QuestionMULTI 3 EXAM 1A 40-year-old woman has high vaginal bleeding. Which question is the priority
QuestionMULTI 3 EXAM 1A 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 2Sexually transmitted diseasesOpioid overuseCaffeine 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 needsConduct a cultural assessment Provide a psychosocial assessmentProvide 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 examinationDiet modificationStress reductionsExercise 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 tractDelayed voidingRenal calculiPrevious 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 mammographyClinical breast examination every 2 yearsHerbal supplementsPreventive 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 timeCreate an atmosphere that supports acceptance and discussionTell the client that her emotional response is unacceptableLimit 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 spraysIncrease frequency of douchingUtilize a diaphragm for birth controlWipe 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 managementVenous thromboembolism prevention 1484Monitor intake and outputMaintain bedrestMonitor 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 examinationMen 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 40Asian-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 24hoursDo not doucheTub baths are preferred over showersResume 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 urinationPenile dischargeDifficulty starting urine streamIncreased 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-blockersFinasteride 5-alpha reductase inhibitorsDutasteride 5-alpa reductase inhibitorsSildenafil 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 pressureHeavy vaginal bleedingIntermittent painUrinary changes Which of the following is considered a risk factor for the development of breast cancer?AgeRaceActivityGenetics The nurse knows that which of the following is considered a late sign of prostate cancer?Difficulty starting urinationHematuriaFrequent bladder infectionsUrinary retention A client experiencing secondary syphilis may experience all of the following signs and symptoms except? AntibioticsFeverHeadacheMuscle achesDiarrhea 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 cancerMyocardial infarctionKidney stonesLupus 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 resuscitationDiureticsDialysisDiet 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 2Take antacids prior to taking the antibioticsTake medication prior to bedTake 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 ablationChemotherapyNephrectomyRadiation 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 completedThe patient is eating excessive caloriesIt 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 blockersAnticholinergicBeta-blockersNonsteroidal 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 25Dense breasts Low socioeconomic statusStress Which of the following clients are at risk of developing genital warts?Those who have unprotected sexDrug abusersIndividuals with opioid addictionsMales/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? NSAIDSLimit urinary frequencyApplication of heatDouche 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 examinationTransvaginal ultrasound SonohysterographyEndometrial 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 transfusionBlood pressure controlGenetic 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 bankingEducation of likelihood of testicular removalNutritional assessmentSpiritual 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 imbalanceAbdominal 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 thrombusDecrease 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 voidAbdominal distensionFoul-smelling urineNocturiaFlank 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?MammogramGenetic testing for breast cancerUltrasoundBiopsy 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 hemorrhagePain managementCoughing 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) inhibitorExerciseBlood pressure controlPenile 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 painBradycardiaPain radiating to the shoulderNausea 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 pelvis24-hour urine collectionAST & ALTSerum potassium During the first 24hours after transurethral resection of the prostate (TURP), what is the priority assessment concern in the nursing care plan?HemorrhageInfectionHydronephrosisConfusion 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 cancerCervical cancerOvarian cancerUterine 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 15Sexual activity may be resumed in 2 to 3 weeksGradually increase walking as exercise but stop before becoming fatigued 1463Wait 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 caffeineIncrease fluid intakeIncrease 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 testPelvic testingFecal occult blood testGenetic examination The nurse includes which of the following in self-management teaching for a client diagnosed with vulvovaginitis?Wear cotton underwear 1471Wear tight-fitting clothing for supportUse feminine spraysWipe 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 28K- 5.7; 3.6 to 5.2. Mg- 3.1 1.7 to 2.2Creatinine – 0.9; BUN- 12Phosphorus- 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) inhibitorExerciseBlood pressure controlPenile 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? 0.511.52 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-fetoproteinBlood urea nitrogenSerum alkaline phosphataseSerum creatinine You are caring for a client who was diagnosed with syphilis. Which of the following medications are used for treatment?Benzathine penicillin GVancomycinAmpicillinGentamycin Which of the following is not considered a risk factor for the development of prostate cancer?AgeRaceActivity levelGenetics A medication order states administer furosemide 30 mg IM stat. Available is furosemide 100 mg/10 mL. How many mL should the nurse administer?1.5236 Health ScienceScienceNursingDIMENSION NUR2058 SShare Question
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