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MULTI 3 EXAM 1
A 40-year-old woman has high vaginal bleeding. Which question is the priority in evaluating the client’s chief complaints?
“Is the bleeding related to the menstrual cycle or intercourse”
“Are you having any sensations of pain or cramps”
“Are you sexually active and do you use oral contraceptives?”
“Are you feeling weak, dizzy or lightheaded?”
A nurse is caring for a 50-year-old male patient presently diagnosed with erectile dysfunction (ED). Which of the following is a possible cause of ED?
Hypertension week 2
Sexually transmitted diseases
Opioid overuse
Caffeine consumption
Which of the following interventions would meet the multidimensional needs of a 45-year-old male who was recently diagnosed with testicular cancer (Select all that apply)?
Consult the dietician for cultural dietary needs
Conduct a cultural assessment
Provide a psychosocial assessment
Provide emotional and spiritual support
Offer client family-centered care
A nurse is providing education at a health fair regarding breast cancer. Which of the following informational brochures would be more beneficial to distribute to the participants?
Self-breast examination
Diet modification
Stress reductions
Exercise regimen
The nurse knows to include which of the following when teaching a client about the common cause of pyelonephritis?
Urinary retention and ascending infection of the urinary tract
Delayed voiding
Renal calculi
Previous UTI
A nurse is caring for a 32-year-old female with a history of breast cancer. Which of the following should be included in the client education?
Annual mammography
Clinical breast examination every 2 years
Herbal supplements
Preventive screening to begin at the age of 45
A client is emotionally upset after the diagnosis of endometrial cancer. What action by the nurse is best?
Leave the client alone for an extended period for reflection time
Create an atmosphere that supports acceptance and discussion
Tell the client that her emotional response is unacceptable
Limit visits from family and friends
A nurse is providing education to a female client regarding cystitis. Which of the following should the nurse include in the client education?
Avoid the use of feminine sprays
Increase frequency of douching
Utilize a diaphragm for birth control
Wipe perineum from back to front
The nurse is teaching a group of women about the prevention of toxic shock syndrome. What preventive measure does the nurse include in the teaching? (Select all that apply)
‘Avoid the use of high absorbency tampons”
“Use sanitary napkins at night”
“Avoid using internal contraceptives”
“Have your partner avoid using condoms”
“Change tampons every 8 hours”
A nurse is caring for a 58-year-old male who recently underwent an open radical prostatectomy. Which of the following nursing interventions would be appropriate for the client? (Select all that apply)
Pain management
Venous thromboembolism prevention 1484
Monitor intake and output
Maintain bedrest
Monitor for signs of infection
Based on American Cancer Society recommendations, what does the nurse teach the patient about screening for prostate cancer?
Beginning at age 30, all men should have an annual digital rectal examination
Men that have a prostate specific antigen (PSA) test done do not require a digital rectal examination
Men with multiple first-degree young relatives with prostate cancer at an early age should discuss screening with their healthcare providers at age 40
Asian-American men should start screening at age 55years
Which of the following should the nurse include in the education fir a client who recently underwent cervical ablation for cervical cancer?
Resume tampons in 24hours
Do not douche
Tub baths are preferred over showers
Resume sexual intercourse in one week
A nurse is caring for a 56-year-old male patient who was recently diagnosed with benign prostatic hyperplasia. Which of the following is a common assessment finding related to this disorder?
Painful urination
Penile discharge
Difficulty starting urine stream
Increased daytime urination
The client is being treated for both BPH and hypertension. Which alpha-blocker does the nurse anticipates will be prescribed for the client?
Doxazocin alpha-blockers
Finasteride 5-alpha reductase inhibitors
Dutasteride 5-alpa reductase inhibitors
Sildenafil phosphodiesterase (PDE) inhibitors
A nurse is caring for a 30-year-old female client that has been diagnosed with uterine leiomyoma. What the nurse expects to see as the client’s presenting chief complaints?
Feeling of vaginal pressure
Heavy vaginal bleeding
Intermittent pain
Urinary changes
Which of the following is considered a risk factor for the development of breast cancer?
Age
Race
Activity
Genetics
The nurse knows that which of the following is considered a late sign of prostate cancer?
Difficulty starting urination
Hematuria
Frequent bladder infections
Urinary retention
A client experiencing secondary syphilis may experience all of the following signs and symptoms except? Antibiotics
Fever
Headache
Muscle aches
Diarrhea
A nurse is caring for a client who was recently diagnosed with acute kidney injury. Which of the following are possible causes of acute kidney injury due to perfusion issues?
Bladder cancer
Myocardial infarction
Kidney stones
Lupus
A nurse is caring for a client who was recently diagnosed with chronic renal failure. Which of the following is a treatment option for a client with renal failure?
Fluid resuscitation
Diuretics
Dialysis
Diet rich in potassium and magnesium
You are providing discharge instructions to a client who is prescribed antibiotics for the treatment of sexually transmitted disease. Which of the following should you include in the medication administration?
Refrain from sex for at least 7days 2
Take antacids prior to taking the antibiotics
Take medication prior to bed
Take medication with a high-fat meal
Which of the following are treatment options for a client with renal cell carcinoma who only has one kidney and is not a candidate for surgery?
Microwave ablation
Chemotherapy
Nephrectomy
Radiation
The nurse knows to include which of the following when teaching a client about the most common cause of acute pyelonephritis?
Urinary retention and ascending infection of the urinary tract
Delayed voiding
Renal calculi
previous UTI
Decline as a new diagnosis of testicular cancer the nurse recognise which of the following is the sign of testicular cancer
painful enlargement of the testicle
painless enlargement of the testicle
painless shrinking of the testicle
painful shrinking of the testicle
Dino’s is providing information to the client who has genital apes. What priority assessment would be the nurse so concern
after a diagnosis of hsv minus 2, there are likely to be true to theory outbreak during the
transmission of genital apes can occur from a partner who does not have a
a apps simplex virus minus one hsv minus one genita infection can occur with aura genitor Contacts
janitor apes simply virus minus two is more common in women than in men
During a routine prenatal examination, a pregnant woman’s urine is found to contain glucose. What does this finding indicate to the nurse?
The patient should have further testing for gestational diabetes.
The patient should have a lover enzyme panel completed
The patient is eating excessive calories
It is because of a decrease in GFR
The nurse is caring for a male who was recently diagnosed with benign prostatic hypertrophy. Which of the following medications should the nurse instruct the client to avoid?
Calcium channel blockers
Anticholinergic
Beta-blockers
Nonsteroidal anti-inflammatory drugs
A 58-year-old female presents to the Dr’s office for a checkup. She communicated that she has not previously had any preventive screening. Which of the following would increase her risk of preventing breast cancer?
Having her first child at age 25
Dense breasts
Low socioeconomic status
Stress
Which of the following clients are at risk of developing genital warts?
Those who have unprotected sex
Drug abusers
Individuals with opioid addictions
Males/females in many relationships
Jane is a 28-year-old female who presented to the emergency room with genital warts lesion. She was diagnosed with genital herpes. Which of the following nursing interventions would be applicable to this diagnosis?
NSAIDS
Limit urinary frequency
Application of heat
Douche administration
The obese 54-year-old client describes excessive menstrual bleeding that occurs approximately every 10 days. The nurse prepares the client for which diagnostic test that is used to evaluate for endometrial cancer?
Bimanual pelvic examination
Transvaginal ultrasound
Sonohysterography
Endometrial biopsy
A nurse is caring for a client with polycystic kidney disease. The nurse anticipates all of the following interventions or treatment options except which of the following?
Pain management
Blood transfusion
Blood pressure control
Genetic counseling
A nurse is caring for a 30-year-old male client recently diagnosed with testicular cancer. Which of the following nursing intervention should be included as a priority for the client?
Education on options for sperm banking
Education of likelihood of testicular removal
Nutritional assessment
Spiritual assessment
A client with uterine leiomyoma reports a feeling of pelvic pressure, constipation, urinary frequency and says, “I can’t button my pants anymore”. What does the nurse assess further to evaluate specific to the client’s complaint?
Fluid imbalance
Abdominal distension or enlargement
Bowel or bladder incontinence
Vagina bleeding or discharge
the nurse has viewed the lab result of the client being treated for nephrotic syndrome. And has noted a normal glomerular filtration rate (GFR). Which of the following dietary interventions does the nurse educates the client to incorporate into their diet?
Increase the intake of vitamin K to decrease the risk of thrombus
Decrease fluid intake because the kidneys are retaining an excessive amount of fluid
Increase sodium intake to help prevent hypotension secondary to fluid loss
Ensure adequate protein intake in the diet
Which of the following are common assessment findings for a client with pyelonephritis? (Select all that apply)
Inability to void
Abdominal distension
Foul-smelling urine
Nocturia
Flank pain
Linda is a 45-year-old female that reported to the doctor’s office with the concern regarding finding a lump during her monthly self-breast examination. She denies having a family history of breast cancer. During her physical examination, the provider notes no visual abnormalities of the breast, normal nipples, no nipples and no discharge. The nurse anticipates the provider will order what test?
Mammogram
Genetic testing for breast cancer
Ultrasound
Biopsy
A nurse is caring for a client who is status post-nephrectomy secondary to renal cell carcinoma. Which of the following nursing interventions is the highest priority in the postoperative management of the client?
Monitoring for hemorrhage
Pain management
Coughing and deep breathing
Early ambulation
A nurse is caring for a client who has recently been diagnosed with erectile dysfunction. Which of the following are treatment options for this disorder?
Phosphodiesterase-5 (PDE-5) inhibitor
Exercise
Blood pressure control
Penile transplant
A nurse is caring for a client who has a diagnosis of urolithiasis. Which of the following findings should the nurse expect in this male client? (select all that apply)
Flank pain
Bradycardia
Pain radiating to the shoulder
Nausea and vomiting
Testicular or scrotal pain
A nurse is caring for a client who presented to the emergency room with the complaints of fatigue, hematuria, and weight loss. Upon physical examination, the client’s blood pressure is 190/100mmHg with positive jugular vein distension and lower extremity edema are present. A urinalysis revealed the presence of red blood cells and protein, serum, BUN and creatinine are elevated. Based on these findings, the provider suspects the client has acute glomerulonephritis. Which of the following test would the nurse expects the provider to order?
CT scan of the abdomen and pelvis
24-hour urine collection
AST & ALT
Serum potassium
During the first 24hours after transurethral resection of the prostate (TURP), what is the priority assessment concern in the nursing care plan?
Hemorrhage
Infection
Hydronephrosis
Confusion
A nurse is teaching an older client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy. Which of the following instructions should the nurse include?
“Have an eye examination once per year”
“Examine your feet carefully everyday”
“wear compression stockings daily”
“Maintain stable blood glucose levels”
The nurse educates a teenager on the benefits of receiving the human papillomavirus (HPV) vaccine as protection against which type of cancer?
Endometrial cancer
Cervical cancer
Ovarian cancer
Uterine cancer
What does the nurse include in the discharge teaching for a woman who had a total abdominal hysterectomy for endometrial cancer?
Do not lift anything heavier than 20lb/ less than 15
Sexual activity may be resumed in 2 to 3 weeks
Gradually increase walking as exercise but stop before becoming fatigued 1463
Wait for 24hours after discharge to begin driving
A nurse is providing education to a client diagnosed with urinary incontinence. Which of the following should be included in the client education?
Avoid fluids and drinks that contain caffeine
Increase fluid intake
Increase cranberry juice consumption
Avoid salt intake
Sue, a 32-year-old female presents to the physician’s office with complaint of heavy menstrual bleeding and prolonged periods. She states that this has been going on for approximately six months. She avoided coming to the Doctor’s office because of fear of possible cancer. Which of the following will be performed based on patient’s symptoms?
Liver function test
Pelvic testing
Fecal occult blood test
Genetic examination
The nurse includes which of the following in self-management teaching for a client diagnosed with vulvovaginitis?
Wear cotton underwear 1471
Wear tight-fitting clothing for support
Use feminine sprays
Wipe from front to back only after bowel movements
A client with urinary tract infection has just been diagnosed with acute kidney injury. The physician ordered lab work to be done. The nurse expects which of the following abnormal labs to be present in this client with acute kidney injury?
Arterial HCO3-34, 22 to 28
K- 5.7; 3.6 to 5.2. Mg- 3.1 1.7 to 2.2
Creatinine – 0.9; BUN- 12
Phosphorus- 2.2; calcium- 12
A nurse is caring for a client comma home self identifies as a female End also not as sex is male which of the following most the nurse take note
Identify and address the client only by their natural sex gender
demonstrates respect’s for clients non-conforming gender identity
facilitate access to appropriate healthcare providers
be aware of individualised healthcare needs
A client is preparing for discharge following an open radical prostatectomy procedure. which of the following would the nurse not include in the discharge teaching?
use a stool stuff nuts will avoid straining with bowel movements
lift less than 15 lab for the next 6 hours
shower for the first few weeks rather than soaking in the bath
pulled this terrible stripe of the incision when they begin lifting on the edge
The nurse is assessing a client who has a translator resection of the prostate procedure which of which knew finding is the greatest concern?
Client urine output looks like ketchup
clients report pain to be 4 out of 10
client has urine output or 50CC per hour
client has an indwelling catheter and report urge to void
Based on American Cancer society recommendations, what does the nurse teach the patient about screening for prostate cancer?
Beginning at age taxi all men should have an annual digital rectal examination
men that have a prostate specific antigen blood test does not require a digital rectal exam
men with multiple first-degree young relatives with prostate cancer he at early age show discuss screening with their healthcare provider at age 40
Asian -American men should start screaming at 55 years of age
Did nurse is providing education regarding the risks of chlamydia infection.
infertility
pelvic inflammatory disease
ectopic pregnancy
recurring outbreaks
An older adult client is being treated for Endometrium cancer. which of the following is the nurse expect to find in the clients record that was?
pelvic pain
nausea and anorexia
postmenopausal uterine bleeding
vaginal discharge or bleeding
A nurse is caring for a client who has recently been diagnosed with erectile dysfunction. Which of the following are treatment options for this disorder?
Phosphodiesterase-5 (PDE-5) inhibitor
Exercise
Blood pressure control
Penile transplant
A nurse is preparing to administer lisinopril 30 mg PO now. Available is lisinopril 20 mg/tablet. How many tablet(s) should the nurse administer?
0.5
1
1.5
2
The nurse is reviewing the laboratory results for a client with metastasis of prostate cancer to the bone. Which elevated level does the nurse expect to see?
Alpha-fetoprotein
Blood urea nitrogen
Serum alkaline phosphatase
Serum creatinine
You are caring for a client who was diagnosed with syphilis. Which of the following medications are used for treatment?
Benzathine penicillin G
Vancomycin
Ampicillin
Gentamycin
Which of the following is not considered a risk factor for the development of prostate cancer?
Age
Race
Activity level
Genetics
A medication order states administer furosemide 30 mg IM stat. Available is furosemide 100 mg/10 mL. How many mL should the nurse administer?
1.5
2
3
6

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