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Leddy & Pepper’s Professional Nursing
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Leddy & Pepper’s Professional Nursing
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Test Bank For Professional Nursing, 10th Edition
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TEST BANK For Leddy & Pepper’s Professional Nursing,10th Edition by Lucy Hood
A client is diagnosed with condyloma acuminatum. Which finding in the client
supports the diagnosis?
1
Moist, fleshy projections on the penis
2
Pus-filled ulcers on the penis
3
Swollen penis with tight foreskin
4
Macules on the penis - ANSWER:1
Moist, fleshy projections on the penis with single or multiple projections is a clinical
manifestation of condyloma acuminatum. Macules on the penis or scrotum are
clinical manifestations of penile erythema. Chancroid is manifested by pus-filled
ulcers on the penis. A swollen penis with tight foreskin is a clinical manifestation of
paraphimosis
A nurse is caring for a client with a diagnosis of cancer of the prostate. The nurse
should teach the client that which serum level will be monitored throughout the
course of the disease?
1
Albumin
2
Prostate-specific antigen (PSA)
3
Blood urea nitrogen (BUN)
4
Creatinine - ANSWER:.2..The PSA is an indication of cancer of the prostate; the
higher the level, the greater the tumor burden. Albumin is a protein that is an
indicator of nutritional and fluid status. Increased creatinine or BUN levels may be
caused by impaired renal function as a result of blockage by an enlarged prostate but
do not indicate that metastasis has occurred.
The nurse is caring for a client with ureteral colic. To prevent the development of
renal calculi in the future, which strategy should be included in the client's plan of
care?
, 1
Excluding milk products from the diet
2
Interventions to decrease the serum creatinine level
3
Instructing the client to drink 8 to 10 glasses of water daily
4
A urinary output goal of 2000 mL per 24 hours - ANSWER:.3..Increasing fluid intake
[1] [2] dilutes the urine, and crystals are less likely to coalesce and form calculi. An
elevated serum creatinine has no relationship to the formation of renal calculi.
Calcium restriction is necessary only if calculi have a calcium phosphate basis.
Producing only 2000 mL of urine per 24 hours is inadequate.
STUDY TIP: Answer every question. A question without an answer is the same as a
wrong answer. Go ahead and guess. You have studied for the test and you know the
material well. You are not making a random guess based on no information. You are
guessing based on what you have learned and your best assessment of the question.
When assessing a client during peritoneal dialysis, a nurse observes that drainage of
the dialysate from the peritoneal cavity has ceased before the required volume has
returned. What should the nurse instruct the client to do?
1
Turn from side to side
2
Deep breathe and cough
3
Drink a glass of water
4
Rotate the catheter periodically - ANSWER:1...Turning from side to side will change
the position of the catheter, thereby freeing the drainage holes of the tubing, which
may be obstructed. Drinking a glass of water and deep breathing and coughing do
not influence drainage of dialysate from the peritoneal cavity. The position of the
catheter should be changed only by the primary healthcare provider.
A nurse is teaching a birthing/prenatal class about breast-feeding. Which hormone
stimulates the production of milk during lactation?
1
Progesterone
2
Prolactin
, 3
Inhibin
4
Estrogen - ANSWER:2...Prolactin is the hormone that initiates and produces milk
during lactation. Inhibin prevents the secretions of follicle stimulating hormone and
gonadotropin releasing hormone. Estrogen and progesterone are the sex hormones
produced by the ovaries.
A client is diagnosed with condyloma acuminatum. Which finding in the client
supports the diagnosis?
1
Moist, fleshy projections on the penis
2
Pus-filled ulcers on the penis
3
Swollen penis with tight foreskin
4
Macules on the penis - ANSWER:1...Moist, fleshy projections on the penis with single
or multiple projections is a clinical manifestation of condyloma acuminatum.
Macules on the penis or scrotum are clinical manifestations of penile erythema.
Chancroid is manifested by pus-filled ulcers on the penis. A swollen penis with tight
foreskin is a clinical manifestation of paraphimosis.
Which statement regarding erythropoietin is true?
1
An erythropoietin deficiency is associated with renal failure.
2
Erythropoietin is released only when there is adequate blood flow.
3
An erythropoietin deficiency causes diabetes.
4
Erythropoietin is released by the pancreas. - ANSWER:...1 correct Erythropoietin is
produced by the kidneys; its deficiency occurs in renal failure. Erythropoietin is
released by the kidneys, not the pancreas. Erythropoietin deficiency causes anemia.
, Erythropoietin is secreted in response to hypoxia, which results in decreased
oxygenated blood flow to the tissues.
Which drug prescribed to a client with a urinary tract infection (UTI) turns urine
reddish-orange in color?
1
Nitrofurantoin
2
Ciprofloxacin
3
Phenazopyridine
4
Amoxicillin - ANSWER:...3...Phenazopyridine is a topical anesthetic that is used to
treat pain or burning sensation associated with urination. It also imparts a
characteristic orange or red color to urine. Amoxicillin is a penicillin form that could
cause pseudomembranous colitis as a complication; it is not associated with reddish-
orange colored urine. Ciprofloxacin is a quinolone antibiotic used for treating UTIs
and can cause serious cardiac dysrhythmias and sunburns. It is not, however,
responsible for reddish-orange colored urine. Nitrofurantoin is an antimicrobial
medication prescribed for UTIs. This drug may affect the kidneys but is not
associated with reddish-orange colored urine.
A client arrives at a health clinic reporting hematuria, frequency, urgency, and pain
on urination. Which diagnosis will the nurse most likely observe written in the
client's medical record?
1
Pyelonephritis
2
Nephrotic syndrome
3
Cystitis
4
Chronic glomerulonephritis - ANSWER:...3...Cystitis is an inflammation of the bladder
that causes frequency and urgency of urination, pain on micturition, and hematuria.
Chronic glomerulonephritis is a disease of the kidney that is associated with
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