Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
A comprehensive nursing study guide featuring a midterm quiz with fully solved questions and verified answers. It covers a range of topics relevant to nursing practice, including patient assessment, differential diagnosis, and treatment plans. The guide is designed to help nursing students and professionals prepare for exams and enhance their understanding of key concepts in nursing. It includes questions related to abdominal pain, constipation, diarrhea, gerd, appendicitis, cholelithiasis, irritable bowel syndrome, hiatal hernia, hepatitis, urinary tract infections, and reproductive health issues. The answers are clearly marked, making it easy to review and learn from the material. This study guide is a valuable resource for anyone looking to improve their knowledge and skills in nursing.
Typology: Quizzes
1 / 32
This page cannot be seen from the preview
Don't miss anything!
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 - ✔✔✔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 - ✔✔✔ANSWER-Pepto-Bismol A patient is seen with complaints of diarrhea. Which of the following should be included in the patient's differential diagnosis? - ✔✔✔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 - ✔✔✔ANSWER-His use of Alka Seltzer Which of the following is most effective in diagnosing appendicitis - ✔✔✔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? - ✔✔✔ANSWER-Urine human chorionic gonadotropin
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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔ANSWER- Which of the following dietary instructions should be given to a patient with GERD? - ✔✔✔ANSWER- Eliminate coffee The patient with GERD should be instructed to eliminate which of these activities? - ✔✔✔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? - ✔✔✔ANSWER-Very early
.A client is experiencing water brash. The nurse realizes this symptom is associated with - ✔✔✔ANSWER-Barretts esophagus
.A client has been prescribed Zantac for gastroesophageal reflux disease. The nurse realizes this medication is classified as a - ✔✔✔ANSWER-histamine H2-receptor antagonist A client is diagnosed with peptic ulcer disease caused by NSAID use. Which of the following would be indicated for this client? - ✔✔✔ANSWER-Treatment similar to a client with peptic ulcer disease 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 - ✔✔✔ANSWER-Hep A When the liver is seriously damaged, ammonia levels can rise in the body. One of the treatments for this is - ✔✔✔ANSWER-giving lactulose A client is scheduled for a liver biopsy. The nurse realizes that the most important sign to assess for is: - ✔✔✔ANSWER-bleeding The nurse realizes that the organ which is a major site for metastases, harboring and growing cancerous cells that
Because health care workers are at a greater risk of hepatitis B infection, it is recommended that all health care workers - ✔✔✔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? - ✔✔✔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 complications associated with this surgery? - ✔✔✔ANSWER-Pulmonary edema A client is diagnosed with macrovesicular fatty liver. Which of the following should the nurse instruct this client?. - ✔✔✔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? - ✔✔✔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? - ✔✔✔ANSWER-Change in mental status
During the examination of the male testes, the nurse should instruct the client on - ✔✔✔ANSWER-monthly testicular self- examinations .A male client has a prostate specific antigen level of 22 nanograms. The nurse realizes that this client will most likely be scheduled for a(n): - ✔✔✔ANSWER-bone scan A female clients Pap test revealed atypical results. The nurse realizes that this client will most likely be scheduled for a(n): - ✔✔✔ANSWER-colposcopy A 20-year-old woman is seen in the clinic because her boyfriend was found to have gonorrhea. Which of the following is the treatment of choice for gonorrhea? - ✔✔✔ANSWER-Ceftriaxone A 24-year-old woman presents to the clinic with dysuria, dyspareunia, and a mucopurulent vaginal discharge. Her boyfriend was recently treated for nongonococcal urethritis. What sexually transmitted disease has she most probably been exposed to? - ✔✔✔ANSWER-Chlamydia 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? - ✔✔✔ANSWER-Bacterial vaginosis
Which of the following should be included in the list of differential diagnoses - ✔✔✔ANSWER- Which of the following would be an appropriate treatment for a patient with mild BPH? - ✔✔✔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? - ✔✔✔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? - ✔✔✔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? - ✔✔✔ANSWER-Erectile dysfunction The clinician should prescribe an antibiotic that covers which of these organisms for a patient with acute prostatitis? - ✔✔✔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? - ✔✔✔ANSWER- to 12 weeks During a DRE on a 75-year-old man, the clinician suspects the patient has prostate cancer. What physical finding should make the clinician suspicious? - ✔✔✔ANSWER-An enlarged rubbery gland A 78-year-old man is diagnosed with C2 prostate cancer, and he asks the clinician what that means. In order to answer the patient, the clinician must have which of these understandings of the Jewett rating system? - ✔✔✔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? - ✔✔✔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 - ✔✔✔ANSWER- Radical orchidectomy
(TSE). Which of the following should be included in the list of differential diagnoses? - ✔✔✔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 - ✔✔✔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 - ✔✔✔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? - ✔✔✔ANSWER- Phthirus pubis It is documented in the medical record that a patient has gummas. For which sexually transmitted infection should the nurse plan care - ✔✔✔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
