Questions3 Flashcards
E3
Which of the following are true regarding struvite stones?
- They grow large branch stage like configurations
- Struvite stones are closely associated with UTIs
- More common in women than in men
Most common type or renal calculi’s:
Calcium oxalate
Which nursing intervention …
Strain all the urine
A client is admitted to the hospital with dx of renal calculi, and experiencing severe flank pain. His temp is 99.4. Which of the following would be a priority outcome?
Alleviate the pain
When speaking to a senior citizen about Osteoarthritis, which of the following facts are accurate to share:
+ By the time youre in you 70s about 85% adults will have some kind of OA
+ Obesity has been correlated to having OA in the knees
JIA is a form of arthritis in children, the nurse recognizes that JIA is a:
Autoimmune D/O
When instructing a 60 y/o women about osteoporosis for menopause. Which statement determines the clients needs further instruction:
Women who are of African decent are at greatest risk for Osteoporosis
A client is complaining of severe shortness of breath and … of heart failure. The nurse observes a significant decrease in oxygen saturation
Pulse Ox (?)
The clients skin color turns to grey and she is coughing up large amounts of pink frothy sputum. What is the first action?
Administer oxygen
JVD is most common in:
Right sided heart failure
A nurse is providing care for a female pt who is dx with heart failure which is primarily right sided. Which of the following statements best describes the presentation the nurse should anticipate?
Client has pitting edema in the ankles and feet bilaterally, decreased activity tolerance, and occasional RUQ pain
The nurse is caring for a client who is dx with left sided heart failure, the nurse knows that this is a serious complication of left sided heart failure:
Pulmonary edema
A client with left sided heart failure is to remain on bedrest. What is the rationale to keep the client on bedrest:
To reduce the workload of the heart
Upon physical examination the nurse detects abdominal tenderness and detects abdominal distension. What dx test would confirm this?
Colonoscopy
Graves-disease develops from:
Thyroid stimulating immunoglobulin that caused over production of thyroid hormones
What is the characteristics related to Hashimoto’s:
Chronic autoimmune thyroiditis and antibody
disruption of the thyroid tissue
Celiac Disease:
Damage to the intestinal villi
Which of the following is NOT a S/S of Addison’s disease:
Hypernatremia
Which of the following endocrine d/o is likely to cause hypertension:
neoCromalpsytoma
Which of the following is an appropriate nursing intervention for a pt with hyperparathyroidism?
Connect them to a cardiac monitor
The person has purple striae/ a moon face has truncal obesity. Which of the following manifestations are indicative of this endocrine d/o?
Cushing Syndrome
A pt is admitted to the hospital with adrenal crisis 5 months after a dx of Addison’s disease. The nurse knows that which of the following clinical manifestations would support the dx:
Syncope and profound hypotension
The client returns from surgery after having a TURP due to benign prostatic hypertrophy. The client has an indwelling catheter in place. What type of drainage should the nurse expect to see during the immediate post operative period:
Bloody urinary drainage
Which of the following applies to BPH:
Nocturia
Dribbling
Urgency
Frequency
Why does frequent urination occur with BPH:
Incomplete emptying of the bladder
Which statements are true regarding prostatic cancer?
Family history
Dietary habits play a role
African American men are at increased risk
Being over 65 of age
A nurse encourages an older adult male to be screened for prostatic cancer the client is apprehensive and asks the nurse about methods used to detect prostate cancer, the nurse explains the detection process is a:
Digital Rectal Exam (DRE) and a PSA test to evaluate the prostate
A pt is recovering from cholycystiasis and is being discharged home. Which menu option is the best:
Salmon and steamed broccoli/ brown rice
A pt dx with … becomes .. and confused
Hepatic encephalopathy and serum ammonia levels
A nurse is … pt who has just been dx with chronic pancreatitis needs teaching regarding diet includes which information?
Avoid foods high in fat
Include high protein lean meats
Avoid alcohol
The px with asities has the following nursing dx. What is the highest priority?
Effective breathing
Which esophageal d/o is commonly precancerous changes associated with GERD?
Barret’s Esophagus
Client has hypertension for 20 years, forms renal insufficiency, and chronic kidney disease. Which pathophysiology is most least likely to occur in the adult with CKD
Adequate production of erythropoietin
Which of the following problems is likely to occur in pts with CKD?
Fluid overload
A pt is admitted to the hospital for worsening of their condition. What dietary modification should the nurse expect?
Restrictive protein diet
What is priorities for hypocalcemia developing during CKD?
Deficit of activated vitamin D and hyperphosphatemia
Acute kidney injury secondary to ureteral stones would be classified as:
Post renal
A pt is rx a med for toxic medication and has damage to the proximal tubule epithelial cells. What type of acute kidney injury has occurred:
Intra renal
A pt is suspected of having nephrotic syndrome due to a health history of lupus. A nurse you know that the substances would occur in the urine to confirm this dx:
Massive protein
A client with acute kidney injury has a serum potassium of 6.8 the nurse would plan which of the following priority action:
Put them on a cardiac monitor
Reduced urine output resulting from inflammation and necrosis of the renal tubule is called:
Oliguria
Pre renal causes of acute kidney injury is can be prevented by.. post op:
Maintaining adequate hydration
Which of the following explains the following abnormal body movements occurring in a pt disease process of Parkinson’s:
Decreased availability of …
Multiple sclerosis and (?) syndrome:
Both result from demyelination of the … by immune reactions
Assessing a pt for dysphagia which of the following should the pt maintain..
Pt with a we gurgley vocal quality
Priority nursing dx for a pt with ALS:
Ineffective breathing pattern
Which assessment is most important for the nurse to make for a pt with myo gravis:
Respiratory ..
