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Exam 1 Med Surg 3 - Sherpath
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Exam 1 Med Surg 3 - Sherpath
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MEXAM 1 MED SURG 3 – SHERPATHCOMPLETE SOLUTION 100% VERIFIED
ANSWERS GRADED A+
Which information from a patient who had a transurethral resection with fulguration for bladder cancer
3 days ago is most important to report to the health care provider?
A. The patient is voiding every 4 hours
B. The patient is using opioids for pain
C. The patient has seen clots in the urine
D. The patient is anxious about the cancer - C. The patient has seen clots in the urine.
Clots in the urine are not expected and require further follow-up. Voiding every 4 hours, use of opioids
for pain, and anxiety are typical after this procedure.
Which assessment data reported by a patient is consistent with a lower urinary tract infection (UTI)?
A. Low urine output
B. Bilateral flank pain
C. Nausea and vomiting
D. Burning on urination - D. Burning on urination
Pain with urination is a common symptom of a lower UTI. Urine output does not decrease, but frequency
may be experienced. Flank pain and nausea are associated with an upper UTI.
Which information will the nurse include when teaching the patient with a urinary tract infection (UTI)
about the use of phenazopyridine?
A. Take phenazopyridine for at least 7 days
,B. Phenazopyridine may cause photosensitivity
C. Phenazopyridine may change the urine color
D. Take phenazopyridine before sexual intercourse - C. Phenazopyridine may change the urine color
Patients should be taught that phenazopyridine will color the urine deep orange. Urinary analgesics
should only be needed for a few days until the prescribed antibiotics decrease the bacterial count.
Phenazopyridine does not cause photosensitivity. Taking phenazopyridine before intercourse will not be
helpful in reducing the risk for UTI.
After ureterolithotomy, a patient has a left ureteral catheter and a urethral catheter in place. Which
action will the nurse include in the plan of care?
A. Provide teaching about home care for both catheters
B. Apply continuous steady tension to the ureteral catheter
C. Call the health care provider if the ureteral catheter output drops suddenly
D. Clamp the ureteral catheter off when output from the urethral catheter stops - C. Call the health care
provider if the ureteral catheter output drops suddenly.
The health care provider should be notified if the ureteral catheter output decreases because
obstruction of this catheter may result in an increase in pressure in the renal pelvis. Tension on the
ureteral catheter should be avoided to prevent catheter displacement. To avoid pressure in the renal
pelvis, the catheter is not clamped. Because the patient is not usually discharged with a ureteral catheter
in place, patient teaching about both catheters is not needed.
A patient who has had progressive chronic kidney disease (CKD) for several years has just begun regular
hemodialysis. Which information about diet will the nurse include in patient teaching?
A. Increased calories are needed because glucose is lost during hemodialysis.
B. More protein is allowed because urea and creatinine are removed by dialysis.
C. Dietary potassium is not restricted because the level is normalized by dialysis.
D. Unlimited fluids are allowed because retained fluid is removed during dialysis. - B. More protein is
allowed because urea and creatinine are removed by dialysis.
, When the patient is started on dialysis and nitrogenous wastes are removed, more protein in the diet is
encouraged. Fluids are still restricted to avoid excessive weight gain and complications such as shortness
of breath. Glucose is not lost during hemodialysis. Sodium and potassium intake continues to be
restricted to avoid the complications associated with high levels of these electrolytes.
A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropriate for
the registered nurse (RN) to delegate to a dialysis technician?
A. Teach the patient about fluid restrictions
B. Check blood pressure before starting dialysis
C. Assess for causes of an increase in predialysis weight
D. Determine the ultrafiltration rate for the hemodialysis - B. Check blood pressure before starting
dialysis.
Dialysis technicians are educated in monitoring for blood pressure. Assessment, adjustment of the
appropriate ultrafiltration rate, and patient teaching require the education and scope of practice of an
RN.
The nurse will plan to teach a 27-yr-old woman who smokes two packs of cigarettes daily about the
increased risk for
A. Kidney Stones
B. Bladder cancer
C. Bladder infection
D. Interstitial cystitis - C. Bladder cancer
Cigarette smoking is a risk factor for bladder cancer. The patient's risk for developing interstitial cystitis,
urinary tract infection, or kidney stones will not be reduced by quitting smoking.
The nurse determines that further instruction is needed for a patient with interstitial cystitis when the
patient says which of the following?
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