Pensacola State College Nursing 2024 Intro to Nursing
- Exam 4 Concepts - Modules 13-16 Questions With
Complete Solutions
5. When metoclopramide (Reglan) is given for nausea, the nurse
plans to caution the patient to avoid which substance?
a. Milk
b. Coffee
c. Alcohol
d. Carbonated beverages
(Kee: Pharmacology: A Patient-Centered Nursing Process
Approach, 8th Edition, Chapter 47) Correct Answer Answer:
C.
A 40-year-old male patient has been admitted for abdominal
surgery. He has no history of prostate problems. The health care
provider has ordered that the patient be catheterized. Which of
the following would be an appropriate size catheter for this
patient?
A. 8 French, 3-mL balloon
B. 14 French, 5-mL balloon
C. 16 French, 5-mL balloon
D. 16 French, 30-mL balloon
(Potter: Evolve Course Module 16) Correct Answer Answer:
C.
,The 16 French, 5-mL balloon is an appropriate catheter for an
adult male who has never had prostate surgery. The 8 French, 3-
mL balloon is a pediatric-size urinary catheter. The 14 French,
5-mL balloon is an appropriate-size catheter for an adult female.
The 16 French, 30 mL balloon is an appropriate-size catheter for
an adult male who had prostate surgery.
A 49-year-old woman comes to the emergency department (ED)
with reports of black tarry stools that started 2 weeks ago. In
taking a GI history, which questions does the nurse ask that
pertain to Gordon's Functional Health Patterns? Select all that
apply.
A. "Are you having any difficulty having sex? How frequently
do you have sex?"
B. "Do you have any difficulty chewing or swallowing?"
C. "Do you have pain, diarrhea, gas, or any other problems? Do
any specific foods cause these symptoms for you?"
D. "What is your usual bowel elimination pattern? Frequency?
Character?"
E. "When was your last colonoscopy?"
(Ignatavicius: Medical-Surgical Nursing, 7th Edition, Chapter
55) Correct Answer Answers: B, C, D, E.
Sexual difficulties and frequency are not generally affected by
GI problems. This would not be a routine question in a GI
problem inquiry.
A 53-year-old patient is being treated for hypertension and a
history of thrombophlebitis (blood clots). She comes to the
clinic complaining, "I have to get up all night to go to the
,bathroom, and I think my urine looks orange!" What is the
nurse's best response?
A. "It sounds like you may have a urinary tract infection."
B. "Your high blood pressure is adversely affecting your
kidneys."
C. "Have you tried to restrict your fluid intake?"
D. "What medications are you taking and when?"
(Potter: Evolve Course Module 16) Correct Answer Answer:
D.
The nurse should first assess the patient's medication history
before making any interpretation. The patient may be taking
diuretics before going to bed or taking other medications that
can change the urine's color.
A 65-year-old woman has fallen while sweeping her driveway,
sustaining a tissue injury. She describes her condition as an
aching, throbbing back. This is characteristic of:
A. Neuropathic pain.
B. Nociceptive pain.
C. Chronic pain.
D. Mixed pain syndrome.
(Giddens: Concepts for Nursing Practice, Concept 26) Correct
Answer Answer: B.
Nociceptive pain refers to the normal functioning of physiologic
systems that leads to the perception of noxious stimuli (tissue
injury) as being painful. Patients describe this type of pain as
dull or aching, and it is poorly localized. Neuropathic pain is
, described as shooting, tingling, burning, or numbness that is
constant in the extremities, as in diabetic neuropathy. Chronic
pain lasts longer than 30 days and is characterized by a disease
affecting brain structure and function, such as chronic headaches
or open wounds. Mixed pain syndromes are caused by different
pathophysiologic mechanisms such as a combination of
neuropathic and nociceptive pain; this occurs in syndromes such
as sciatica, spinal cord injuries, and cervical or lumbar spinal
stenosis.
A 67-year-old client who had an abdominal x-ray as part of pre-
admission testing for a gastrointestinal problem has just been
told that he has a horseshoe-shaped kidney. He is very upset,
telling the nurse that he has never had any health problems until
the past month and now feels that he is "falling apart." What is
the nurse's best response?
A. Remind him that it was lucky that he was being x-rayed
anyway and that the problem was found at an early stage.
B. Reassure him that it is unlikely that the kidney shape is
important since he has not had other kidney problems.
C. Ask him whether anyone else in his family has ever been
diagnosed with a horseshoe-shaped kidney.
D. Reassure him that his health care provider will request a
consultation with a kidney specialist.
(Ignatavicius: Medical-Surgical Nursing, 7th Edition, Chapter
68) Correct Answer Answer: B.
Variations in the number and shape of the kidneys are relatively
common. Most variations are not harmful and do not require
further assessment. The fact that this client is 67 years old and
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