Prep U Final Flashcards
Which of the following is classified as a upper urinary tract infection (UTI)? Select all that apply.
Acute pyelonephritis
Renal abscess
Cystitis
Urethritis
Prostatitis
Acute pyelonephritis
Renal abscess
A nurse is caring for a client with a warm and painful toe from gout. What medication will the
nurse administer?
calcium gluconate
colchicine
aspirin
furosemide
Colchicine
A client in the emergency department reports that a piece of meat became stuck in the throat while eating. The nurse notes the client is anxious with respirations at 30 breaths/min, frequent swallowing, and little saliva in the mouth. An esophagogastroscopy with removal of foreign body is scheduled for today. What would be the first activity performed by the nurse
Assess lung sounds Bilaterally
The nurse is preparing a client for surgery. The nurse would notify the surgeon if the client
made which of the following statements?
Select all that apply
“I took my Coumadin as usual last evening.”
“I took two aspirins for joint pain this morning.”
“I have not had any metformin for the past week.”
“I took my lisinopril this morning.
“I took two Tylenol last evening for a headache.”
“I took my Coumadin as usual last evening.”
“I took two aspirins for joint pain this morning.”
A patient with diabetic ketoacidosis (DKA) has had a large volume of fluid infused for
rehydration. What potential complication from rehydration should the nurse monitor for?
Hypokalemia
Hyperglycemia
Hyperkalemia
Hyponatremia
Hypokalemia
A client asks the nurse what the difference is between osteoarthritis (OA) and rheumatoid
arthritis (RA). Which response is correct?
“OA is more common in women. RA is more common in men.”
“OA and A are very similar. OA affects the smaller joints and RA affects the larger, weight-bearing joints.”
“OA affects joints on both sides of the body. RA is usually unilateral.”
“OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.”
“OA is a noninflammatory joint disease. RA is characterized by inflamed, swollen joints.”
The nurse is developing a plan of care for a patient with peptic ulcer disease. What nursing
interventions should be included in the care plan?
Select all that apply.
Frequently monitoring hemoglobin and hematocrit levels
Making neurovascular checks every 4 hours
Inserting an indwelling catheter for incontinence
Checking the blood pressure and pulse rate every 15 to 20 minutes
Observing stools and vomitus for color, consistency, and volume
Checking the blood pressure and pulse rate every 15 to 20 minutes
Observing stools and vomitus for color, consistency, and volume
Frequently monitoring hemoglobin and hematocrit levels
A patient is recovering in the PACU following a transurethral resection of the prostate (TURP).
The patient is receiving continuous bladder irrigation (CBI), and the nurse has observed several
clots in the collection bag and tubing. In the last few minutes, output has ceased despite the
continued infusion of normal saline through the patient’s triple-lumen urinary catheter. How
should the nurse respond to this assessment finding?
Reposition the patient to a semi-Fowler’s position.
Remove the triple-lumen catheter and replace it with a double-lumen catheter.
Slow the rate of CBl to half of the previous rate.
Manually irrigate the patient’s catheter with normal saline.
Manually irrigate the patient’s catheter with normal saline.
A nurse who provides care on a reconstructive orthopedic unit has walked past the room of a
patient who is receiving balanced suspension traction for the treatment of a femoral head
fracture. The nurse observes a nursing assistant lifting the suspended weights to facilitate
positioning a bedpan under the patient. How should the nurse best follow-up this observation?
Teach the nursing assistant that weights should not be removed from traction, except in an emergency.
Assess the patient for the ability to transfer to a commode rather than using a bedpan.
Ensure the nursing assistant knows that such transfers must be performed quickly and efficiently.
Teach the nursing assistant to apply temporary weights to compensate for positional changes.
Teach the nursing assistant that weights should not be removed from traction, except in an emergency.
Enlargement of the prostate causes which of the following to occur? Select all that apply.
Frequency
Oliguria
Anuria
Obstruction of urine flow
Polyuria
Frequency
Oliguria
Anuria
Obstruction of urine flow
A client diagnosed with pyelonephritis and possible septicemia has had five urinary tract infections over the past 2 years. The client is fatigued from lack of sleep, and urinates frequently, even during the night; and has lost weight recently. Tests reveal a sodium level of 152 mEa/L, high serum osmolality, a glucose level of 125 mg/dl, and a potassium level of 3.8 mEq/L. Which nursing diagnosis is most appropriate for this client?
Imbalanced nutrition: Less than body requirements related to catabolic effects of insulin deficiency
Imbalanced nutrition: Less than body requirements related to hypermetabolic state
Deficient fluid volume related to osmotic diuresis induced by hypernatremia
Deficient fluid volume related to the inability to conserve water
Deficient fluid volume related to the inability to conserve water
The nurse is reviewing the results of a urinalysis on a client with acute pyelonephritis. Which of
the following would the nurse most likely expect to find?
Pyuria
High specific gravity
Absent proteinuria
Slightly acidic pH
Pyuria
The client with a lower respiratory airway infection is presenting with the following symptoms:
fever, chills, dry hacking cough, and wheezing. Which nursing diagnosis best supports the
assessment by the nurse?
Infection risk
Ineffective breathing pattern
Ineffective airway clearance
Impaired gas exchange
Ineffective airway clearance
Two days after undergoing a total abdominal hysterectomy, a client complains of left calf pain.
Venography reveals deep vein thrombosis (DVT). When assessing this client, the nurse is likely to detect:
a decrease in the left pedal pulse.
loss of hair on the lower portion of the left leg.
pallor and coolness of the left foot.
left calf circumference 1” (2.5 cm) larger than
the right.
left calf circumference 1” (2.5 cm) larger than the right.
A client has had surgical repair of a hip injury after joint manipulation was unsuccessful. After
surgery, the nurse implements measures to prevent complications. Which complications is the nurse seeking to prevent? Select all that apply.
diarrhea
skin breakdown
wound infection
pneumonia
skin breakdown
wound infection
pneumonia
A client reports extremely frequent urination, sometimes urinating 10 to 12 times each day. What fluid balance disorder would be expected with these symptoms?
Dehydration
A 70-year-old woman has begun treatment for rheumatoid arthritis with nonsteroidal anti-inflammatory drugs (NSAIDs). The nurse should consequently monitor the patient for signs and symptoms of what adverse effect?
Gastrointestinal Bleeding
The nurse is planning the care of a male patient who has been admitted to the medical unit
with an exacerbation of chronic pyelonephritis. Which of the following goals should the nurse
prioritize in the planning of this patient’s nursing care?
The patient will void every 3 hours.
The patient will maintain his preadmission ADLS
The patient will consume 3 to 4 L of fluid each day.
The patient will express an understanding of the pathophysiology of pyelonephritis.
The patient will consume 3 to 4 L of fluid each day.
