ADULT MED SURG CAPSTONE EXAM WITH
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES 2023 LATEST GRADED A+
A nurse is reinforcing discharge teaching with a client who has undergone a
transurethral resection of the prostate (TURP). Which of the following statements
should the nurse include in the teaching? - ANSWER-Increase fluid intake if urine
becomes blood tinged
The nurse should reinforce that strenuous activity, straining to have a bowel
movement, and coughing may cause the urine to become blood tinged. If this
should occur, the client should be instructed to stop the activity, rest, and increase
fluid intake. If urine becomes increasingly blood tinged or does not clear, or the
client has difficulty voiding, he should be instructed to notify the provider.
NSAIDs such as naproxen and ibuprofen may increase bleeding and are to be
avoided.
Sexual intercourse is not permitted for 6 weeks following surgery, as this may
cause bleeding of the prostate tissues. The nurse should reinforce that following the
TURP, ejaculate may flow back into the bladder and little to no semen may be
expressed during sexual activity.
Urinary dribbling may continue for as long as 6 months following surgery. The use
of urinary protection pads should be recommended if the client has dribbling. The
nurse should also recommend the client complete perineal strengthening exercises
several times daily to enhance urinary continence.
A nurse is caring for a client who is suspected to have active laryngeal TB. Which
of the following actions should the nurse plan to take to safely care for this client?
- ANSWER-Place the client in a private room with a special ventilation system.
, Private rooms with negative-pressure airflow via HEPA filtration systems.
Negative pressure pulls air away from the hallway and exhausts it out of the room
to areas away from the intake vents.
TB needs airborne precautions.
A nurse is reinforcing teaching with a client who has a family history of
hypertension. The nurse should inform the client that his BP 124/84 mmHg places
him in which of the following categories? - ANSWER-Prehypertension
SP of 120-130 mmHg, DP of 80-89 mm Hg.
Stage 1 hypertension: SP 140-159, DP 90-99
Stage 2: SP > 160, DP > 100
A nurse is caring for a child who is experiencing an acute asthma attack. Which of
the following medications should the nurse administer first? - ANSWER-Albuterol
Albuterol is considered a rescue medication due to its rapid onset of action.
Albuterol is a beta2-adrenergic agonist used for the treatment of acute
exacerbations of asthma. Albuterol promotes bronchodilation and suppresses
histamine release in the lungs.
Montelukast should not be used for quick relief of an asthma attack because its
effects develop too slowly. Montelukast is the most commonly prescribed
leukotriene modifier. It's used as prophylaxis and maintenance therapy for asthma,
as well as for prevention of exercise-induced bronchospasm. It is not a rescue
medication.
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES 2023 LATEST GRADED A+
A nurse is reinforcing discharge teaching with a client who has undergone a
transurethral resection of the prostate (TURP). Which of the following statements
should the nurse include in the teaching? - ANSWER-Increase fluid intake if urine
becomes blood tinged
The nurse should reinforce that strenuous activity, straining to have a bowel
movement, and coughing may cause the urine to become blood tinged. If this
should occur, the client should be instructed to stop the activity, rest, and increase
fluid intake. If urine becomes increasingly blood tinged or does not clear, or the
client has difficulty voiding, he should be instructed to notify the provider.
NSAIDs such as naproxen and ibuprofen may increase bleeding and are to be
avoided.
Sexual intercourse is not permitted for 6 weeks following surgery, as this may
cause bleeding of the prostate tissues. The nurse should reinforce that following the
TURP, ejaculate may flow back into the bladder and little to no semen may be
expressed during sexual activity.
Urinary dribbling may continue for as long as 6 months following surgery. The use
of urinary protection pads should be recommended if the client has dribbling. The
nurse should also recommend the client complete perineal strengthening exercises
several times daily to enhance urinary continence.
A nurse is caring for a client who is suspected to have active laryngeal TB. Which
of the following actions should the nurse plan to take to safely care for this client?
- ANSWER-Place the client in a private room with a special ventilation system.
, Private rooms with negative-pressure airflow via HEPA filtration systems.
Negative pressure pulls air away from the hallway and exhausts it out of the room
to areas away from the intake vents.
TB needs airborne precautions.
A nurse is reinforcing teaching with a client who has a family history of
hypertension. The nurse should inform the client that his BP 124/84 mmHg places
him in which of the following categories? - ANSWER-Prehypertension
SP of 120-130 mmHg, DP of 80-89 mm Hg.
Stage 1 hypertension: SP 140-159, DP 90-99
Stage 2: SP > 160, DP > 100
A nurse is caring for a child who is experiencing an acute asthma attack. Which of
the following medications should the nurse administer first? - ANSWER-Albuterol
Albuterol is considered a rescue medication due to its rapid onset of action.
Albuterol is a beta2-adrenergic agonist used for the treatment of acute
exacerbations of asthma. Albuterol promotes bronchodilation and suppresses
histamine release in the lungs.
Montelukast should not be used for quick relief of an asthma attack because its
effects develop too slowly. Montelukast is the most commonly prescribed
leukotriene modifier. It's used as prophylaxis and maintenance therapy for asthma,
as well as for prevention of exercise-induced bronchospasm. It is not a rescue
medication.
