Download NSG 6001 Week 3 Midterm Questions and Answers: Gastrointestinal and Genitourinary Systems and more Exercises Nursing in PDF only on Docsity!
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A 35 year old female patient is seen in the clinic complaining of abdominal pain. Which of the following should be included in the history and physical - correct answer ✅nature of the pain, timing of the pain, palliative and provocative aspects, associated symptoms (n/v). A patient comes to the office complaining of constipation. The patient lists all of the following medications. Which drug could be responsible for the contipation - correct answer ✅Pepto-Bismol A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? - correct answer ✅frequency, amount and fluidity, color and characteristics. Diet history, recent travel, medication use, source of drinking water A 29 year old Englishman is seen in the office with complaints of pain in his chest and belly. He has been suffering the pain for 2 weeks and gets temporary relief from Alka-Seltzer. The burning wakes him at night and radiates up to his chest. Which factor favors a diagnosis of gastric ulcer - correct answer ✅His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis - correct answer ✅History and physical A 46-year-old patient is seen in the clinic with abdominal pain. Which of the following tests is essential for this patient? - correct answer ✅Urine human chorionic gonadotropin
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. A 25-year-old accountant is seen in the clinic complaining of crampy abdominal pain after meals. She is often constipated and takes laxatives, which are followed by a couple of days of diarrhea. She temporarily feels better after a bowel movement. She states she is embarrassed by flatulence and has abdominal distension. She has had no weight loss or blood in her stool. This problem has gone on for about 6 months. What should the next step be? - correct answer ✅Obtain a complete history A 28-year-old patient is seen in the clinic with colicky abdominal pain particular with meals. She has frequent constipation, flatulence, and abdominal distension. Which of the data make a diagnosis of diverticulitis unlikely? - correct answer ✅Her age A 28-year-old patient is seen with complaints of diarrhea. Which of the following responses to the history questions would help the primary care physician (PCP) establish the diagnosis of irritable bowel syndrome? - correct answer ✅ Which of the following dietary instructions should be given to a patient with GERD? - correct answer ✅Eliminate coffee The patient with GERD should be instructed to eliminate which of these activities?
- correct answer ✅Weight lifting . A 22-year-old is seen complaining of vague belly pain. This type of pain is seen at what point in appendicitis? - correct answer ✅Very early . A patient is seen in the clinic with right upper quadrant pain that is radiating to the middle of the back. The NP suspects acute cholelithiasis. The NP should expect
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A child care worker complains of flu-like symptoms. On further assessment, hepatitis is suspected. The nurse realizes that this individual is at risk for which type of hepatitis - correct answer ✅Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - correct answer ✅giving lactulose A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - correct answer ✅bleeding The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that originated in some other part of the body, is the
- correct answer ✅liver Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers - correct answer ✅become vaccinated A female client is surprised to learn that she has been diagnosed with hemochromatosis. Which of the following should the nurse respond to this client?
- correct answer ✅Females often do not experience the effects of the disease until menopause The nurse, caring for a client recovering from the placement of a shunt to treat portal hypertension, should assess the client for which of the following
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complications associated with this surgery? - correct answer ✅Pulmonary edema A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client?. - correct answer ✅Avoid all alcohol A client is being evaluated for a lower urinary tract infection. Which of the following symptoms would the nurse expect to find? - correct answer ✅Cloudy urine An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client? - correct answer ✅Change in mental status A client is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which of the following instructions would not be appropriate for this medication?. - correct answer ✅Take with an antacid A client with a urinary tract infection is being discharged with a prescription for ciprofloxacin. The nurse should include which of the following discharge instructions? - correct answer ✅. Do not take within 2 hours of antacid use A male client asks the nurse about the purpose of the prostate gland. The nurse should respond that it is a structure that:. - correct answer ✅provides a milky alkaline substance that neutralizes the acidity of the male urethra and the female vagina
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A 45-year-old woman is seen in the clinic with complaints of a vaginal discharge. The clinician identifies clue cells on the vaginal smear. Which of the following diagnoses is associated with this finding? - correct answer ✅Bacterial vaginosis Which of the following medications is the treatment of choice for trichomonas - correct answer ✅Metronidazole A 42-year-old woman presents to the clinic with complaints of painful intercourse for the last month. Which of the following should be explored as the likely cause of her dyspareunia? - correct answer ✅Menopause
. A 63-year-old man is seen in the clinic with a chief complaint of nocturia. Which of the following should be included in the differential diagnosis? - correct answer ✅Benign prostatic hypertrophy A 76-year-old man is seen in the office for complaints of urinary incontinence. The clinician should explore which of these causes of incontinence in men? - correct answer ✅UTI A 14-year-old male is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is the appropriate action? - correct answer ✅Refer to a urologist immediately An 82-year-old man is seen in the primary care office with complaints of dribbling urine and difficulty starting his stream. Which of the following should be included in the list of differential diagnoses - correct answer ✅
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Which of the following would be an appropriate treatment for a patient with mild BPH? - correct answer ✅Reevaluate symptoms in 1 to 3 months.
. A 30-year-old man is seen with a chief complaint of loss of libido. Which of the following laboratory tests would help establish a diagnosis? - correct answer ✅Testosterone level . A 35-year-old man presents with complaints of painful erections, and he notices his penis is crooked when erect. What is the most likely diagnosis? - correct answer ✅Peyronie's disease The patient with BPH is seen for follow-up. He has been taking finasteride (Proscar) for 6 months. The clinician should assess this patient for which of these side effects? - correct answer ✅Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - correct answer ✅Gram-negative bacillus . The 56-year-old man with chronic prostatitis should be treated with trimethoprim 80 mgsulfamethoxazole 400 mg (TMP-SMX, Bactrim) for how long? - correct answer ✅6 to 12 weeks A 46-year-old man presents with urinary hesitancy and low back pain. He has no history of UTI. Digital rectal examination (DRE) reveals a normal prostate, and a diagnosis of prostatodynia is made. Which is the appropriate treatment? - correct answer ✅Terazosin 2 mg PO once a day
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these understandings of the Jewett rating system? - correct answer ✅The cancer involves the seminal vesicles
. A 58-year-old patient has been receiving leuprolide as treatment for prostate cancer. The clinician should instruct the patient about which of these side effects?
- correct answer ✅shrunken testicles, hot flashes, gynecomastia, erectile dysfunction, osteoporosis, loss of muscle mass . What is the treatment of choice for a patient diagnosed with testicular cancer - correct answer ✅Radical orchidectomy A 22-year-old male is seen in the clinic because he found a hard lump in his testicle when performing testicular self-examination (TSE). Which of the following should be included in the list of differential diagnoses? - correct answer ✅ A patient with testicular cancer is being followed after completing treatment 1 year ago. He has been symptom-free with no evidence of disease. How often should he have a CT scan - correct answer ✅Every 3 to 4 months During data collection the nurse notes the presence of a chancre on a male patients penis. For which sexually transmitted infection should the nurse focus additional data collection - correct answer ✅Syphilis A patient is diagnosed with a parasitic infection caused by close contact with another persons genitals. For which infection should the nurse plan care? - correct answer ✅Phthirus pubis
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It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care - correct answer ✅Syphilis The nurse is assisting with teaching a 22-year-old female patient who is diagnosed with a sexually transmitted infection (STI). She says, I dont understand. My boyfriend always wears a condom. Which understanding by the nurse should guide teaching in this situation? - correct answer ✅condoms can decrease the risk of STIs, but they are not foolproof The nurse is providing care for a patient with genital herpes who has vesicular lesions. What term should the nurse use to describe these lesions to the patient? - correct answer ✅Blisters Human papillomavirus (HPV) produces verrucous growths. What term should the nurse use to describe these lesions to the patient? - correct answer ✅Warts The nurse is collecting data on a patient with Chlamydia. Which assessment finding should be reported immediately to the RN or physician? - correct answer ✅sharp pain at the base of the ribs Because Trichomonas is relatively large, unusually shaped, and diagnosed quickly, the nurse is asked to assist the physician obtain which type of specimen? - correct answer ✅Wet mount A patient diagnosed with Trichomonas asks the nurse how the diagnosis will affect her risk for cervical cancer. Which response by the nurse is best? - correct answer
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he nurse is identifying ways for a young adult to reduce the risk of contracting a sexually transmitted infection (STI). What should the nurse teach about the relationship between consumption of alcohol and immediate risk of contracting an STI? - correct answer ✅Alcohol may reduce inhibitions The nurse reviews the ways to prevent condom breakage with a patient. Which patient statement indicates that more teaching is necessary? - correct answer ✅Before I use a condom, I should inflate it and check it for holes and leaks The nurse is assisting with the admission of a known intravenous drug abuser to a medical unit. In addition to drug abuse, which disorder in the patients history is most consistent with a diagnosis of hepatitis? - correct answer ✅Jaundice The nurse is teaching a patient the importance of completing treatment for gonorrhea. On which information is the nurse basing this teaching? - correct answer ✅Men and women may be asymptomatic and still transmit the infection The nurse is assisting in the preparation of a teaching seminar for adolescents to prevent the development of a sexually transmitted infection (STI). Which nonsexual activity should the nurse teach that may transmit a sexually transmitted infection (STI)? - correct answer ✅Sharing intravenous drug equipment A patient asks for the best way to prevent contracting a sexually transmitted infection (STI). What response should the nurse make to this patients question - correct answer ✅Abstinence
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A patient diagnosed with genital warts asks how they developed. Which pathogen should the nurse explain as causing genital warts? - correct answer ✅Human papillomavirus The nurse is caring for a 76-year-old retired man who is undergoing evaluation for dementia. What would be an important part of the mans history to report to the physician? - correct answer ✅The patient has a history of syphilis A patient is undergoing treatment that involves the burning of lesions with heat or chemical agents. The nurse recognizes that this patient most likely has which condition? - correct answer ✅Genital warts
. The nurse is providing care for a newborn. Which intervention should the nurse make to prevent development of ophthalmia neonatorum? - correct answer ✅Antibiotic eyedrops While reviewing a medical record the nurse notes that patient has a strawberry cervix. For which sexually transmitted infection (STI) would the nurse plan care? - correct answer ✅Trichomoniasis The nurse is preparing a poster presentation identifying the frequency of sexually transmitted infections (STIs) in the United States. Which STI should the nurse highlight as being the most commonly diagnosed? - correct answer ✅Chlamydia While assisting a health care provider (HCP) conduct a pelvic examination, the patient complains of severe pain during the bimanual examination. For which health problem should the nurse suspect this patient is going to need care - correct answer ✅Pelvic inflammatory disease
