Exam (elaborations)
NR-452 Capstone Course N3401 Exam 3 practice F21 Detailed Answer Key
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- NR-452 Capstone Course
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- Chamberlain College Nursing
NR-452 Capstone Course
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Detailed Answer KeyN3401 Exam 3 practice F21
1. A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should
the nurse plan to administer?
A. Danazol
Rationale: Danazol is an anabolic steroid used in the treatment of endometriosis.
B. Finasteride
Rationale: Finasteride, a 5-alpha-reductase inhibitor, is used in the treatment of BPH to prevent the
conversion of testosterone and to decrease prostate size.
C. Fluoxymesterone
Rationale: Fluoxymesterone, an anabolic steroid, is contraindicated for clients who have BPH.
D. Methyltestosterone
Rationale: Methyltestosterone, an anabolic steroid, is contraindicated for clients who have BPH.
2. A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP).
The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following
actions should the nurse take first?
A. Notify the provider.
Rationale: The nurse may need to notify the provider if unable to induce fluid flow from the catheter, or if
the output is bright rad and thick; however, the nurse should attempt a different intervention first.
B. Check the tubing for kinks.
Rationale: When providing client care, the nurse should first use the least restrictive intervention; therefore,
the nurse should check the catheter tubing for kinks. The nurse must ensure constant flow of the
bladder irrigant into the catheter and outward drainage from the catheter to prevent clotting,
which could occlude the catheter lumen.
C. Adjust the rate of the bladder irrigant.
Rationale: The nurse may need to increase the rate of bladder irrigant to stimulate removal of urine and
clots; however, the nurse should use a less restrictive intervention first.
D. Irrigate the catheter.
Rationale: The nurse may need to irrigate the catheter to check for an internal obstruction; however, the
nurse should use a less restrictive intervention first.
3. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate. Which of the
following complications is the priority for the nurse to monitor for?
Created on:10/04/2021 Page 1
, Detailed Answer Key
N3401 Exam 3 practice F21
A. Hemorrhage
Rationale: Using the airway breathing circulation (ABC) approach to client care the nurse determines that
the priority complication to monitor for is the client hemorrhaging; therefore, the nurse should
monitor the client’s urinary output for blood clots and bright red blood tinged urine following
surgery.
B. Infection
Rationale: Infection is an important complication for the nurse to monitor for in the postoperative period;
however, it is not the priority.
C. Urinary retention
Rationale: Urinary retention is an important complication for the nurse to monitor for in the postoperative
period; however, it is not the priority.
D. Pain
Rationale: Pain is an important complication for the nurse to monitor for in the postoperative period;
however, it is not the priority.
4. A nurse is caring for a client who has undergone a transurethral prostatectomy. Following catheter removal, the
nurse should inform the client that he should expect which of the following variations in the color of his urine?
A. Pale pink
Rationale: The client should expect to pass some small clots and tissue in his urine for few a days, which
may give the urine a pale pink color. By 2 to 3 days after surgery, around the time of discharge,
his urine should be clear yellow.
B. Bright yellow
Rationale: The nurse should warn the client that if his urine is bright yellow, he may need to increase his
fluid intake. He should drink at least 2,000 to 2,500 mL of fluid daily.
C. Bright red
Rationale: The nurse should warn the client that if his urine is bright red, he should call the provider
immediately, as this indicates active bleeding.
D. Dark amber
Rationale: The nurse should warn the client that if his urine is dark amber, he needs to increase his fluid
intake. He should drink at least 2,000 to 2,500 mL of fluid daily.
5. A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following
instructions should the nurse give to the client?
A. "If the medicine causes an upset stomach, take an antacid at the same time."
Rationale:
Created on:10/04/2021 Page 2
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