NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
What type of fluid is 0.9% Sodium Chloride? - ANSWER isotonic
Treatment of creams and gels for genital warts r/t HPV infection should be avoided during ______? -
ANSWER Pregnancy
Which vaccine is recommended to be given between 11 to 12 years of age, but can be administered as
early as 9 years and up to 45 years? - ANSWER HPV vaccine
Which condition has clinical manifestations including fever, headache, myalgia, dysuria, burning, itching,
and presents with blisters that open and crust over? - ANSWER genital herpes
If a patient has syphilis but is allergic to the expected treatment of penicillin, what medication will they
be prescribed? - ANSWER doxycycline
When suspecting this STI, which symptoms should you monitor for, including dysuria, dyspareunia,
lower abdominal pain, vaginal discharge, cervical tenderness, and rectal discharge? - ANSWER chlamydia
Which STI presents with greenish discharge and has risk factors including multiple partners, history of
STIs, low socioeconomic status, being under 25 years old, and being unmarried? - ANSWER Gonorrhea
Which urinary issue, often related to the loss of pelvic muscle tone, is considered uncontrollable? -
ANSWER Urinary incontinence
Which urinary issue involves difficulty with initiating urination? - ANSWER Hesitancy
Which urinary problem is related to the inability to completely empty the bladder? - ANSWER urine
retention
,NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
Which urinary issue involves the sudden and immediate feeling of needing to void? - ANSWER urgency
Which incontinence issue is related to increased abdominal pressure during activities such as laughing,
coughing, lifting, or exercising? - ANSWER stress incontinence
Which type of urinary disorder affects the nervous impulse for voiding and is associated with conditions
such as MS, brain tumors, or stroke? - ANSWER reflex incontinence
Which exam confirms the diagnosis of BPH (Benign Prostatic Hyperplasia)? - ANSWER Digital rectal exam
(DRE)
Which class of drugs may be given for BPH to relax smooth muscle and decrease bladder spasms? -
ANSWER Anticholinergics, such as oxybutynin
Which phrase means "continue to monitor" with no intervention recommended at this time, as signs
and symptoms are not interfering with the patient's daily life? - ANSWER Watchful waiting
What procedure has expected findings, including the urge to urinate with a catheter in place, pink-
tinged urine with continuous bladder irrigation, and elevated PSA levels post-surgery? - ANSWER TURP
(transurethral resection of the prostate)
The RN knows these are additional manifestations of BPH, what are they? - ANSWER Urine stream may
be weak and dribbling; may develop hematuria, frequency, urgency, urge incontinence, and/or nocturia.
A decrease in the stream of urine may be an early indicator of which diagnosis that occurs as males age?
- ANSWER Benign Prostatic Hyperplasia (BPH)
Erectile dysfunction can be related to which social activity (not alcohol)? - ANSWER smoking
, NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
In an adult male patient, which area of skin is typically darker than the rest of the patient's skin? -
ANSWER skin of the scrotum
Other than smoking, name three additional common causes of erectile dysfunction. - ANSWER CV
problems, obesity, stroke, spinal cord injury, neuro disease, diabetes, liver or kidney disorders,
decreased testosterone, prostate or rectal surgery, substance abuse r/t 25% of cases.
If experiencing an overactive bladder, a patient should expect a prescription for which type of
medication? - ANSWER Anticholinergic/oxybutynin relaxes the smooth muscle of the bladder (decreases
spasm)
For which disease process is smoking considered a risk factor, but alcohol is not? - ANSWER bladder
cancer
Which levels do not distinguish between cancer or BPH? - ANSWER PSA (Prostate-Specific Antigen) levels
After an abnormal PAP smear, a woman should expect to be sent for which procedure? - ANSWER
Colposcopy
If a patient is seen with new onset vaginal discharge, what should the RN ask? - ANSWER The RN should
ask about the color, odor, consistency, and any associated symptoms such as itching or pain.
Which hormones regulate the menstrual cycle? - ANSWER Estrogen and progesterone
Which hormone may be used as replacement therapy (does carry a risk of breast cancer) for hot flashes?
- ANSWER estrogen
Urinary health teaching includes increasing fluid intake to how many liters per day unless
contraindicated? - ANSWER 2 to 3 liters per day
Detailed solutions.
NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
What type of fluid is 0.9% Sodium Chloride? - ANSWER isotonic
Treatment of creams and gels for genital warts r/t HPV infection should be avoided during ______? -
ANSWER Pregnancy
Which vaccine is recommended to be given between 11 to 12 years of age, but can be administered as
early as 9 years and up to 45 years? - ANSWER HPV vaccine
Which condition has clinical manifestations including fever, headache, myalgia, dysuria, burning, itching,
and presents with blisters that open and crust over? - ANSWER genital herpes
If a patient has syphilis but is allergic to the expected treatment of penicillin, what medication will they
be prescribed? - ANSWER doxycycline
When suspecting this STI, which symptoms should you monitor for, including dysuria, dyspareunia,
lower abdominal pain, vaginal discharge, cervical tenderness, and rectal discharge? - ANSWER chlamydia
Which STI presents with greenish discharge and has risk factors including multiple partners, history of
STIs, low socioeconomic status, being under 25 years old, and being unmarried? - ANSWER Gonorrhea
Which urinary issue, often related to the loss of pelvic muscle tone, is considered uncontrollable? -
ANSWER Urinary incontinence
Which urinary issue involves difficulty with initiating urination? - ANSWER Hesitancy
Which urinary problem is related to the inability to completely empty the bladder? - ANSWER urine
retention
,NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
Which urinary issue involves the sudden and immediate feeling of needing to void? - ANSWER urgency
Which incontinence issue is related to increased abdominal pressure during activities such as laughing,
coughing, lifting, or exercising? - ANSWER stress incontinence
Which type of urinary disorder affects the nervous impulse for voiding and is associated with conditions
such as MS, brain tumors, or stroke? - ANSWER reflex incontinence
Which exam confirms the diagnosis of BPH (Benign Prostatic Hyperplasia)? - ANSWER Digital rectal exam
(DRE)
Which class of drugs may be given for BPH to relax smooth muscle and decrease bladder spasms? -
ANSWER Anticholinergics, such as oxybutynin
Which phrase means "continue to monitor" with no intervention recommended at this time, as signs
and symptoms are not interfering with the patient's daily life? - ANSWER Watchful waiting
What procedure has expected findings, including the urge to urinate with a catheter in place, pink-
tinged urine with continuous bladder irrigation, and elevated PSA levels post-surgery? - ANSWER TURP
(transurethral resection of the prostate)
The RN knows these are additional manifestations of BPH, what are they? - ANSWER Urine stream may
be weak and dribbling; may develop hematuria, frequency, urgency, urge incontinence, and/or nocturia.
A decrease in the stream of urine may be an early indicator of which diagnosis that occurs as males age?
- ANSWER Benign Prostatic Hyperplasia (BPH)
Erectile dysfunction can be related to which social activity (not alcohol)? - ANSWER smoking
, NUR 355 Med Surg Exam 4 with 173
Detailed solutions.
In an adult male patient, which area of skin is typically darker than the rest of the patient's skin? -
ANSWER skin of the scrotum
Other than smoking, name three additional common causes of erectile dysfunction. - ANSWER CV
problems, obesity, stroke, spinal cord injury, neuro disease, diabetes, liver or kidney disorders,
decreased testosterone, prostate or rectal surgery, substance abuse r/t 25% of cases.
If experiencing an overactive bladder, a patient should expect a prescription for which type of
medication? - ANSWER Anticholinergic/oxybutynin relaxes the smooth muscle of the bladder (decreases
spasm)
For which disease process is smoking considered a risk factor, but alcohol is not? - ANSWER bladder
cancer
Which levels do not distinguish between cancer or BPH? - ANSWER PSA (Prostate-Specific Antigen) levels
After an abnormal PAP smear, a woman should expect to be sent for which procedure? - ANSWER
Colposcopy
If a patient is seen with new onset vaginal discharge, what should the RN ask? - ANSWER The RN should
ask about the color, odor, consistency, and any associated symptoms such as itching or pain.
Which hormones regulate the menstrual cycle? - ANSWER Estrogen and progesterone
Which hormone may be used as replacement therapy (does carry a risk of breast cancer) for hot flashes?
- ANSWER estrogen
Urinary health teaching includes increasing fluid intake to how many liters per day unless
contraindicated? - ANSWER 2 to 3 liters per day
