medsurge2 week 2
A nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get mammograms:
yearly starting at age 40. *
Histamine release in anaphylaxis causes which of the following?
Nasal congestion
Which of the following involves implantation of interstitial radioactive seeds under anesthesia to treat prostate cancer?
Brachytherapy
A 28-year-old sexually active male presented to a clinic because he was concerned about a round, painless sore on the shaft of his penis that had appeared 2 days prior to his visit. The nurse practitioner recognized the lesion as a "chancre," an indicator of primary syphilis. The nurse should tell the patient:
"An antibiotic injection is the best treatment since the lesion has just occurred."
After teaching a client with prostatitis about care measures, which statement indicates successful teaching?
"I might need to take the antibiotic for up to a month."
A client has had a right modified radical mastectomy and axillary lymph node dissection. The nurse is teaching the client about measures to reduce the risk of complications. The client demonstrates understanding of the instructions when she states which of the following?
"I need to use an electric shaver when shaving my right armpit."
When evaluating a client's knowledge about use of antihistamines, which of the following statements made by the patient would indicate to the nurse a knowledge deficit?
"If I am pregnant, I should take half the dose."
A client with a history of HSV-2 infection asks the nurse about future sexual activity. Which of the following responses would be most appropriate?
"Inform all potential sexual partners about the infection, even if it is inactive.".
A client presents at the clinic with an allergic disorder. The client asks the nurse what an "allergic disorder" means. What would be the nurse's best response?
"It is a hyperimmune response to something in the environment that is usually harmless."
A client has just been diagnosed with endometriosis. Which of the following would be most appropriate to provide the client with support and guidance about treatment options?
"It might help to include your partner in any of the discussions about options."
A nurse is teaching a client about rheumatoid arthritis. Which statement by the client indicates understanding of the disease process?
"It will get better and worse again."
A client reports painful menstruation. What term would the nurse use when documenting findings?
Dysmenorrhea
A 32-year-old client has been diagnosed with an ovarian cyst and asks the nurse, "Should I be worried about cancer?" Which response by the nurse would be most appropriate?
"Most cysts are benign in younger women, but it's good to have it checked out."
A patient was seen in the clinic 3 days previously for allergic rhinitis and was given a prescription for a corticosteroid nasal spray. The patient calls the clinic and tells the nurse that the nasal spray is not working. What is the best response by the nurse?
"The full benefit of the medication may take up to 2 weeks to be achieved."
A client is scheduled for a transurethral rescection of the prostate (TURP). Which statement demonstrates that the expected outcome of "client demonstrates understanding of the surgical procedure and aftercare" has been met?
"The surgeon is going to insert a scope through my urethra to remove a portion of the gland."
An adolescent informs the school nurse that she is afraid of contracting an STI but her boyfriend does not want to use condoms. What is the best response by the nurse?
"The use of condoms is one of the best ways to reduce the risk of acquiring an STI."
A patient who is scheduled for a gynecologic examination and Pap smear informs the nurse that she just began her menstrual cycle. What is the best response by the nurse?
"We will reschedule your examination when you have finished menstruating."
A client with erectile dysfunction is prescribed sildenafil (Viagra). Which of the following would the nurse include in the teaching plan for this client?
"You may experience headache and some flushing with this drug."
A patient informs the nurse that she believes she has premenstrual syndrome and is having physical symptoms as well as moodiness. What physical symptoms does the nurse recognize are consistent with PMS? (Select all that apply.)
-Headache -Fluid retention -Low back pain
Pellico, L. H. Focus on Adult Health Medical-Surgical Nursing, 1st ed., Philadelphia, Wolters Kluwer Health/Lippincott Williams & Wilkins, 2013, Chapter 34: Nursing Management: Patients With Male Reproductive Disorders, p. 966.
-Pulmonary crackles -Jugular vein distention -Dyspnea and wheezing. -An S3 gallop heart sound
A nurse practitioner provided health information to a young woman diagnosed with HPV who had genital warts. Select the teaching points that should be provided.
-Warts usually appear within weeks or months after exposure, so recent sexual partners should be notified. -Annual Pap smears should be scheduled because HPV can cause dysplasia. -Symptoms can be relieved, and the spread of infection decreased, by using an antiviral drug.
The nurse practitioner advises a patient with osteoarthritis that the initial analgesic of choice is acetaminophen, with a recommended dosage of __________ every 6 hours
1000mg
A nurse is teaching a health class to a group of clients likely to be at highest risk for gonorrhea. What is the age range of the clients?
15 to 24 years
While monitoring the patient's eosinophil level, the nurse suspects a definite allergic disorder when seeing an eosinophil value of what percentage of the total leukocyte count?
15% to 40%
The nurse is giving a presentation about chlamydia to a group of adult women. The nurse would emphasize the need for annual screening for this infection in all sexually active women younger than which age?
26
A patient received epinephrine in response to an anaphylactic reaction at 10:00 AM. The nurse knows to observe the patient for a "rebound" reaction that may occur as early as:
2:00 PM.
The nurse advises a woman who is still menstruating, to take a daily multivitamin because monthly blood loss, if heavy, over time, can lead to a lowered hemoglobin level. The nurse should explain that the average blood and tissue loss per month is:
60 to 150 mL.
A client is diagnosed with chlamydia and is distraught. "How can I have this problem? I don't have any symptoms!" she says. The nurse teaches the client that the percentage of women with chlamydia who are asymptomatic is as high as
75%
In which stage of rheumatic disease is passive range-of-motion (ROM) utilized?
Acute
A nurse is developing a plan of care for a female client experiencing her first outbreak of genital herpes. Which nursing diagnosis would the nurse most likely identify as the priority?
Acute pain related to the development of the genital lesions
A student nurse is doing clinical hours at an OB/GYN clinic. The student is helping to develop a plan of care for a patient with gonorrhea has presented at the clinic. The student knows that the care plan for this patient should be include what in the treatment of gonorrhea?
Concurrent treatment for chlamydia
After teaching a group of student about structural abnormalities of the male reproductive system, the instructor determines that the teaching was successful when the students identify which of the following as an example?
Cryptorchidism
Which of the following is a failure of one or both or both of the testes to descend into the scrotum?
Cryptorchidism
A 32-year-old client is concerned with the lumps that have developed in her breasts and is fearful of cancer. She reports variability in the size of the lumps. What could be causing her condition?
Cyclical hormonal changes
Which of the following is a downward displacement of the bladder toward the vaginal orifice?
Cystocele
Patients who have had pelvic inflammatory disease (PID) are prone to which of the following complications?
Ectopic pregnancy
Which of the following is an appropriate nursing intervention in the care of the patient with osteoarthritis?
Encourage weight loss and an increase in aerobic activity
Which diagnostic is indicated for postmenopausal bleeding?
Endometrial biopsy
A client who comes to the clinic complaining of perineal pain, dysuria and fever is diagnosed with prostatitis. The nurse understands that which of the following organisms would be the most likely cause?
Escherichia coli
A client is ordered continuous bladder irrigation at a rate of 60 gtt/minute. The nurse hangs a 2 L bag of sterile solution with tubing on a three-legged I.V. pole. She then attaches the tubing to the client's three-way urinary catheter, adjusts the flow rate, and leaves the room. Which important procedural step did the nurse fail to follow?
Evaluating patency of the drainage lumen
A client with osteoarthritis asks for information concerning activity and exercise. When assisting the client, which concept should be included?
Exercising at least 1 hour after awakening allows the client to participate in exercise after some of the morning-related stiffness has subsided.
As a grade school nurse, you speak to the sixth grade girls regarding their physical maturation and body changes during puberty. In your client education sessions, you discuss female anatomy and the appropriate titles and functions of each structure. Which of the following structures are referred to as the vulva?
External female genitalia
The client with rheumatoid arthritis has a red blood cell count of 3.2 cells/cu mm. Which nursing diagnosis has the highest priority for the client?
Fatigue
Greenish nipple discharge is associated with which of the following?
Fibroadenoma
Which of the following is a characteristic of a breast cancer mass?
Firm, hard, embedded in surrounding tissue
Nursing students are reviewing various medications that can be used to treat allergic disorders. The students demonstrate understanding of the information when they identify which of the following as an intranasal corticosteroid?
Fluticasone
After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment?
Genital herpes
A male client reports urethral pain and a creamy yellow, bloody discharge from the penis. The nurse associates these characteristics with which of the following sexually transmitted infections?
Gonorrhea
A nurse is providing care to a client with chlamydia. The nurse anticipates that the client will also receive treatment for which of the following?
Gonorrhea
Hematoma and seroma formation are complications of breast surgery. Which of the following is the indicator that should be reported to the surgeon?
Gross swelling
A client is receiving leuprolide as part of his treatment for prostate cancer. The nurse would be alert for which of the following as a possible adverse effect?
Gynecomastia
Which of the following may result if prostate cancer invades the urethra or bladder?
Hematuria
The nurse is preparing a presentation for a local community group about prostate cancer and possible dietary risk factors. Which of the following would the nurse most likely include?
High-fat diet
Which of the following body substances causes increased gastric secretion, dilation of capillaries, and constriction of the bronchial smooth muscle?
Histamine
A group of students are reviewing class material on sexually transmitted infections in preparation for a test. The students demonstrate understanding of the material when they identify which of the following as the cause of condylomata?
Human papilloma virus
Which of the following is the most common sexually transmitted infection (STI) among young, sexually active people?
Human papillomavirus (HPV)
A client, age 42, visits the gynecologist. After examining the client, the physician suspects cervical cancer. The nurse reviews the client's history for risk factors for this disease. Which history finding is a risk factor for cervical cancer?
Human papillomavirus infection at age 32
A nurse practitioner who works for Planned Parenthood is responsible for health education seminars. During these presentations, the nurse always discusses the symptoms of the most common STI among young, sexually active people. This is:
Human papillomavirus.
Which of the following would be inconsistent as a risk factor for breast cancer?
Multiparity
A Pap test indicates a low-grade squamous intraepithelial lesion (LSIL). The nurse informs the patient that she needs to reschedule her Pap test:
In 4 to 6 months; a colposcopy will be indicated if LSIL is still present.
The nurse is assessing the breast of a female patient and observes a prominent venous pattern on the left breast. What does the nurse understand that this can be indicative of?
Increased blood supply required by a tumor
When assessing a client with benign prostatic hypertrophy, which of the following would the nurse expect the client to report as the initial complaint?
Increased effort to void
After a radical prostatectomy for prostate cancer, a client has an indwelling catheter removed. The client then begins to have periods of incontinence. During the postoperative period, which intervention should be implemented first?
Kegel exercises
Which stage or period of syphilis occurs when the infected person has no signs or symptoms of syphilis?
Latency
A 6-year-old experienced an allergic reaction to shellfish. The nurse practitioner gave the mother a booklet that includes teaching points about food allergies. The nurse reminded the mother to be vigilant for mild systemic reactions such as:
Nasal congestion and sneezing.
A client tells the nurse that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client's lump is cancerous?
Nonmobile mass with irregular edges
Which of the following are usually the first choice in the treatment of rheumatoid arthritis (RA)?
Nonsteroidal anti-inflammatory drugs (NSAIDs)
Which of the following should be included in the teaching plan for a patient prescribed Viagra?
Only one tablet per day of the prescribed dose should be taken.
A patient has had a "stuffy nose" and obtained Afrin nasal spray. What education should the nurse provide to the patient in order to prevent "rebound congestion"?
Only use the Afrin for 3 to 4 days once every 12 hours.
A nurse should advise a patient with gout to avoid which of the following foods?
Organ meats and scallops
Which of the following is the most common cause for a patient to seek medical attention for arthritis?
Pain
The assessment of a patient with SLE would include evaluation for common disorders (>50% occurrences). Select all that apply.
Pericarditis Glomerulonephritis Atherosclerosis Pleuritis
Which of the following is the period of transition from normal periods to the complete cessation of menses for 1 year?
Perimenopause
Preventive health education includes informing patients about the symptoms associated with allergic rhinitis. The nurse is aware that the most common trigger to this respiratory allergic response is:
Plant pollen.
Which of the following interventions is the single most important aspect for the patient at risk for anaphylaxis?
Prevention
Ovulation occurs midway between days 17 and 22 (usually at day 14) in a normal 28-day menstrual cycle. Conception occurs during ovulation. If an egg is fertilized, this hormone will continue to be produced to protect the egg until the placenta takes over. Which of the following is the correct hormone?
Progesterone
A patient is suspected to have prostate cancer related to observed clinical symptoms. What definitive test can the nurse assist with to confirm a diagnosis of prostate cancer?
Prostate biopsy
Which of the following are risk factors for the development of a sexually transmitted disease (STD)? Select all that apply.
Prostitution Unprotected sex Multiple partners
The client with rheumatoid arthritis is seen in the clinic. Which assessment finding indicates the client is having difficulty implementing self-care?
Reports increased fatigue
A nurse who works at a college health center frequently treats female athletes for this type of menstrual disorder. What is the disorder?
Secondary amenorrhea
A patient asks the nurse if it would be all right to take an over-the-counter antihistamine for the treatment of a rash. What should the nurse educate the patient is a major side effect of antihistamines?
Sedation
A perimenopausal woman informs the nurse that she is having irregular vaginal bleeding. What should the nurse encourage the patient to do?
See her gynecologist as soon as possible.
Pelvic infection is most commonly caused by which of the following?
Sexual transmission
A woman at an employee health fair informs the nurse that she has had vaginal bleeding for the past several days. She is postmenopausal and has not had a menstrual period for the past 4 years. What should the nurse instruct the woman to do?
She should see her gynecologist or physician as soon as possible.
A patient has a serum study that is positive for the rheumatoid factor. What does the nurse understand is the significance of this test result?
Suggestive of RA
Which of the following positions is commonly used for a pelvic examination?
Supine lithotomy
An instructor is teaching a group of students about the incidence of sexually transmitted infections (STIs) and those that must be reported by law. The instructor determines that the students have understood the information when they state that which STI must be reported?
Syphilis
A patient is having a DRE in the physician's office and the nurse is to assist in the examination. What can the nurse instruct the client to do to decrease the discomfort from the exam?
Take a deep breath and exhale when the physician inserts a gloved finger into the rectum.
A client comes to the clinic for a routine evaluation. During the physical examination, the nurse palpates the client's breast and finds a small lump. Which of the following would lead the nurse to suspect possible breast cancer?
The lump is irregularly shaped.
Which of the following should be included as part of the home care instructions for a patient with epididymitis and orchitis?
Take prescribed antibiotics
A client with vaginitis complains of itching and burning of the perineum. Which suggestion would be most appropriate to relieve the client's symptoms?
Take sitz baths frequently
A nurse who works in an oncology practice prepares patients for the side effects of adjuvant hormonal therapy to treat breast cancer. Which of the following is the hormonal agent that has an increased risk of pulmonary embolism and deep vein thrombosis?
Tamoxifen
Students are reviewing information about the use of adjuvant hormonal therapy for breast cancer. They demonstrate understanding of this information when they identify which of the following as an example of a selective estrogen receptor modulator (SERM)?
Tamoxifen
A nurse is teaching a male client to perform monthly testicular self-examinations. Which point is appropriate to make?
Testicular cancer is a highly curable type of cancer.
A patient has a diagnosis of stage III ovarian cancer and wants to know what organs are involved. What information should be provided to the patient?
The cancer involves metastases outside the pelvis.
After having transurethral resection of the prostate (TURP), a client returns to the unit with a three-way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the client's catheter is occluded?
The client reports bladder spasms and the urge to void.
A patient has herpes simplex 2 viral infection (HSV-2). The nurse recognizes that which of the following should be included in teaching the patient?
Treatment is focused on relieving symptoms.
During an internal vaginal examination, the nurse practitioner notes a frothy and malodorous discharge. What bacteria does the practitioner suspect is causing this disorder?
Trichomonas
A patient has been diagnosed with a vaginal infection and received a prescription for metronidazole (Flagyl). The nurse knows that this is the recommended treatment for a vaginal infection caused by what organism?
Trichomonas vaginalis
Breast cancers are usually found in which area of the breast?
Upper outer quadrant
A client diagnosed with prostate cancer is to receive brachytherapy. Which of the following would the nurse include when discussing this therapy with the client?
Use of radioactive seeds implanted into the prostate
A client underwent a transurethral resection of the prostate gland 24 hours ago and is on continuous bladder irrigation. Which nursing intervention is appropriate?
Use sterile technique when irrigating the catheter.
A nurse is using a diagram to educate a client with a pelvic organ prolapse. Which condition would the client have based on the illustration?
Uterine prolapse
A diet plan is developed for a client with gouty arthritis. The nurse should advise the client to limit his intake of:
organ meats.
The nurse is caring for a male patient with gonorrhea. The patient asks how he can reduce his risk of contracting another sexually transmitted infection (STI). The nurse should instruct the patient to do which of the following?
Wear a condom every time he has intercourse.
A client is scheduled to begin immunotherapy. The nurse would explain that the client will receive injections initially at which interval
Weekly
A client develops a facial rash and urticaria after receiving penicillin. Which laboratory value does the nurse expect to be elevated?
Ig E
When describing the immunoglobulin most likely involved with allergic reactions, which of the following would the nurse address?
IgE
There are several types of reactions to latex. The nurse knows to be most concerned about laryngeal edema with the following reaction:
IgE-mediated hypersensitivity.
Which nursing diagnosis is least appropriate for the client with rheumatoid arthritis?
Imbalanced nutrition: greater than body requirements
A female patient comes to the clinic with the complaint that she is having a greenish-colored discharge from the nipple and the breast feels warm to touch. What does the nurse suspect these symptoms may indicate?
Infection
A patient is told that she has a common form of breast cancer where the tumor arises from the duct system and invades the surrounding tissues, often forming a solid irregular mass. What type of cancer does the nurse prepare to discuss with the patient?
Infiltrating ductal carcinoma
Which of the following aid in diagnosing the risk of anaphylaxis?
Intradermal testing
Which of the following is a mast cell stabilizer used in the treatment of allergic rhinitis?
Intranasal cromolyn sodium (NasalCrom)
A nurse caring for a postmastectomy patient should not perform which of the following on the operative side? Select all that apply.
Intravenous sticks Blood pressure Injections Blood draws
A client is experiencing an acute exacerbation of rheumatoid arthritis. What should the nursing priority be?
Administering ordered analgesics and monitoring their effects
Which of the following points should be included in the medication-teaching plan for a patient taking adalimumab (Humira)?
It is important to monitor for injection site reactions.
A nurse is reviewing the dietary history of a client who has experienced anaphylaxis. Which of the following would the nurse identify as a common cause of anaplhylaxis? Select all that apply?
Milk Shrimp Eggs
An arthrocentesis is done to remove synovial fluid from a joint. Synovial fluid from an inflamed joint is characteristically:
Milky, cloudy, and dark yellow.
The nurse is preparing a presentation for a men's community group about health promotion. Which of the following would the nurse include as a current recommendation for screening?
Monthly testicular self-examination
A nurse practitioner was preparing a health education program for freshmen college students. During orientation week, the nurse mentioned that C. trachomatis and N. gonorrhoeae are the two most common infections in sexually active young women under the age of 25. The nurse told the students that the most common finding for these infections is:
Mucopurulent cervicitis.
Which of the following is the most common cause of anaphylactic reactions in the intraoperative period?
Muscle relaxants
The nurse is gathering data from a male client who is suspected of having gonorrhea. Which of the following would the nurse most likely find?.
Pain on urination
A female client with an anal gonorrheal infection experiences painful bowel elimination and a purulent rectal discharge. The nurse would expect to find which of the following once the microorganism disseminates throughout the body?
Painful joints
Health teaching about food allergies includes advising patients about the food products that cause the most severe reactions and result in the highest patient death rates. Which of the following foods fit that category?
Peanut and tree nuts
What is the most common cause of anaphylaxis?
Penicillin
Which of the following is the medication of choice for early syphilis?
Penicillin G benzathine
The nurse is preparing a discharge teaching plan for a client who has had a prostatectomy. Which of the following would be appropriate to include?
Performing perineal exercises frequently throughout the day
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid arthritis (RA). Which response is correct?
"OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints."
A client with rheumatoid arthritis arrives at the clinic for a checkup. Which statement by the client refers to the most overt clinical manifestation of rheumatoid arthritis?
"My finger joints are oddly shaped."
A client with osteoarthritis tells the nurse she is concerned that the disease will prevent her from doing her chores. Which suggestion should the nurse offer?
"Pace yourself and rest frequently, especially after activities."
Several male clients are scheduled to come to the clinic for an annual physical examination. The nurse would expect to prepare which client for a digital rectal examination (DRE)?
A 52-year-old man in good health
Contact dermatitis is considered a type IV hypersensitivity reaction. The nurse is aware that this classification is characterized by which of the following?
A delayed-type hypersensitivity that is mediated by T cells
A client has been hospitalized for diagnostic testing. The client has just been diagnosed with Multiple Sclerosis which the physician explains is an autoimmune disorder. How would the nurse explain an autoimmune disease to the client?
A disorder where killer T cells and autoantibodies attack or destroy natural cells—those cells that are "self"
The description of liquid discharge from the nipple of the breast can be diagnostic for certain conditions. If a woman describes nipple discharge as green in color, the nurse knows that this is usually associated with:
A fibroadenoma.
Which information would be most appropriate for a nurse to provide to a client who has never used a condom?
A new condom should be used for each sex act.
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis?
A painless genital ulcer that appeared about 3 weeks after unprotected sex
Which of the following medications are used to suppress viral load of the HSV-2 infection?
Acyclovir (Zovirax)
The nurse is educating a patient about performing testicular self-examination (TSE). The nurse informs the patient that the best time to perform the exam is when?
After a warm bath or shower
The nurse is educating a patient with allergic rhinitis about how the condition is induced. What should the nurse include in the education on this topic?
Airborne pollens or molds
A 67-year-old client underwent a lumpectomy for a breast lesion determined to be malignant. Which of the following are factors in the client's history that may have increased her risk of breast cancer?
All options are correct
The nurse practitioner treating a patient with allergic rhinitis decides pharmacologic therapy would be helpful. Which of the following is she most likely to prescribe?
Allegra
Medical management of BPH includes pharmacologic therapy. Which of the following medications would the nurse expect the health care provider to prescribe for this diagnosis?
Alpha-adrenergic blocker
Which of the following medication classifications are associated with erectile dysfunction? Select all that apply.
Antifungals Antipsychotics Beta blockers Antiseizure agents Antispasmodics
A client comes to the emergency department complaining of moderate to severe testicular pain and tenderness. Both testicles are swollen and a penile discharge is present. The client is diagnosed with viral orchitis. Which of the following would the nurse include in this client's plan of care?
Aplying ice to the scrotum
Which of the following procedures involves a surgical fusion of the joint?
Arthrodesis
Which of the following would the nurse prioritize as the most important action for the patient to take to prevent anaphylaxis?
Avoid potential allergens
The best treatment for latex allergy includes which of the following?
Avoidance of latex-based products
The most common route of regional spread is to which area?
Axillary lymph nodes
The nurse is assessing an older adult female who has not seen her physician in 2 years. The nurse is assisting the patient into a gown and notices that the patient has edema and pitting of the skin on the right breast. What does the nurse understand is the significance of this finding?
It may result from a neoplasm blocking lymphatic drainage, giving the skin an orange-peel appearance, a classic sign of advanced breast cancer.
A patient is planning to use a negative-pressure (vacuum) device to maintain and sustain an erection. What should the nurse caution the patient about with the use of this device?
Do not leave the constricting band in place for longer than 1 hour to avoid penile injury.
When assessing the skin of a client with allergic contact dermatitis, the nurse would most likley expect to find irritation at which area?
Dorsal aspect of the hand
A 37-year-old client has been diagnosed with breast cancer and is awaiting the cytology results of her biopsy. During your client education session, you discuss the possible types of breast malignancies. Which is the most common type?
Ductal
The nurse is developing a presentation for a local women's health center about breast cancer. Which of the following would the nurse include as being the most common type of breast cancer?
Ductal carcinoma
Symptoms of pelvic infection usually begin with which of the following?
Dyspareunia
Medical management for Herpes Simplex Virus (HSV-2) is aimed at relieving symptoms because there is no cure. The nurse is aware that antiviral agents can prevent the spread of the infection. Select all the antiviral medications that could be used.
Famvir Zovirax Valtrex
A health care provider prescribed Flonase, an intranasal corticosteroid, for a patient with a severe case of allergic rhinitis. The nurse told the patient that there is a delayed response to full benefits from the drug. The patient took his first dose on February 2. The patient should expect that the drug will be fully effective no later than:
February 15.
Which of the following suggests to the nurse that the client with systemic lupus erythematous is having renal involvement?
Hypertension
A patient is hospitalized with a severe case of gout. The patient has gross swelling of the large toe and rates pain a 10 out of 10. With a diagnosis of gout, what should the laboratory results reveal?
Hyperuricemia
The nurse is obtaining a medication history from a client who is reporting erectile dysfunction. Which medication would the nurse identify as being least likely to contribute to the client's condition?
Ibuprofen
After teaching a client how to self-administer epinephrine, the nurse determines that the teaching plan has been successful when the client demonstrates which of the following?
Jabs the autoinjector into the outer thigh at a 90-degree angle
Following prostatectomy, the nurse monitors the patient for indicators of fluid volume excess (FVE). Which of the following are positive indicators? Select all that apply.
Jugular vein distention An S3 gallop heart sound Pulmonary crackles Dyspnea and wheezing.
A client with fibrocystic breast disease has been receiving treatment with danazol (Danocrine) therapy for the past 6 months. In anticipation of the drug being discontinued, the nurse instructs the client to inform the health care provider about which of the following?
Lack of return of regular menses within 90 days after discontinuing the drug.
A patient with osteoarthritis is taking up to 4 grams of acetaminophen daily. The nurse knows to obtain periodic:
Liver enzyme results.
Which of the following options are available to women with an increased risk of developing breast cancer?
Long-term follow-up
Sentinel lymph node mapping is done to validate the lack of lymph node metastasis. Which of the following complications does this technique help avoid?
Lymphedema
The nurse is providing care to a client who has had surgery as treatment for breast cancer. The nurse would be alert for the development of which of the following?
Lymphedema
In educating a patient with PMS about changing her dietary practices, what would the nurse recommend that she increase her intake of?
Magnesium
Which of the following is a term used to describe excessive menstrual bleeding?
Menorrhagia
Which of the following is the main cause of anemia in a client with active uterine leiomyoma?
Menorrhagia
Which of the following is the main cause of anemia in a patient with active uterine leiomyoma?
Menorrhagia
Which of the following is the most common joint affected in gout?
Metatarsophalangeal
Which of the following is the most effective treatment for trichomoniasis?
Metronidazole (Flagyl)
An infant is born to a mother who had no prenatal care during her pregnancy. What type of hypersensitivity reaction does the nurse understand may have occurred?
Rh-hemolytic disease
Which of the following disorder is characterized by a butterfly-shaped rash across the bridge of the nose and cheeks?
SLE
What education should the nurse provide to the patient taking long-term corticosteroids?
The patient should not stop taking the medication abruptly and should be weaned off of the medication.
Which of the following is an accumulation of crystalline depositions in articular surfaces, bones, soft tissue, and cartilage?
Tophi
A client with benign prostatic hyperplasia doesn't respond to medical treatment and is admitted to the facility for prostate gland removal. Before providing preoperative and postoperative instructions to the client, the nurse asks the surgeon which prostatectomy procedure will be done. What is the most widely used procedure for prostate gland removal?
Transurethral resection of the prostate (TURP)
A gynecologist told a patient that she had Chlamydia. The nurse expected the health care provider to prescribe a single dose of which of the following medications?
Zithromax
A nurse practitioner is managing the care of a patient who has gout. Choose the medication that she would prescribe as the drug of choice to prevent tophi formation and promote tophi regression.
Zyloprim
A nurse visits the employee health department because of mild itching and a rash on both hands. During the assessment interview, the employee health nurse should focus on:
chemical and latex glove use.
The nurse is reviewing the medication administration record of the client. Which of the following medications would lead the nurse to suspect that the client is suffering from an acute attack of gout?
colchicine
A triple-lumen indwelling urinary catheter is inserted for continuous bladder irrigation following a transurethral resection of the prostate. In addition to balloon inflation, the functions of the three lumens include:
continuous inflow and outflow of irrigation solution
A client is undergoing a diagnostic workup for suspected testicular cancer. When obtaining the client's history, the nurse checks for known risk factors for this type of cancer. Testicular cancer has been linked to:
cryptorchidism.
Which of the following would not be included as a condition that can cause an elevated PSA level in the absence of prostate cancer?
erectile dysfunction
diagnosed bacterial vaginosis characteristics
fishy odor
The presence of crystals in synovial fluid obtained from an arthrocentesis is indicative of
gout.
A nurse provided health teaching to a patient with a STI. The nurse advised her patient that transmission of the organism was by three routes: sexual, percutaneous, and perinatal. Choose the STI that was diagnosed.
herpies simplex
A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with:
human papillomavirus (HPV).
Katrina Sterrett, a 26-year-old preschool teacher, is being seen by a physician who is part of the internist group where you practice nursing. She is undergoing her annual physical and is having many lab tests done as a condition of her employment and upcoming wedding. She is returning for her results and is devastated to learn that she has the sexually-transmitted infection, gonorrhea. What would contribute to her ignorance of her condition?
Being asymptomatic
A nurse is describing the advantages and disadvantages associated with tamoxifen therapy as a means of breast cancer prevention. The nurse would identify that the drug has a beneficial effect on which of the following?
Bone mineral density
Assessment of a client reveals evidence of a cystocele. The nurse interprets this as which of the following?
Bulging of the bladder into the vagina
A nurse is caring for a client in the clinic. Which sign or symptom may indicate that the client has gonorrhea?
Burning on urination
Which of the following is inconsistent with a digital rectal examination?
Can reveal a hydrocele
A client has vaginitis identified through tests as caused by a fungus. The nurse recognizes that the likely causative organism is which of the following?
Candida albicans
A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)?
Facial erythema, pericarditis, pleuritis, fever, and weight loss
A nurse is assisting with a physical examination of a male client. Which of the following signs and symptoms is most clearly suggestive of primary genital herpes?
Itching, pain, and the emergence of pustules on the penis
The nurse is preparing a presentation for a local community group about sexually transmitted infections (STIs). Which of the following would the nurse expect to include as the most common STI in the United States?
Chlamydia
Within the free clinic where you practice nursing, you hold weekly sexual education classes open to the public. Within the classroom, you communicate the CDC's numbers for the incidence of STIs and their impact upon public health. Which is the fastest-spreading bacterial STI in the United States?
Chlamydia
In which group is it most important for the client to understand the importance of an annual Papanicolaou test?
Clients infected with the human papillomavirus (HPV)
A nurse should expect to administer which medication to a client with gout?
Colchicine
The treatment of gout involves managing the acute inflammatory stage, preventing flare-ups, and controlling hyperuricemia. Select the agent of first choice when an acute inflammatory attack begins.
Colchicine
When caring for a client experiencing an acute gout attack, the nurse anticipates administering which medication?
Colchicine
A health care provider prescribes ketoconazole (Nizoral), a second-line hormonal agent for the treatment of prostatic cancer. The nurse explained to the patient that this drug acts by:
Decreasing the endocrine production of androgen.
A client comes to the emergency department complaining of pain in the right leg. When obtaining the history, the nurse learns that the client has a history of obesity and hypertension. Based on this information the nurse anticipates the client having which musculoskeletal disorder?
Degenerative joint disease
A client with an allergic disorder calls the nurse and asks what treatment is available for allergic disorders. The nurse explains to the client that there is more than one treatment available. What treatments would the nurse tell the client about?
Desensitization
How can breast cancer prevention programs best serve at-risk women from lower socioeconomic backgrounds?
Develop screening and educational programs.
A nurse practitioner is conducting a history and physical on a 42-year-old woman. One of the questions asked of someone in this age group is the type of medications that the patient's mother took during her pregnancy. The nurse is assessing for a past history of ______ use.
Diethylstilbestrol
The nurse is preparing to administer a medication that has an affinity for H1 receptors. Which medication would the nurse administer?
Diphenhydramine (Benadryl)
A nurse is providing care to a female client with atopic dermatitis who has numerous lesions on the arms, neck, and legs. The client states, "My skin is so ugly. I can't imagine what people must think when they look at me. I can't look at myself sometimes." When developing the plan of care for this client, which nursing diagnosis would be most appropriate?
Disturbed body image related to appearance of visible lesions
