2025 ADVANCED MEDSURG EXAM | COMPLETE
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | LATEST VERSION | VERIFIED
ANSWERS
Terms in this set (90)
In teaching a patient with d. An ascending infection
pyelonephritis about the
disorder, the nurse informs
the patient that the
organisms that cause
pyelonephritis most
commonly reach the
kidneys through
a. The bloodstream
b. The lymphatic system
c. A descending infection
d. An ascending infection
The nurse teaches the b. Urinate before and after sexual intercourse
female patient who has
frequent UTIs that she
should
a. Take tub baths with bubble
bath
b. Urinate before and
after sexual
intercourse
c. Take prophylactic
sulfonamides for the rest
of her life
d. Restrict fluid intake to
prevent the need for
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frequent voiding
The immunologic b. Deposition of immune complexes and complement along the
mechanisms involved in GBM
acute poststreptococcal
glomerulonephritis include
a. Tubular blocking by
precipitates of bacteria
and antibody
reactions
b. Deposition of immune
complexes and
complement along the
GBM
c. Thickening of the GBM
from autoimmune
microangiopathic
changes
d. Destruction of glomeruli
by proteolytic enzymes
contained in the GBM
One of the nurse's most a. Promote early diagnosis and treatment of sore throats and skin
important roles in relation lesions
to acute
poststreptococcal
glomerulonephritis is to
a. Promote early diagnosis
and treatment of sore
throats and skin lesions
b. Encourage patients to obtain
antibiotic
therapy for upper respiratory
tract infection
c. Teach patients with
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APSGN that long- term
prophylactic antibiotic
therapy is necessary to
prevent recurrence
d. Monitor patients for
respiratory
symptoms that indicate the
disease is
affecting the alveolar
basement membrane
The edema that occurs in d.Decreased colloidal osmotic pressure caused by loss of serum
nephrotic syndrome is due albumin
to
a. Increased hydrostatic
pressure caused by
sodium retention
b. Decreased aldosterone
secretion from adrenal
insufficiency
c. Increased fluid
retention caused by
decreased glomerular
filtration
d. Decreased colloidal
osmotic pressure caused
by loss of serum
albumin
A patient is admitted to the a. Administer opioids as prescribed
hospital with severe renal
colic. The nurse's first
priority in management of
the patient is to
a. Administer opioids as
prescribed
b. Obtain supplies for straining
all urine
c. Encourage fluid intake of 3
to 4 L/day
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d. Keep the patient NPO in
preparation for surgery
The nurse recommends d.Adult-Onset Polycystic Kidney disease
genetic counseling for the
children of a patient with
a. Nephrotic syndrome
b. Chronic pyelonephritis
c. Malignant nephrosclerosis
d. Adult-Onset Polycystic
Kidney disease
The nurse identifies a risk b. Tobacco use
factor for kidney and bladder
cancer in a patient who
relates a history of
a. Aspirin use
b. Tobacco use
c. Chronic alcohol abuse
d. Use of artificial sweeteners
In planning nursing a. Teaching the patient to use Kegel exercises
interventions to
increased bladder control in
the patient with urinary
incontinence, the nurse
includes
a. Teaching the patient
to use Kegel exercises
b. Clamping and releasing
a catheter to increase
bladder tone
c. Teaching the patient
biofeedback mechanisms
to suppress the urge to
void d.Counseling the
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