fracture does the client have?
Greenstick
The nurse caring for clients in a healthcare facility discusses the risk factors of bladder cancer with a client who is being tested for the disease. Which of the following is one of these risk factors?
Having lung cancer
A nurse is caring for a client with inner ear disorder. Which is true for this client?
He has had long-term medication with streptomycin
A client is scheduled for cystoscopy to determine which of her kidneys is diseased. Which of the following is a nursing consideration when caring for this client?
Help the client with sitz baths to ease voiding.
A nurse is caring for a client receiving hemodialysis. Which possible complications may occur in this client? Select all that apply.
Hepatitis infection Life-threatening hemorrhage Increase in body temperature
A client reports repeated fever blisters on her lips. The nurse knows that which virus is the most likely cause of this condition?
Herpes simplex virus type 1 (HSV-1)
A 22-year-old male client says he is attracted to persons of the same sex only. How should the nurse document his stated sexual orientation?
Homosexual
The nurse is caring for a client who has severe joint pain. Which of the following treatments might the nurse use to cause vasodilation and promote healing?
Hot compresses
A postoperative elderly female client is prescribed morphine to control pain related to knee replacement. The medication causes the client to be confused and agitated with attempts to get out of bed on her own. Restraints are ordered, which cause the client to be incontinent. What type of incontinence is this client experiencing?
Iatrogenic incontinence
A client has been diagnosed with bladder cancer. The nurse is providing preoperative teaching surgery scheduled to remove the urinary bladder. Which form of urinary diversion is the most common?
Ileal conduit
A male client is undergoing testing for STIs at a community health clinic. What information regarding STIs should be given to this client?
Individuals infected with viral STIs are infected for life.
A nurse is preparing a plan of care for a client affected with Peyronie's disease. What measure should be included in the nursing care plan for the client?
Inform the client about the surgery to remove the scar tissue.
A nurse is caring for a client with a hearing aid. What information should the nurse provide this client? Select all that apply.
Inform the client that adjusting to the hearing aid takes time and patience The client may use a pipe cleaner to clean and dry the cannula.
A nurse is caring for a client after a perineal prostatectomy. What nursing care measure should be employed when caring for the client?
Inform the client that difficulty can occur when sitting up.
A nurse is caring for a client who is scheduled for a transurethral resection of the prostate (TURP). What education should the nurse follow when caring for the client?
Inform the client that the surgeon will insert a device into the penis.
A 25-year-old client diagnosed with a vaginal yeast infection has been prescribed a vaginal cream. The nurse needs to instruct the client to do what?
Insert the full dosage of medication
A nurse is caring for a client diagnosed with trichomoniasis. What self-care tip should be provided to the client?
Insert the full dosage of medication at bedtime.
The nurse is assisting with a caloric test to determine if an alteration exists in the vestibular origin of the acoustic nerve. Which of the following accurately describes a step in this procedure?
Instill cold and/or warm water into the external ear canal.
A 30-year-old client who had an amputation of his left leg above the knee complains that he often feels the presence of the absent body part. He occasionally experiences pain and an itching sensation over the amputated portion of the leg. The client is diagnosed with phantom limb pain. What nursing measures and client teaching must the nurse employ when caring for this client?
Instruct the client to ask for pain medication, if needed.
The nurse is providing postoperative care for a client recovering from eye surgery. What precautionary measures should the nurse use when caring for this client? Select all that apply.
Instruct the client to avoid coughing or sneezing. Caution against sudden head movements. Ask the client not to lift objects over 10 to 20 lb.
A nurse is caring for a client after anterior colporrhaphy. What nursing care measure should be employed when caring for the client?
Instruct the client to avoid lifting for a period of time.
A female client diagnosed with scleroderma comes to a healthcare facility with complaints of joint pains. What consideration must the nurse employ when caring for a client with a scleroderma?
Instruct the client to avoid smoking and exposure to cold.
A nurse is caring for a female client with recurrent urinary tract infection (UTI). What measure should the nurse employ with this client?
Instruct the client to void before and after intercourse
The nurse performing a physical assessment of an 80-year-old client documents the structural disorder known as entropion. What occurs in this condition?
Inward turning of the lid margin common in older adults
The nurse explains to a client with a family history of breast cancer the difference between benign and malignant neoplasms. Which of the following is a characteristic of a malignant neoplasm?
Irregular shape and hard
The nurse explains to a client diagnosed with trichomoniasis that the disease is caused by the parasitic protozoan Trichomonas vaginalis. What would the nurse say is a factor that triggers growth of trichomoniasis?
Irritation of vaginal walls
The nurse is explaining the surgery transurethral resection of the prostate (TURP) to a 60-year-old client scheduled for the operation. Which of the following accurately describes this procedure?
It has a shorter recovery time than other forms of prostatectomy.
A 37-year-old male client presents at the emergency department with excruciating pain that comes in waves, nausea, vomiting, and chills. The nurse suspects the client has kidney stones. What test would be ordered to confirm or rule out this condition?
KUB flat place of the abdomen
The nurse is planning care for a client with Ménière disease. Which interventions should be included in this client's plan of care? Select all that apply.
Keep room lights dimmed. Provide antihistamines, as prescribed. Restrict coffee, tea, and cola drinks.
On observation, the nurse documents that a male child's urethral meatus is located on the underside of his penis. What is the term for this structural abnormality?
hypospadias
A client presents at the ER with spinal cord pain. Which of the following tests would most likely be ordered to check for spinal cord abnormalities caused by tumors, herniated intervertebral disks, or other lesions?
Myelogram
A male client being treated for erectile dysfunction is prescribed sildenafil (Viagra). Which of the following drugs should the nurse warn the client could cause an adverse reaction when taken with Viagra?
Nitrates
The nurse is speaking to a local men's group about the risk factors for testicular cancer.Which of the following would the nurse mention?
Not sexually active
A client is diagnosed with conductive hearing loss. Which of the following are common causes of this condition? Select all that apply.
Otitis media Perforated eardrum Foreign bodies
The nurse is performing a focused assessment of a client to check for musculoskeletal disorders. Which of the following data would be collected using nursing assessment techniques? Select all that apply.
Palpate skin temperature for warmth Perform range-of-motion exercises. Observe emotional response to the disorder. Observe posture, coordination, and body build.
A 40-year-old client comes to the healthcare facility with complaints of erectile dysfunction. The nurse, based on the physician's direction, is educating the client about the pros and cons of treatment options available for erectile dysfunction. What information should the nurse provide to the client?
Penile vascular surgery is rarely successful.
A client reports the foreskin of his penis is so tight that it will not retract over the glans penis. What term should the nurse use to document this condition?
Phimosis
A nurse is assisting a healthcare provider during a refractive error examination for a client with complaints of visual impairment. Which of the following measures should the nurse employ during the procedure?
Place the phoropter in front of the client's eyes.
The nurse is caring for a client who is experiencing painful flare-ups of endometriosis. What is one treatment that might be suggested for this client?
Pregnancy
An adult male client is receiving a medication for erectile dysfunction (ED). The nurse will need to teach the client about which possible side effect of this type of drug?
Priapism
A nurse is assisting a healthcare provider performing a digital rectal examination of a 65-year-old African American client. This test, along with the PSA blood test, is used as an early detection of what disease?
Prostate cancer
A nurse has to assist the healthcare provider perform an intravenous pyelogram (IVP) in a diabetic client. What measure should the nurse employ in this client?
Provide at least 2 to 4 L of fluids for 24 hours after the test.
A client with hydrocele is scheduled to undergo a plication procedure. What care measure will the nurse expect to perform?
Provide support to the client's scrotum to reduce the pain and swelling.
The nurse is assessing a client with a suppurative form of otitis media. What additional history should the nurse include in this assessment?
Recent upper respiratory infection
A nurse is caring for a client with blepharitis. Which finding should the nurse expect to find in the client?
Redness of lid margins
A nurse is caring for a client with gustatory disorder. The nurse knows that which of the following is a sign of gustatory disorder?
Reduced interest in eating
The nurse is providing preoperative teaching for a woman who is undergoing a tubal sterilization. Which of the following teaching points accurately describes this procedure?
Referred pain to the shoulder may occur after abdominal distention with CO2
A client has to undergo a cystoscopy for removal of a kidney polyp. What nursing measure should the nurse undertake when caring for this client
Report any darkening urine after the cystoscopy.
The nurse is providing discharge teaching for a client following ear surgery in an ambulatory care center. Which of the following would the nurse include in the teaching plan for this client?
Report any fever, headache, vertigo, or ear pain immediately
An adult client who has undergone spinal fusion surgery is put in a body cast. The client complains of frequent abdominal pains and a bloated feeling. What consideration must the nurse employ when caring for a client in a body cast?
Report symptoms to health care provider.
A nurse is caring for a 70-year-old client who has undergone hip replacement surgery. What measures must the nurse employ when caring for this client?
Restrict the client from bending more than 90 degrees
A nurse is caring for a client who is receiving dialysis. An order on the client's chart reads "Guaiac all stools." What should the nurse do?
Send all stools for occult blood test.
A nurse is assigned to perform vaginal irrigation on a client. What step should be followed when performing the procedure?
Separate the labia and gently insert the douche nozzle.
The nurse is caring for a client with prostatitis. Which of the following is a recommended nursing intervention for this disorder?
Sitz baths
During a routine eye examination, an elderly client provides a family history of wide- angle glaucoma. What early symptoms of wide-angle glaucoma should the nurse assess for in this client?
Temporary blurring of vision
The nurse is preparing a female client for an augmentation mammoplasty. Which of the following describes this procedure?
The breasts will be enlarged.
A 45-year old client diagnosed with sciatica undergoes lumbar decompression surgery to relieve the compression over the nerve. A thoracic- lumbar- sacral orthosis brace is applied to the client to support his back. What consideration must the nurse employ When caring for the client?
Smooth all wrinkles over the skin before applying the brace.
The nurse caring for a client with cervical cancer reads on her chart that the cancer extends to the pelvic wall and involves the lower one-third of the vagina. What stage of cervical cancer is this woman manifesting?
Stage III
A 20-year-old male client is diagnosed with orchitis secondary to mumps. The nurse is aware that this infection of the testes may cause which of the following conditions?
Sterility
The student nurse studying the urinary system learns the functions of the upper and lower urinary tract. Which of the following is a function of the lower urinary tract?
Store urine until micturition occurs.
A nurse is caring for a client with renal calculi. What measure should the nurse employ for this client?
Strain all urine through a piece of gauze, cheesecloth, or strainer.
A young adult client presents to the afterhours clinic reporting right flank pain. The healthcare provider diagnoses the client with renal calculi. Why would the client be instructed to strain all urine?
Straining assists in identifying passage of stones.
A homeless man is brought to the ER after falling in the street and hitting his head. On assessment, the nurse documents lack of muscle coordination, poor vision, and moderate dementia. Based on these data, what disease would the nurse suspect?
Syphilis
A client presents at a local clinic with a butterfly rash on her face. Which of the following diseases would the nurse suspect?
Systemic lupus erythematosus (SLE)
A 25-year-old client with complaints of breast tenderness, mood swings, and backache before the onset of menses is diagnosed with premenstrual syndrome (PMS). What instruction should the nurse provide to the client to help relieve the symptoms of PMS?
Take a prescribed dose of diuretic medications.
A nurse is preparing a postoperative nursing care plan for a client after vaginal hysterectomy. What nursing care measure should be included in the client's nursing care plan?
Teach the client how to use a peribottle.
What considerations must the nurse employ when caring for a client with ankylosing spondylitis?
Teach the client to refrain from lying on her side.
A nurse is caring for a client with urge incontinence. What should the nurse include in the client education?
Tell the client to perform Kegel exercises daily.
A young adult female client asks about forms of chemical barrier contraception. Which is a form of a chemical barrier contraceptive?
Vaginal foam
A nurse is assessing a client diagnosed with bacterial vaginosis. Which of the following is a symptom of bacterial vaginosis?
Vaginal odor smelling of fish
A female client visiting a woman's clinic tells the nurse that she can feel contractions in her vagina and that they prevent her husband's penis from entering her. What form of female sexual dysfunction would the nurse suspect?
Vaginismus
A client visits a healthcare facility for information on a vasectomy. Which of the following would best describe the initial information a nurse should provide?
Vasectomy is a relatively easy procedure with few complications.
The nurse is caring for a client who presents with priapism following treatment for erectile dysfunction. Which of the following treatments may cause this disorder?
Vasodilating medications
A nurse is caring for a female client being treated for a urinary tract infection (UTI). What instruction should the nurse provide the client to help prevent recurrence?
Void immediately after sexual intercourse.
A female client is diagnosed with a chlamydial infection. Which are signs and symptoms of this disorder? Select all that apply.
Vulvar itching and burning Spotting between menstrual periods Grayish-white vaginal discharge
A nurse is irrigating the ear of a client to clear an external auditory canal obstruction. Which of the following measures should the nurse employ when caring for this client?
Warm the irrigating solution to body temperature.
A client has an eye patch to allow the eye to rest following an injury playing soccer. Which of the following is a teaching point for a client with one eye patch?
Warn the client not to drive a car or other machinery.
A client is diagnosed with benign prostatic hyperplasia (BPH). What is the usual initial medical treatment for this condition?
Watchful waiting until symptoms appear
The nurse is providing preoperative teaching for a client undergoing eye surgery. Which of the following are accurate teaching points to prepare this client following the surgery? Select all that apply.
Wear a metal shield, if prescribed, for up to 4 weeks. On the second postoperative day, clean the eye with moist cotton balls. Avoid sudden movements and straining at stool.
The nurse is caring for a client with a prosthetic eye. What important measure should the nurse follow when inserting this device?
Wet the prosthesis before its insertion
A nurse is documenting the urinalysis report of a client. The presence of what indicates an infection?
White blood cells (WBCS)
The nurse is preparing a client for a cystoscope. What is the meaning of the prefix "cysto"?
pertaining to the bladder
The nurse is checking the laboratory results of a 76-year-old woman who had a urinalysis performed. The nurse notes that there is calcium in her urine. What condition does this abnormal substance in the urine signify?
bone degeneration
A nurse is caring for a 45-year-old client with human papillomavirus (HPV) infection. The nurse should inform the client that she is at risk for developing what cancer?
cervical cancer
The nurse who is teaching STI prevention to college students states the risks associated with human papillomavirus (HPV). What would the nurse state as being the greatest danger with this disease?
cervical cancer
A client with a family history of cervical cancer is to undergo a Pap test. During the client education, what group should the nurse include as at risk for cervical cancer?
clients who have genital warts
A nurse midwife has prescribed hormone replacement therapy (HRT) to treat the symptoms and discomforts of a client experiencing menopause. Which of the following is considered a possible risk related to HRT?
higher risk of breast cancer
A hospitalized client wakes up in the morning with his eyelids sticking together from a thick and copious discharge. After the nurse applies warm soaks to help remove the crusts, the client further complains of pain, redness, and itching of the eyes. What inflammatory disorder would the nurse suspect?
conjunctivitis
The nurse is caring for an elderly client in a nursing home who has a urinary diversion in which the ureters are brought to the abdominal wall as a stoma. This is known as what type of diversion?
cutaneous ureterostomy
The nurse is advising a client who is diagnosed with pelvic inflammatory disease (PID) about the side effects of PID. What serious condition may occur as a result of this disease?
ectopic pregnancy
A nurse is caring for a client with a contusion injury to his right eye. Which of the following signs would alert the nurse to a detached retina in this client?
flashes of light
A client is diagnosed with conductive hearing loss of the right ear. The nurse realizes that the most likely cause of this disorder is
fluid in the middle ear.
A nurse is assessing a 24-year-old client for testicular cancer. When educating the client, what should the nurse mention as a risk factor for developing testicular cancer?
having an undescended testicle
A woman is undergoing surgery for a vesicovaginal fistula. What is a common postoperative complication of this surgery?
infection
The nurse caring for a client with a varicocele explains the side effects of this condition. With what disorder is this condition associated?
infertility
The nurse explaining a diagnostic procedure to a client states that a small incision will be made in the area of the umbilicus, and the abdomen distended with approximately 2 L of carbon dioxide or oxygen to visualize the uterus and accessory organs. What procedure is the nurse describing?
laparoscopy
The nurse is preparing a client for breast biopsy of a lump. The nurse explains that a needle with a cutting edge will be inserted into a lump and rotated to remove a core sample. What type of breast biopsy is this client undergoing?
needle biopsy
Several specialists are involved in the treatment of the eye. Which of the following would be licensed to perform cataract surgery?
ophthalmologist
An abnormal and persistent penile erection without sexual stimulation may happen as a result of spinal injury, cephalic syphilis, and certain ED medications. This condition is known as:
priapism.
A 26-year old mother of three children tells the nurse at her annual check-up that she does not want to have any more children; however, her religion forbids the use of contraceptive devices. Which of the following methods would be the best option for this client?
rhythm method
Which condition may be defined as the absolute inability to procreate?
sterility
The nurse explains to a client that there is no one specific laboratory test that can verify PMS or PMDD. Which conditions that mimic PMS or PMDD should be ruled out before a diagnosis can be made? Select all that apply.
• Dysmenorrhea • Endometriosis • Perimenopause • Side effects of oral contraceptives
The nurse is teaching a class of senior citizens about the risk factors for prostate cancer. Which of the following would the nurse mention? Select all that apply.
• Excessive alcohol use • Diet high in animal fats • Environmental exposure
The nurse is reviewing the risk factors for developing cervical cancer with the client. Which are risk factors for developing cervical cancer? Select all that apply.
• Infection with human papillomavirus (HPV) • Maternal history of a cancer including cervical cancer • Sexual activity at a young age
A nurse is assigned to perform continuous bladder irrigation for a client who has undergone a prostatectomy. What should the nurse follow when performing the procedure? Select all that apply.
• Monitor the setup to make sure that all the tubes are open. • Make sure all catheters remain taped in place. • If necessary, and if an order is in place, irrigate the bladder manually.
A nurse is screening women for risk factors for breast cancer. Which of the following are considered a risk for this disorder? Select all that apply.
• Previous cancer • Using female hormone therapy • Having an extreme fear of cancer • Cystic breast disorders
The school nurse is teaching teenage girls how to prevent vaginal infections. Which of the following is a recommended guideline for feminine care? Select all that apply.
• Pull panties, with perineal pad attached, straight down. • Wear only cotton panties. • Avoid tight pants or jeans.
