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