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NUR 170/ NUR170 Final Exam 4 – Concepts of Medical- Surgical Nursing Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A

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NUR 170/ NUR170 Final Exam 4 – Concepts of Medical- Surgical Nursing Guide| Galen (Latest 2026/ 2027 Update) 100% Verified Questions & Answers | Grade A QUESTION post-op hiatal hernia interventions Answer: - notify PCP of difficulty swallowing - start patient on a clear liquid diet and advance slowly QUESTION post op bariatric bypass interventions Answer: - do not move NG tube - start with a clear liquid diet then advance slowly - PCA pump for pain - HOB should be elevated to semi-fowlers position QUESTION gallbladder disease risk factors Answer: - fatty foods - female - forty - fat (obesity) QUESTION gallbladder disease s/s Answer: - clay colored stool QUESTION appendicitis s/s Answer: - RLQ pain that is relieved by bending the right hip (perforated appendix) which may lead to peritonitis QUESTION anorexia interventions Answer: - monitor pre-albumin and albumin for patient's nutritional status QUESTION urinary tract infection (UTI) s/s Answer: - lower back (flank) pain - frequent urination - suprapubic tenderness QUESTION benign prostatic hyperplasia (BPH) dutasteride and finasteride teaching Answer: - 5 alpha reductase inhibitor - can cause orthostatic hypotension, get up slowly - gynecomastia - increased risk of prostate cancer - keep away from pregnant women (teratogenic) - take with a full glass of water - do not sprinkle on food to avoid oral ulcers QUESTION transurethral resection of the prostate (TURP) interventions Answer: - monitor for infection - older men usually have underlying chronic disease and mental status changes - bed to chair immobility prevention - assist due to high fall risk - assess pain every 2-4 hours and intervene as needed - provide safe environment - maintain constant rate of irrigation with normal saline - monitor urine color, consistency, and amount - check tubing frequently for kinks - blood clots - presents as decreased urine output, increase irrigation rate - severe bladder spasms means obstruction - notify surgeon of red urine after irrigations - BUN and creatinine levels QUESTION incontinence tolterodine Answer: - suppresses involuntary contraction - increases bladder capacity - monitor for infection QUESTION urinary continence promotion Answer: - void every 30 minutes and ignore urges between that interval - increase intervals by 15-20 minutes when patient is comfortable - teach relaxation and distraction techniques - use positive reinforcement QUESTION renal calculi Answer: - calcium and uric acid stones - priority is pain management - discharge patients with medication and strainer - increase fluids and ambulation QUESTION ureteral stent teaching Answer: - patient is sent home with leg bag - blood in urine for a few days is normal QUESTION kidney trauma s/s - flank bruising - elevated RBC in urinalysis - abdominal pain

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NURl 170/l NUR170l Finall Examl 4l –l
Conceptsl ofl Medical-l Surgicall Nursingl
Guide|l Galenl (Latestl 2026/l 2027l Update)l
100%l Verifiedl Questionsl &l Answersl |l
Gradel A


Q:l post-opl hiatall hernial interventions
Answer:
-l notifyl PCPl ofl difficultyl swallowingl
-l startl patientl onl al clearl liquidl dietl andl advancel slowly



Q:l postl opl bariatricl bypassl interventions
Answer:
-l dol notl movel NGl tube
-l startl withl al clearl liquidl dietl thenl advancel slowlyl
-l PCAl pumpl forl painl
-l HOBl shouldl bel elevatedl tol semi-fowlersl position



Q:l gallbladderl diseasel riskl factors
Answer:
-l fattyl foods
-l female
-l forty
-l fatl (obesity)

,Q:l gallbladderl diseasel s/s
Answer:
-l clayl coloredl stool



Q:l appendicitisl s/s
Answer:
-l RLQl painl thatl isl relievedl byl bendingl thel rightl hipl (perforatedl appendix)l whichl mayl
leadl tol peritonitis



Q:l anorexial interventions
Answer:
-l monitorl pre-albuminl andl albuminl forl patient'sl nutritionall status



Q:l urinaryl tractl infectionl (UTI)l s/s
Answer:
-l lowerl backl (flank)l pain
-l frequentl urination
-l suprapubicl tenderness



Q:l benignl prostaticl hyperplasial (BPH)l dutasteridel andl finasteridel teaching
Answer:
-l 5l alphal reductasel inhibitorl
-l canl causel orthostaticl hypotension,l getl upl slowly
-l gynecomastial
-l increasedl riskl ofl prostatel cancer
-l keepl awayl froml pregnantl womenl (teratogenic)l
-l takel withl al fulll glassl ofl waterl
-l dol notl sprinklel onl foodl tol avoidl orall ulcers

, Q:l transurethrall resectionl ofl thel prostatel (TURP)l interventions
Answer:
-l monitorl forl infectionl
-l olderl menl usuallyl havel underlyingl chronicl diseasel andl mentall statusl changesl
-l bedl tol chairl immobilityl prevention
-l assistl duel tol highl falll riskl
-l assessl painl everyl 2-4l hoursl andl intervenel asl neededl
-l providel safel environmentl
-l maintainl constantl ratel ofl irrigationl withl normall salinel
-l monitorl urinel color,l consistency,l andl amountl
-l checkl tubingl frequentlyl forl kinksl
-l bloodl clotsl -l presentsl asl decreasedl urinel output,l increasel irrigationl ratel
-l severel bladderl spasmsl meansl obstructionl
-l notifyl surgeonl ofl redl urinel afterl irrigationsl
-l BUNl andl creatininel levels



Q:l incontinencel tolterodine
Answer:
-l suppressesl involuntaryl contraction
-l increasesl bladderl capacityl
-l monitorl forl infection



Q:l urinaryl continencel promotion
Answer:
-l voidl everyl 30l minutesl andl ignorel urgesl betweenl thatl interval
-l increasel intervalsl byl 15-20l minutesl whenl patientl isl comfortablel
-l teachl relaxationl andl distractionl techniques
-l usel positivel reinforcement



Q:l renall calculi

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