Test 5 - questions*

A nurse's colleagues has applied on incontinence pad to an older adult client who has experienced occasional episodes of functional incontinence. What principle should guide the nurse's management of urinary incontinence in older adults? a. urinary catheterization is a first-time treatment for incontinence in older adults with incontinence b. restricting fluid intake is recommended for older adults experiences incontinence c. diuretics should be promptly discontinued when an older adult experiences incontinence d. urinary incontinence is not considered normal consequence of aging

d. urinary incontinence is not considered normal consequence of aging

Which of the following herbal remedies is used to treat symptoms of benign prostatic hypertrophy (BPH)? a. saw palmetto b. garlic c. gingko d. green tea

A. saw palmetto

A client suspected of having colorectal cancer requires which diagnostic study to confirm the diagnosis? a. sigmoidoscopy b. stool hematest c. carcinoembryonic antigen (CEA) d. abdominal computed tomography (CT) scan

A. sigmoidoscopy

The nurse is conducting a gastrointestinal assessment. When the client reports the presence of mucus and pus in the stool, the assess for additionals signs/symptoms of which disease/condition? a. small-bowel disease b. intestinal malabsorption c. disorders of the colon d. ulcerative colitis

D. ulcerative colitis

A client regularly recognizes the sensation of needing to void but cannot control voiding in time to reach a toilet. How would the nurse document this type of incontinence? a) Total b) Overflow c) Reflex d) Urge

D. urge

Lately, a 75-year-old is having difficulty emptying his bladder. He is unable to empty it completely and yet it feels full, causing discomfort. The physician suspects prostate cancer. Which question(s) would you expect the physician to ask the client? Select all that apply. a. "Do you pass blood in your urine?" b. "Do you have a family history of prostate cancer?" c. " Do you have a burning sensation during urination?" d. "Do you leak urine involuntarily?" e. "Do you feel thirsty after?"

a. "Do you pass blood in your urine?" b. "Do you have a family history of prostate cancer?" c. " Do you have a burning sensation during urination?"

The nurse is performing a rectal assessment and notices a longitudinal tear or ulceration in the lining of the anal canal. The nurse documents the finding as which condition? a. anorectal abscess b. anal fistula c. hemorrhoid d. anal fissure

d. anal fissure

The patient has been diagnosed with urge incontinence. What classification of medication does the nurse expect the patient will be placed on to help alleviate the symptoms? a. antispasmodic agents b. urinary analgesics c. antibiotics d. anticholinergics

d. anticholinergics

A nurse is teaching a group of adults about screening and prevention of colorectal cancer. The nurse should describe which of these as the most common sign of colon cancer? a. development of new hemorrhoids b. abdominal bloating and flank pain c. unexplained weight gain d. change in bowel habits

d. change in bowel habits

A client undergoes surgery to resolve a malignant tumor followed by a urinary diversion procedure. What postoperative procedure should the nurse perform? a. determine the client's ability to perform stoma care b. show photographs and drawings of the placement of the stoma c. suggest a visit to the local ostomy group d. maintain skin and stoma integrity

d. maintain skin and stoma integrity

A client with gastroesophageal reflux disease (GERD) has a diagnosis of Barrett esophagus with minor cell changes. What principle should be integrated into the client's subsequent care? a. antacids may be discontinued when symptoms of heartburn subside b. liver enzymes must be checked regularly, as H2 receptor antagonists may cause hepatic damage c. small amounts of blood are likely to be present in the stools and are not a concern d. the client will be monitored closely to detect malignant changes

d. the client will be monitored closely to detect malignant changes

A nurse is caring for a client who has been admitted to the hospital with diverticulitis. What would be appropriate nursing diagnoses for this client? Select all that apply. a. Activity intolerance related to generalized weakness b. deficient fluid volume related to anorexia, nausea, and diarrhea c. bowel incontinence related to increased intestinal peristalsis d. impaired urinary elimination related to GI pressure on the bladder

a. Activity intolerance related to generalized weakness b. deficient fluid volume related to anorexia, nausea, and diarrhea

A client's health history is suggestive of inflammatory bowel disease. Which of the following would suggest Crohn's colitis, as the cause of the client's signs and symptoms? a. an absence of blood in stool b. severe diarrhea c. a pattern of distinct exacerbations and remissions d. involvement of the rectal mucosa

a. a absence of blood in stool

The nurse is teaching a client with an ostomy how to change the pouching system. Which information should the nurse include when teaching a client with no peristomal skin irritation? a. dry skin thoroughly after washing b. apply barrier powder c. apply triamcinolone acetonide spray d. dust with nystatin powder

a. dry skin thoroughly after washing

A client has a recurrence of gastric cancer and is in the gastrointestinal clinic crying. What response by the nurse is most appropriate? a. "Do you have family or friends for support?" b. "I'd like to know what you are feeling now." c. "Well, we knew this would probably happen." d. "Would you like me to refer you to hospice?"

b. "I'd like to know what you are feeling now."

A patient, age 67 years, is admitted for diagnostic studies to rule out cancer. The patient is Caucasian, married, has been employed as a landscaper for 40 years, and has a 36-year history of smoking a pack of cigarettes daily. What significant risk factors does the nurse recognize this patient has? (Select all that apply.) a. race b. age c. marital status d. occupation e. cigarette smoking

b. age d. occupation e. cigarette smoking

Medical management of BPH includes pharmacological therapy. Which of the following medications would the nurse expect the health care provider to prescribe for the diagnosis? a. diuretics b. alpha-adrenergic blocker c. analgesic d. antispasmodic

b. alpha-adrenergic blocker

A nurse assess a male client with an abdominal hernia. Which abdominal hernias are correctly paired with their physiologic process? (Select all that apply.) a. femoral hernia - a peritoneum sac pushes downward and may descend into the scrotum b. ventral hernia - results from inadequate healing of an incision c. indirect inguinal hernia - an enlarged plug of fat eventually pulls the peritoneum and often the bladder into a sac d. direct inguinal hernia - a peritoneum sac passes through a weak point in the abdominal wall e. incarcerated hernia - contents of the hernia sac cannot be reduced back into the abdominal cavity

b. ventral hernia - results from inadequate healing of an incision d. direct inguinal hernia - a peritoneum sac passes through a weak point in the abdominal wall e. incarcerated hernia - contents of the hernia sac cannot be reduced back into the abdominal cavity

A client's screening colonoscopy revealed the presence of numerous polyps in the large bowel. What principle should guide the subsequent treatment of this client's health problem? a. adhere to a high-fiber diet will help polyps resolve b. the client should be ensured that these are a normal age-related change c. The client polyps constitute a risk factor for cancer d. The presence of polyps is associated with an increased risk of bowel obstruction

c. The client polyps constitute a risk factor for cancer

The nurse is providing preoperative care to a client who is to undergo a radical prostatectomy for prostate cancer. The client's plan of care includes the nursing diagnosis of "anxiety related to surgery and its outcome." Which of the following would be most appropriate for the nurse to do? a. tell the client that prostate cancer is very curable if caught early b. inform the client that risk of recurrence is decreased with this type of surgery c. ensure privacy when discussing sensitive or embarrassing sexual issues d. allow the client to assume a passive role in the preparation

c. ensure privacy when discussing sensitive or embarrassing sexual issues

what is the most common type of prostate surgery? a. retro pubic prostatectomy b. perineal prostatectomy c. transurethral resection of the prostate d. suprapubic prostaectomy

c. transurethral resection of the prostate

Which is a true statement regarding crohn's disease? a. The lesions are in continuous contact with one another b. it has a progressive disease pattern c. it is characterized by pain in the lower left abdominal quadrant d. the clusters of ulcers take on a cobblestone appearance

d. the clusters of ulcers take on a cobblestone appearance