12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
Science Medicine Dermatology
NU270 Week 4 PrepU: Clinical Decision Making /
Clinical Judgment
Terms in this set (153)
A client comes to the clinic reporting "I've had trouble getting started when I urinate,
urinary symptoms. Which statement often straining to do so."
would most likely alert the nurse to Explanation:
suspect benign prostatic hyperplasia Symptoms that might alert the nurse to BPH
(BPH)? include difficulty initiating urination and abdominal
"I've had a fever and noticed I've straining with urination. Although fever, urinary
been running to the bathroom more frequency, nocturia, pelvic pain, nausea, vomiting,
often." and fatigue may be noted, they also may suggest
"I've had trouble getting started other conditions such as urinary tract infection.
when I urinate, often straining to do Fever, nausea, vomiting, and fatigue are general
so." symptoms that can accompany many conditions.
"I've had some pain in my lower Reference:
abdomen lately and felt a bit sick to Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
my stomach." Textbook of Medical-Surgical Nursing, 14th ed.,
"I'm waking up at night to urinate and Philadelphia: Wolters Kluwer, 2018, Chapter 59:
I've noticed some burning, too." Assessment and Management of Patients with Male
Reproductive Disorders, Clinical Manifestations, p.
1763.
Chapter 59: Assessment and Management of
Patients with Male Reproductive Disorders - Page
1763
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 1/98
,12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
While reviewing an older adult's Liver spots
medical record, the nurse notes that Explanation:
the patient has solar lentigo. he Solar lentigo refers to liver spots. Melasma refers
nurse interprets this as which of the to dark discoloration of the skin. Cherry angioma is
following? used to describe a bright red mole. Keloid is used
Bright red moles to denote hypertrophied scar tissue.
Hypertrophied scar tissue Reference:
Dark discoloration of the skin Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
Liver spots Textbook of Medical-Surgical Nursing, 14th ed.,
Philadelphia: Wolters Kluwer, 2018, Chapter 60:
Assessment of Integumentary Function, Chart 60-1,
p. 1794.
Chapter 60: Assessment of Integumentary Function
- Page 1794
The nurse is preparing an outline for Penile vasodilation
a class on the physiology of the male Explanation:
sexual response. Which event would With sexual stimulation, the arteries leading to the
the nurse identify as occurring first? penis dilate and increase blood flow into erectile
Ejaculation tissue. Blood accumulates, causing the penis to
Psychological release swell and elongate. Sperm emission (movement of
Sperm emission sperm from the testes and fluid from the accessory
Penile vasodilation glands) occurs with orgasm. Orgasm results in a
pleasurable feeling of physiologic and
psychological release. Ejaculation results in the
discharge of semen from the urethra.
Reference:
Chapter 39: Introduction to the Reproductive
System - Page 668-669
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 2/98
,12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
Which treatment should take place Position the client in upright position, and correct
immediately in a client experiencing the initiating stimulus.
autonomic dysreflexia? Explanation:
Increase the client's blood pressure Autonomic dysreflexia is a clinical emergency, and
to allow for adequate perfusion. requires monitoring of blood pressure while
Apply binders and support hose to correcting the initiating stimulus (e.g., full bladder,
shunt the blood to the main organs. pain). The nurse should place the client in an
Place the client in a supine position, upright position and remove all support hose
and increase intravenous fluids. binders to promote venous pooling to help
Position the client in upright position, decrease an extremely elevated blood pressure.
and correct the initiating stimulus. Intravenous fluids are not an immediate
intervention for this condition.
Reference:
Chapter 15: Disorders of Motor Function - Page
407
A client is concerned about the cyclical hormonal changes
lumps that have developed in her Explanation:
breasts and is fearful of cancer. The The likely cause is fibrocystic disease, which results
client reports variability in the size of from hormonal changes during the menstrual
the lumps. What could be causing cycle.
this condition? Reference:
progesterone Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
cyclical hormonal changes Textbook of Medical-Surgical Nursing, 14th ed.,
caffeine Philadelphia: Wolters Kluwer, 2018, Chapter 58:
nicotine Assessment and Management of Patients With
Breast Disorders, p. 1728.
Chapter 58: Assessment and Management of
Patients With Breast Disorders - Page 1728
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 3/98
, 12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
A nurse is caring for a client with Hypercalcemia
metastatic breast cancer who is Explanation:
extremely lethargic and very slow to The normal reference range for serum calcium is
respond to stimuli. The laboratory 8.6 to 10.2 mg/dl. A serum calcium level of 12 mg/dl
report indicates a serum calcium clearly indicates hypercalcemia. The client's other
level of 12.0 mg/dl, a serum laboratory findings are within their normal ranges,
potassium level of 3.9 mEq/L, a so the client doesn't have hypernatremia,
serum chloride level of 101 mEq/L, hypochloremia, or hypokalemia.
and a serum sodium level of 140 Reference:
mEq/L. Based on this information, Hinkle, J. L., Cheever, K. H. Brunner & Suddarth’s
the nurse determines that the client's Textbook of Medical-Surgical Nursing , 14th ed
symptoms are most likely associated Philadelphia: Wolters Kluwer Health/Lippincott
with which electrolyte imbalance? Williams & Wilkins, 2018, Chapter 13: Fluid and
Hypocalcemia Electrolytes: Balance and Disturbance, p. 275.
Hypokalemia Chapter 13: Fluid and Electrolytes: Balance and
Hyperkalemia Disturbance - Page 275
Hypercalcemia
It is important for the nurse to assist a avoid aspiration.
postsurgical client to sit up and turn Explanation:
the head to one side when vomiting The nurse helps the client to sit up and turn the
in order to head to one side when vomiting in order to avoid
help eliminate inhaled anesthetics. aspiration. This does not maximize comfort and
avoid dizziness. does not help to avoid dizziness. Encouraging the
avoid aspiration. client to breathe deeply helps eliminate inhaled
maximize comfort. anesthetics.
Reference:
Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed.,
Philadelphia: Wolters Kluwer, 2018, Chapter 19:
Postoperative Nursing Management, p. 458.
Chapter 19: Postoperative Nursing Management -
Page 458
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 4/98
Science Medicine Dermatology
NU270 Week 4 PrepU: Clinical Decision Making /
Clinical Judgment
Terms in this set (153)
A client comes to the clinic reporting "I've had trouble getting started when I urinate,
urinary symptoms. Which statement often straining to do so."
would most likely alert the nurse to Explanation:
suspect benign prostatic hyperplasia Symptoms that might alert the nurse to BPH
(BPH)? include difficulty initiating urination and abdominal
"I've had a fever and noticed I've straining with urination. Although fever, urinary
been running to the bathroom more frequency, nocturia, pelvic pain, nausea, vomiting,
often." and fatigue may be noted, they also may suggest
"I've had trouble getting started other conditions such as urinary tract infection.
when I urinate, often straining to do Fever, nausea, vomiting, and fatigue are general
so." symptoms that can accompany many conditions.
"I've had some pain in my lower Reference:
abdomen lately and felt a bit sick to Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
my stomach." Textbook of Medical-Surgical Nursing, 14th ed.,
"I'm waking up at night to urinate and Philadelphia: Wolters Kluwer, 2018, Chapter 59:
I've noticed some burning, too." Assessment and Management of Patients with Male
Reproductive Disorders, Clinical Manifestations, p.
1763.
Chapter 59: Assessment and Management of
Patients with Male Reproductive Disorders - Page
1763
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 1/98
,12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
While reviewing an older adult's Liver spots
medical record, the nurse notes that Explanation:
the patient has solar lentigo. he Solar lentigo refers to liver spots. Melasma refers
nurse interprets this as which of the to dark discoloration of the skin. Cherry angioma is
following? used to describe a bright red mole. Keloid is used
Bright red moles to denote hypertrophied scar tissue.
Hypertrophied scar tissue Reference:
Dark discoloration of the skin Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
Liver spots Textbook of Medical-Surgical Nursing, 14th ed.,
Philadelphia: Wolters Kluwer, 2018, Chapter 60:
Assessment of Integumentary Function, Chart 60-1,
p. 1794.
Chapter 60: Assessment of Integumentary Function
- Page 1794
The nurse is preparing an outline for Penile vasodilation
a class on the physiology of the male Explanation:
sexual response. Which event would With sexual stimulation, the arteries leading to the
the nurse identify as occurring first? penis dilate and increase blood flow into erectile
Ejaculation tissue. Blood accumulates, causing the penis to
Psychological release swell and elongate. Sperm emission (movement of
Sperm emission sperm from the testes and fluid from the accessory
Penile vasodilation glands) occurs with orgasm. Orgasm results in a
pleasurable feeling of physiologic and
psychological release. Ejaculation results in the
discharge of semen from the urethra.
Reference:
Chapter 39: Introduction to the Reproductive
System - Page 668-669
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 2/98
,12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
Which treatment should take place Position the client in upright position, and correct
immediately in a client experiencing the initiating stimulus.
autonomic dysreflexia? Explanation:
Increase the client's blood pressure Autonomic dysreflexia is a clinical emergency, and
to allow for adequate perfusion. requires monitoring of blood pressure while
Apply binders and support hose to correcting the initiating stimulus (e.g., full bladder,
shunt the blood to the main organs. pain). The nurse should place the client in an
Place the client in a supine position, upright position and remove all support hose
and increase intravenous fluids. binders to promote venous pooling to help
Position the client in upright position, decrease an extremely elevated blood pressure.
and correct the initiating stimulus. Intravenous fluids are not an immediate
intervention for this condition.
Reference:
Chapter 15: Disorders of Motor Function - Page
407
A client is concerned about the cyclical hormonal changes
lumps that have developed in her Explanation:
breasts and is fearful of cancer. The The likely cause is fibrocystic disease, which results
client reports variability in the size of from hormonal changes during the menstrual
the lumps. What could be causing cycle.
this condition? Reference:
progesterone Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
cyclical hormonal changes Textbook of Medical-Surgical Nursing, 14th ed.,
caffeine Philadelphia: Wolters Kluwer, 2018, Chapter 58:
nicotine Assessment and Management of Patients With
Breast Disorders, p. 1728.
Chapter 58: Assessment and Management of
Patients With Breast Disorders - Page 1728
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 3/98
, 12/26/25, 12:01 AM NU270 Week 4 PrepU: Clinical Decision Making / Clinical Judgment Flashcards | Quizlet
A nurse is caring for a client with Hypercalcemia
metastatic breast cancer who is Explanation:
extremely lethargic and very slow to The normal reference range for serum calcium is
respond to stimuli. The laboratory 8.6 to 10.2 mg/dl. A serum calcium level of 12 mg/dl
report indicates a serum calcium clearly indicates hypercalcemia. The client's other
level of 12.0 mg/dl, a serum laboratory findings are within their normal ranges,
potassium level of 3.9 mEq/L, a so the client doesn't have hypernatremia,
serum chloride level of 101 mEq/L, hypochloremia, or hypokalemia.
and a serum sodium level of 140 Reference:
mEq/L. Based on this information, Hinkle, J. L., Cheever, K. H. Brunner & Suddarth’s
the nurse determines that the client's Textbook of Medical-Surgical Nursing , 14th ed
symptoms are most likely associated Philadelphia: Wolters Kluwer Health/Lippincott
with which electrolyte imbalance? Williams & Wilkins, 2018, Chapter 13: Fluid and
Hypocalcemia Electrolytes: Balance and Disturbance, p. 275.
Hypokalemia Chapter 13: Fluid and Electrolytes: Balance and
Hyperkalemia Disturbance - Page 275
Hypercalcemia
It is important for the nurse to assist a avoid aspiration.
postsurgical client to sit up and turn Explanation:
the head to one side when vomiting The nurse helps the client to sit up and turn the
in order to head to one side when vomiting in order to avoid
help eliminate inhaled anesthetics. aspiration. This does not maximize comfort and
avoid dizziness. does not help to avoid dizziness. Encouraging the
avoid aspiration. client to breathe deeply helps eliminate inhaled
maximize comfort. anesthetics.
Reference:
Hinkle, J.L., and Cheever, K.H. Brunner & Suddarth's
Textbook of Medical-Surgical Nursing, 14th ed.,
Philadelphia: Wolters Kluwer, 2018, Chapter 19:
Postoperative Nursing Management, p. 458.
Chapter 19: Postoperative Nursing Management -
Page 458
https://quizlet.com/603421776/nu270-week-4-prepu-clinical-decision-making-clinical-judgment-flash-cards/ 4/98
