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nur 114 exam 2 questions (Colon
cancer,Elimination,Inflammation) with
correct answers
Jordin |is |a |client |with |jaundice |who |is |experiencing |pruritus. |Which |nursing |intervention |would |be | included |in |the |care |plan |for |the |client? A. |Administering |vitamin |K |subcutaneously B. |Applying |pressure |when |giving |I.M. |injections C. |Decreasing |the |client's |dietary |protein |intake D. |Keeping |the |client's |fingernails |short |and |smooth |- |VERIFIED |ANSWER✔✔-Answer: |D The |client |with |pruritus |experiences |itching, |which |may |lead |to |skin |breakdown |and |possibly |infection |from |scratching. |Keeping |his |fingernails |short |and |smooth |helps |prevent |skin |breakdown |and | infection |from |scratching. |Applying |pressure |when |giving |I.M. |injections |and |administering |vitamin |K | subcutaneously |are |important |if |the |client |develops |bleeding |problems. |Decreasing |the |client's |dietary |intake |is |appropriate |if |the |client's |ammonia |levels |are |increased. Marie, |a |51-year-old |woman, |is |diagnosed |with |cholecystitis. |Which |diet, |when |selected |by |the |client, |indicates |that |the |nurse's |teaching |has |been |successful? A. |4-6 |small |meals |of |low-carbohydrate |foods |daily B. |High-fat, |high-carbohydrate |meals C. |Low-fat, |high-carbohydrate |meals D. |High-fat, |low |protein |meals |- |VERIFIED |ANSWER✔✔-Answer: |C
For |the |client |with |cholecystitis, |fat |intake |should |be |reduced. |The |calories |from |fat |should |be | substituted |with |carbohydrates. |Reducing |carbohydrate |intake |would |be |contraindicated. |Any |diet | high |in |fat |may |lead |to |another |attack |of |cholecystitis. The |hospital |administrator |had |undergone |percutaneous |transhepatic |cholangiography. |which | assessment |finding |indicates |complication |after |the |operation? A. |Fever |and |chills B. |Hypertension C. |Bradycardia D. |Nausea |and |diarrhea |- |VERIFIED |ANSWER✔✔-Answer: |A Septicemia |is |a |common |complication |after |a |percutaneous |transhepatic |cholangiography. |Evidence |of |fever |and |chills, |possibly |indicative |of |septicemia, |is |important. |HYpotension, |not |hypertension, |is | associated |with |septicemia. |Tachycardia, |not |bradycardia, |is |most |likely |to |occur. |Nausea |and |diarrhea |may |occur |but |are |not |classic |signs |of |sepsis. For |Jayvin |who |is |taking |antacids, |which |instruction |would |be |included |in |the |teaching |plan? A. |"Take |the |antacids |with | 8 |oz |of |water." B. |"Avoid |taking |other |medications |within | 2 |hours |of |this |one." C. |"Continue |taking |antacids |even |when |pain |subsides." D. |"Weigh |yourself |daily |when |taking |this |medication. |- |VERIFIED |ANSWER✔✔-Answer: |B Antacids |neutralize |gastric |acid |and |decrease |the |absorption |of |other |medications. |The |client |should | be |instructed |to |avoid |taking |other |medications |within | 2 |hours |of |the |antacid. |Water, |which |dilutes | the |antacid, |should |not |be |taken |with |antacid. |A |histamine |receptor |antagonist |should |be |taken |even | when |pain |subsides. |Daily |weights |are |indicated |if |the |client |is |taking |a |diuretic, |not |an |antacid. Which |clinical |manifestation |would |the |nurse |expect |a |client |diagnosed |with |acute |cholecystitis |to | exhibit?
Paracentesis |and |diuretics |would |be |appropriate |for |a |client |diagnosed |with |portal |hypertension |and | ascites. |A |low-fat |diet |and |increased |fluid |intake |would |further |aggravate |the |pancreatitis For |Rico |who |has |chronic |pancreatitis, |which |nursing |intervention |would |be |most |helpful? A. |Allowing |liberalized |fluid |intake B. |Counseling |to |stop |alcohol |consumption C. |Encouraging |daily |exercise D. |Modifying |dietary |protein |- |VERIFIED |ANSWER✔✔-Answer: |B Chronic |pancreatitis |typically |results |from |repeated |episodes |of |acute |pancreatitis. |More |than |half |of | chronic |pancreatitis |cases |are |associated |with |alcoholism. |Counseling |to |stop |alcohol |consumption | would |be |the |most |helpful |for |the |client. |Dietary |protein |modification |is |not |necessary |for |chronic | pancreatitis. |Daily |exercise |and |liberalizing |fluid |intake |would |be |helpful |but |not |the |most |beneficial | intervention. When |evaluating |a |male |client |for |complications |of |acute |pancreatitis, |the |nurse |would |observe |for: A. |increased |intracranial |pressure B. |decreased |urine |output C. |bradycardia D. |hypertension |- |VERIFIED |ANSWER✔✔-Answer: |B | Acute |pancreatitis |can |cause |decreased |urine |output, |which |results |from |the |renal |failure |that | sometimes |accompanies |this |condition. |Intracranial |pressure |neither |increases |nor |decreases |in |a | client |with |pancreatitis. |Tachycardia, |not |bradycardia, |usually |is |associated |with |pulmonary |or | hypovolemic |complications |of |pancreatitis. |Hypotension |can |be |caused |by |a |hypovolemic | complication, |but |hypertension |usually |isn't |related |to |acute |pancreatitis. A |male |client |with |a |recent |history |of |rectal |bleeding |is |being |prepared |for |a |colonoscopy. |How | should |the |nurse |position |the |client |for |this |test |initially? A. |Lying |on |the |right |side |with |legs |straight B. |Lying |on |the |left |side |with |knees |bent C. |Prone |with |the |torso |elevated
D. |Bent |over |with |hands |touching |the |floor |- |VERIFIED |ANSWER✔✔-answer: |B Which |condition |is |most |likely |to |have |a |nursing |diagnosis |of |fluid |volume |deficit? A. |Appendicitis B. |Pancreatitis C. |Cholecystitis D. |Gastric |ulcer |- |VERIFIED |ANSWER✔✔-Answer: |B Hypovolemic |shock |from |fluid |shifts |is |a |major |factor |in |acute |pancreatitis. A |male |client |with |pancreatitis |complains |of |pain. |The |nurse |expects |the |physician |to |prescribe | meperidine |(Demerol) |instead |of |morphine |to |relieve |pain |because: A. |meperidine |provides |a |better, |more |prolonged |analgesic |effect. B. |morphine |may |cause |spasms |of |Oddi's |sphincter. C. |meperidine |is |less |addictive |than |morphine. D. |morphine |may |cause |hepatic |dysfunction. |- |VERIFIED |ANSWER✔✔-Answer: |B For |a |client |with |pancreatitis, |the |physician |will |probably |avoid |prescribing |morphine |because |this | drug |may |trigger |spasms |of |the |sphincter |of |Oddi |(a |sphincter |at |the |end |of |the |pancreatic |duct), | causing |irritation |of |the |pancreas. |Meperidine |has |a |somewhat |shorter |duration |of |action |than | morphine. |The |two |drugs |are |equally |addictive. |Morphine |isn't |associated |with |hepatic |dysfunction The |nurse |caring |for |a |client |with |small-bowel |obstruction |would |plan |to |implement |which |nursing | intervention |first? A. |Administering |pain |medication
Yellow |sclerae |may |be |the |first |sign |of |jaundice, |which |occurs |when |the |common |bile |duct |is | obstructed. |Urine |normally |is |light |amber. |Circumoral |pallor |and |black, |tarry |stools |don't |occur |in | common |bile |duct |obstruction; |they |are |signs |of |hypoxia |and |GI |bleeding, |respectively. Nurse |Hannah |is |teaching |a |group |of |middle-aged |men |about |peptic |ulcers. |When |discussing |risk | factors |for |peptic |ulcers, |the |nurse |should |mention: A. |a |sedentary |lifestyle |and |smoking. B. |a |history |of |hemorrhoids |and |smoking C. |alcohol |abuse |and |a |history |of |acute |renal |failure D. |alcohol |abuse |and |smoking |- |VERIFIED |ANSWER✔✔-Answer: |D Risk |factors |for |peptic |(gastric |and |duodenal) |ulcers |include |alcohol |abuse, |smoking, |and |stress. |A | sedentary |lifestyle |and |a |history |of |hemorrhoids |aren't |risk |factors |for |peptic |ulcers. |Chronic |renal | failure, |not |acute |renal |failure, |is |associated |with |duodenal |ulcers. While |palpating |a |female |client's |right |upper |quadrant |(RUQ), |the |nurse |would |expect |to |find |which | of |the |following |structures? A. |Sigmoid |colon B. |Appendix C. |Spleen D. |Liver |- |VERIFIED |ANSWER✔✔-Answer: |D The |RUQ |contains |the |liver, |gallbladder, |duodenum, |head |of |the |pancreas, |hepatic |flexure |of |the | colon, |portions |of |the |ascending |and |transverse |colon, |and |a |portion |of |the |right |kidney. |The |sigmoid | colon |is |located |in |the |left |lower |quadrant; |the |appendix, |in |the |right |lower |quadrant; |and |the |spleen, |in |the |left |upper |quadrant A |male |client |is |recovering |from |an |ileostomy |that |was |performed |to |treat |inflammatory |bowel | disease. |During |discharge |teaching, |the |nurse |should |stress |the |importance |of: A. |increasing |fluid |intake |to |prevent |dehydration B. |wearing |an |appliance |pouch |only |at |bedtime C. |consuming |a |low-protein, |high-fiber |diet
D. |taking |only |enteric-coated |medications |- |VERIFIED |ANSWER✔✔-Answer: |A Because |stool |forms |in |the |large |intestine, |an |ileostomy |typically |drains |liquid |waste. |To |avoid |fluid | loss |through |ileostomy |drainage, |the |nurse |should |instruct |the |client |to |increase |fluid |intake. |The | nurse |should |teach |the |client |to |wear |a |collection |appliance |at |all |times |because |ileostomy |drainage | is |incontinent, |to |avoid |high-fiber |foods |because |they |may |irritate |the |intestines, |and |to |avoid | enteric-coated |medications |because |the |body |can't |absorb |them |after |an |ileostomy A |client |is |complaining |of |severe |flank |and |abdominal |pain. |A |flat |plate |of |the |abdomen |shows | urolithiasis. |Which |of |the |following |interventions |is |important? A. |Strain |all |urine B. |Limit |fluid |intake C. |Enforce |strict |bed |rest D. |Encourage |a |high |calcium |diet |- |VERIFIED |ANSWER✔✔-Answer: |A Urine |should |be |strained |for |calculi |and |sent |to |the |lab |for |analysis. |Fluid |intake |of | 3 |to | 4 |L |is | encouraged |to |flush |the |urinary |tract |and |prevent |further |calculi |formation. |A |low-calcium |diet |is | recommended |to |help |prevent |the |formation |of |calcium |calculi. |Ambulation |is |encouraged |to |help | pass |the |calculi |through |gravity. A |client |is |receiving |a |radiation |implant |for |the |treatment |of |bladder |cancer. |Which |of |the |following | interventions |is |appropriate? A. |Flush |all |urine |down |the |toilet B. |Restrict |the |client's |fluid |intake C. |Place |the |client |in |a |semi-private |room D. |Monitor |the |client |for |signs |and |symptoms |of |cystitis |- |VERIFIED |ANSWER✔✔-Answer: |D Cystitis |is |the |most |common |adverse |reaction |of |clients |undergoing |radiation |therapy; |symptoms | include |dysuria, |frequency, |urgency, |and |nocturia. |Clients |with |radiation |implants |require |a |private | room. |Urine |of |clients |with |radiation |implants |for |bladder |cancer |should |be |sent |to |the |radioisotopes | lab |for |monitoring. |It |is |recommended |that |fluid |intake |be |increased.
The |calculus |should |be |analyzed |for |composition |to |determine |appropriate |interventions |such |as | dietary |restrictions. |Calculi |don't |result |in |infections. |The |size |and |number |of |calculi |aren't |relevant, | and |they |don't |contain |antibodies. A |27-year |old |client, |who |became |paraplegic |after |a |swimming |accident, |is |experiencing |autonomic | dysreflexia. |Which |condition |is |the |most |common |cause |of |autonomic |dysreflexia? A. |Upper |respiratory |infection B. |Incontinence C. |Bladder |distention D. |Diarrhea |- |VERIFIED |ANSWER✔✔-answer: |C Autonomic |dysreflexia |is |a |potentially |life-threatening |complication |of |spinal |cord |injury, |occurring | from |obstruction |of |the |urinary |system |or |bowel. |Incontinence |and |diarrhea |don't |result |in | obstruction |of |the |urinary |system |or |bowel, |respectively. |An |URI |could |obstruct |the |respiratory | system, |but |not |the |urinary |or |bowel |system. When |providing |discharge |teaching |for |a |client |with |uric |acid |calculi, |the |nurse |should |an |instruction | to |avoid |which |type |of |diet? A. |Low-calcium B. |Low-oxalate C. |High-oxalate D. |High-purine |- |VERIFIED |ANSWER✔✔-answer: |D To |control |uric |acid |calculi, |the |client |should |follow |a |low-purine |diet, |which |excludes |high-purine | foods |such |as |organ |meats. |A |low-calcium |diet |decreases |the |risk |for |oxalate |renal |calculi. |Oxalate |is | an |essential |amino |acid |and |must |be |included |in |the |diet. |A |low-oxalate |diet |is |used |to |control | calcium |or |oxalate |calculi. The |client |with |urolithiasis |has |a |history |of |chronic |urinary |tract |infections. |The |nurse |concludes |that | this |client |most |likely |has |which |of |the |following |types |of |urinary |stones? A. |Calcium |oxalate
B. |Uric |acid C. |Struvite D. |Cystine |- |VERIFIED |ANSWER✔✔-Answer: |C Struvite |stones |commonly |are |referred |to |as |infection |stones |because |they |form |in |urine |that |is | alkaline |and |rich |in |ammonia, |such |as |with |a |urinary |tract |infection. |Calcium |oxalate |stones |result | from |increased |calcium |intake |or |conditions |that |raise |serum |calcium |concentrations. |Uric |acid |stones |occur |in |clients |with |gout. |Cystine |stones |are |rare |and |occur |in |clients |with |a |genetic |defect |that | results |in |decreased |renal |absorption |of |the |amino |acid |cystine. The |nurse |is |receiving |in |transfer |from |the |postanesthesia |care |unit |a |client |who |has |had |a | percutaneous |ultrasonic |lithotripsy |for |calculuses |in |the |renal |pelvis. |The |nurse |anticipates |that |the | client's |care |will |involve |monitoring |which |of |the |following? A. |Suprapubic |tube B. |Urethral |stent C. |Nephrostomy |tube D. |Jackson-Pratt |drain |- |VERIFIED |ANSWER✔✔-Answer: |C A |nephrostomy |tube |is |put |in |place |after |a |percutaneous |ultrasonic |lithotripsy |to |treat |calculuses |in | the |renal |pelvis. |The |client |may |also |have |a |foley |catheter |to |drain |urine |produced |by |the |other | kidney. |The |nurse |monitors |the |drainage |from |each |of |these |tubes |and |strains |the |urine |to |detect | elimination |of |the |calculus |fragments. The |client |is |admitted |to |the |ER |following |a |MVA. |The |client |was |wearing |a |lap |seat |belt |when |the | accident |occurred. |The |client |has |hematuria |and |lower |abdominal |pain. |To |determine |further |whether |the |pain |is |due |to |bladder |trauma, |the |nurse |asks |the |client |if |the |pain |is |referred |to |which |of |the | following |areas? A. |Shoulder B. |Umbilicus C. |Costovertebral |angle D. |Hip |- |VERIFIED |ANSWER✔✔-Answer: |A lower |abdominal |pain |that |may |radiate |to |one |of |the |shoulders
D |. |No |special |precautions |except |to |wear |gloves |if |in |contact |with |the |client's |urine |- |VERIFIED | ANSWER✔✔-Answer: |D No |specific |precautions |are |necessary |following |a |renal |scan. |Urination |into |a |commode |is |acceptable | without |risk |from |the |small |amount |of |radioactive |material |to |be |excreted. |The |nurse |wears |gloves |to |maintain |body |secretion |precautions. The |client |passes |a |urinary |stone, |and |lab |analysis |of |the |stone |indicates |that |it |is |composed |of | calcium |oxalate. |Based |on |this |analysis, |which |of |the |following |would |the |nurse |specifically |include |in | the |dietary |instructions? A. |Increase |intake |of |meat, |fish, |plums, |and |cranberries B. |Avoid |citrus |fruits |and |citrus |juices C. |Avoid |green, |leafy |vegetables |such |as |spinach D. |Increase |intake |of |dairy |product |- |VERIFIED |ANSWER✔✔-Answer: |C Oxalate |is |found |in |dark |green |foods |such |as |spinach. |Other |foods |that |raise |urinary |oxalate |are | rhubarb, |strawberries, |chocolate, |wheat |bran, |nuts, |beets, |and |tea. The |client |returns |to |the |nursing |unit |following |a |pyelolithotomy |for |removal |of |a |kidney |stone. |A | Penrose |drain |is |in |place. |Which |of |the |following |would |the |nurse |include |on |the |client's | postoperative |care? A. |Sterile |irrigation |of |the |Penrose |drain B. |Frequent |dressing |changes |around |the |Penrose |drain C. |Weighing |the |dressings D. |Maintaining |the |client's |position |on |the |affected |side |- |VERIFIED |ANSWER✔✔-Answer: |B Frequent |dressing |changes |around |the |Penrose |drain |is |required |to |protect |the |skin |against | breakdown |from |urinary |drainage. |If |urinary |drainage |is |excessive, |an |ostomy |pouch |may |be |placed | over |the |drain |to |protect |the |skin. |A |Penrose |drain |is |not |irrigated. |Weighing |the |dressings |is |not | necessary. |Placing |the |client |on |the |affected |side |will |prevent |a |free |flow |of |urine |through |the |drain. The |client |with |BPH |undergoes |a |transurethral |resection |of |the |prostate. |Postoperatively, |the |client |is |receiving |continuous |bladder |irrigations. |The |nurse |assesses |the |client |for |signs |of |transurethral |
resection |syndrome. |Which |of |the |following |assessment |data |would |indicate |the |onset |of |this | syndrome? A. |Bradycardia |and |confusion B. |Tachycardia |and |diarrhea C. |Decreased |urinary |output |and |bladder |spasms D. |Increased |urinary |output |and |anemia |- |VERIFIED |ANSWER✔✔-Answer: |A Transurethral |resection |syndrome |is |caused |by |increased |absorption |of |nonelectrolyte |irrigating |fluid | used |during |surgery. |The |client |may |show |signs |of |cerebral |edema |and |increased |intracranial |pressure |such |as |increased |blood |pressure, |bradycardia, |confusion, |disorientation, |muscle |twitching, |visual | disturbances, |and |nausea |and |vomiting. The |client |is |admitted |to |the |hospital |with |BPH, |and |a |transurethral |resection |of |the |prostate |is | performed. |Four |hours |after |surgery |the |nurse |takes |the |client's |VS |and |empties |the |urinary |drainage | bag. |Which |of |the |following |assessment |findings |would |indicate |the |need |to |notify |the |physician? A. |Red |bloody |urine B. |Urinary |output |of | 200 |ml |greater |than |intake C. |Blood |pressure |of |100/50 |and |pulse | 130 D. |Pain |related |to |bladder |spasms |- |VERIFIED |ANSWER✔✔-Answer: |C Frank |bleeding |(arterial |or |venous) |may |occur |during |the |first |few |days |after |surgery. |Some |hematuria |is |usual |for |several |days |after |surgery. |A |urinary |output |of | 200 |ml |of |greater |than |intake |is |adequate. |Bladder |spasms |are |expected |to |occur |after |surgery. |A |rapid |pulse |with |a |low |blood |pressure |is |a | potential |sign |of |excessive |blood |loss. |The |physician |should |be |notified. A |female |client |with |a |urinary |diversion |tells |the |nurse, |"This |urinary |pouch |is |embarrassing. |Everyone |will |know |that |I'm |not |normal. |I |don't |see |how |I |can |go |out |in |public |anymore." |The |most | appropriate |nursing |diagnosis |for |this |patient |is: A. |Anxiety |related |to |the |presence |of |urinary |diversion. B. |Deficient |Knowledge |about |how |to |care |for |the |urinary |diversion. C. |Low |Self-Esteem |related |to |feelings |of |worthlessness D. |Disturbed |Body |Image |related |to |creation |of |a |urinary |diversion. |- |VERIFIED |ANSWER✔✔-Answer: | D
after |surgery. |Bowel |sounds |will |be |absent |until |then. |A |small |amount |of |serous |sanguineous |drainage |is |to |be |expected. Because |a |client's |renal |stone |was |found |to |be |composed |to |uric |acid, |a |low-purine, |alkaline-ash |diet | was |ordered. |Incorporation |of |which |of |the |following |food |items |into |the |home |diet |would |indicate | that |the |client |understands |the |necessary |diet |modifications? A. |Milk, |apples, |tomatoes, |and |corn B. |Eggs, |spinach, |dried |peas, |and |gravy C. |Salmon, |chicken, |caviar, |and |asparagus D. |Grapes, |corn, |cereals, |and |liver |- |VERIFIED |ANSWER✔✔-Answer: |A Because |a |high-purine |diet |contributes |to |the |formation |of |uric |acid, |a |low-purine |diet |is |advocated. | An |alkaline-ash |diet |is |also |advocated, |because |uric |acid |crystals |are |more |likely |to |develop |in |acid | urine. |Foods |that |may |be |eaten |as |desired |in |a |low-purine |diet |include |milk, |all |fruits, |tomatoes, | cereals, |and |corn. |Food |allowed |on |an |alkaline-ash |diet |include |milk, |fruits |(except |cranberries, |plums, |and |prunes), |and |vegetables |(especially |legumes |and |green |vegetables). |Gravy, |chicken, |and |liver |are | high |in |purine. Allopurinol |(Zyloprim), | 200 |mg/day, |is |prescribed |for |the |client |with |renal |calculi |to |take |home. |The | nurse |should |teach |the |client |about |which |of |the |following |side |effects |of |this |medication? A. |Retinopathy B. |Maculopapular |rash C. |Nasal |congestion D. |Dizziness |- |VERIFIED |ANSWER✔✔-Answer: |B Allopurinol |is |used |to |treat |renal |calculi |composed |of |uric |acid. |Side |effects |of |allopurinol |include | drowsiness, |maculopapular |rash, |anemia, |abdominal |pain, |nausea, |vomiting, |and |bone |marrow | depression. |Clients |should |be |instructed |to |report |skin |rashes |and |any |unusual |bleeding |or |bruising. | Retinopathy, |nasal |congestion, |and |dizziness |are |not |side |effects |of |allopurinol. A |72-year |old |male |client |is |brought |to |the |emergency |room |by |his |son. |The |client |is |extremely | uncomfortable |and |has |been |unable |to |void |for |the |past | 12 |hours. |He |has |known |for |some |time |that | he |has |an |enlarged |prostate |but |has |wanted |to |avoid |surgery. |The |best |method |for |the |nurse |to |use | when |assessing |for |bladder |distention |in |a |male |client |is |to |check |for:
A. |A |rounded |swelling |above |the |pubis. B. |Dullness |in |the |lower |left |quadrant C. |Rebound |tenderness |below |the |symphysis D. |Urine |discharge |from |the |urethral |meatus |- |VERIFIED |ANSWER✔✔-Answer: |A The |best |way |to |assess |for |a |distended |bladder |in |either |a |male |or |female |client |is |to |check |for |a | rounded |swelling |above |the |pubis. |The |swelling |represents |the |distended |bladder |rising |above |the | pubis |into |the |abdominal |cavity. |Dullness |does |not |indicate |a |distended |bladder. |The |client |might | experience |tenderness |or |pressure |above |the |symphysis. |No |urine |discharge |is |expected; |the |urine | flow |is |blocked |by |the |enlarged |prostate. The |primary |reason |for |taping |an |indwelling |catheter |laterally |to |the |thigh |of |a |male |client |is |to: A. |Eliminate |pressure |at |the |penoscrotal |angle B. |Prevent |the |catheter |from |kinking |in |the |urethra C. |Prevent |accidental |catheter |removal D. |Allow |the |client |to |turn |without |kinking |the |catheter |- |VERIFIED |ANSWER✔✔-Answer: |A The |primary |reason |for |taping |an |indwelling |catheter |to |a |male |client |soothe |penis |is |held |in |a |lateral |position |to |prevent |pressure |at |the |penoscrotal |angle. |Prolonged |pressure |at |the |penoscrotal |angle | can |cause |a |ureterocutaneous |fistula. The |nurse |is |reviewing |a |medication |history |of |a |client |with |BPH. |Which |medication |should |be | recognized |as |likely |to |aggravate |BPH? A. |Metformin |(Glucophage) B. |Buspirone |(BuSpar) C. |Inhaled |ipratropium |(Atrovent) D. |Ophthalmic |timolol |(Timoptic) |- |VERIFIED |ANSWER✔✔-Answer: |C Atrovent |is |a |bronchodilator, |and |its |anticholinergic |effects |can |aggravate |urinary |retention. | Glucophage |and |BuSpar |do |not |affect |the |urinary |system; |timolol |does |not |have |a |systemic |effect.
The |decision |made |by |the |surgeon |to |insert |a |catheter |after |a |TURP |or |prostatectomy |depends |on | the |amount |of |bleeding |that |is |expected |after |the |procedure. |During |continuous |bladder |irrigation | after |a |TURP |or |prostatectomy, |the |rate |at |which |the |solution |enters |the |bladder |should |be |increased |when |the |drainage |becomes |brighter |red. |The |color |indicates |the |presence |of |blood. |Increasing |the | flow |of |irrigating |solution |helps |flush |the |catheter |well |so |clots |do |not |plug |it. |There |would |be |no | reason |to |increase |the |flow |rate |when |the |return |is |continuous |or |when |the |return |appears |cloudy | and |dark |yellow. |Increasing |the |flow |would |be |contraindicated |when |there |is |no |return |of |urine |and | irrigating |solution. A |priority |nursing |diagnosis |for |the |client |who |is |being |discharged |t |home | 3 |days |after |a |TURP |would | be: A. |Deficient |fluid |volume B. |Imbalanced |Nutrition: |Less |than |Body |Requirements C. |Impaired |Tissue |Integrity D. |Ineffective |Airway |Clearance |- |VERIFIED |ANSWER✔✔-Answer: |A Deficient |Fluid |Volume |is |a |priority |diagnosis, |because |the |client |needs |to |drink |a |large |amount |of | fluid |to |keep |the |urine |clear. |The |urine |should |be |almost |without |color. |About | 2 |weeks |after |a |TURP, | when |desiccated |tissue |is |sloughed |out, |a |secondary |hemorrhage |could |occur. |The |client |should |be | instructed |to |call |the |surgeon |or |go |to |the |ED |if |at |any |time |the |urine |turns |bright |red. |The |client |is | not |specifically |at |risk |for |nutritional |problems |after |a |TURP. |The |client |is |not |specifically |at |risk |for | nutritional |problems |after |a |TURP. |The |client |is |not |specifically |at |risk |for |impaired |tissue |integrity | because |there |is |no |external |incision, |and |the |client |is |not |specifically |at |risk |for |airway |problems | because |the |procedure |is |done |after |spinal |anesthesia. If |a |client's |prostate |enlargement |is |caused |by |a |malignancy, |which |of |the |following |blood | examinations |should |the |nurse |anticipate |to |assess |whether |metastasis |has |occurred? A. |Serum |creatinine |level B. |Serum |acid |phosphatase |level C. |Total |nonprotein |nitrogen |level D. |Endogenous |creatinine |clearance |time |- |VERIFIED |ANSWER✔✔-Answer: |B The |most |specific |examination |to |determine |whether |a |malignancy |extends |outside |of |the |prostatic | capsule |is |a |study |of |the |serum |acid |phosphatase |level. |The |level |increases |when |a |malignancy |has |
metastasized. |The |prostate |specific |antigen |(PSA) |determination |and |a |digital |rectal |examination |are | done |when |screening |for |prostate |cancer. |Serum |creatinine |level, |total |nonprotein |nitrogen |level, |and |endogenous |creatinine |clearance |time |give |information |about |kidney |function, |not |prostate | malignancy. Which |of |the |following |symptoms |do |you |expect |to |see |in |a |patient |diagnosed |with |acute | pyelonephritis? A. |Jaundice |and |flank |pain B. |Costovertebral |angle |tenderness |and |chills C. |Burning |sensation |on |urination D. |Polyuria |and |nocturia |- |VERIFIED |ANSWER✔✔-Answer: |B Costovertebral |angle |tenderness, |flank |pain, |and |chills |are |symptoms |of |acute |pyelonephritis. | Jaundice |indicates |gallbladder |or |liver |obstruction. |A |burning |sensation |on |urination |is |a |sign |of |lower |urinary |tract |infection. Which |intervention |do |you |plan |to |include |with |a |patient |who |has |renal |calculi? A. |Maintain |bed |rest B. |Increase |dietary |purines C. |Restrict |fluids D. |Strain |all |urine |- |VERIFIED |ANSWER✔✔-Answer: |D All |urine |should |be |strained |through |gauze |or |a |urine |strainer |to |catch |stones |that |are |passed. |The | stones |are |then |analyzed |for |composition. |Ambulation |may |help |the |movement |of |the |stone |down | the |urinary |tract. |Encourage |fluid |to |help |flush |the |stones |out. An | 18 |y.o. |student |is |admitted |with |dark |urine, |fever, |and |flank |pain |and |is |diagnosed |with |acute | glomerulonephritis. |Which |would |most |likely |be |in |this |student's |health |history? A. |Renal |calculi B. |Renal |trauma C. |Recent |sore |throat D. |Family |history |of |acute |glomerulonephritis |- |VERIFIED |ANSWER✔✔-Answer: |C
