MED SURG EXAM 2 2024-2024. COMPLETE QUESTIONS &
ACCURATE SOLUTIONS.
The nurse has been made aware of the following client situations. The nurse should first assess
the client who?
Correct Ans: had a TURP 1 day ago with continuous bladder irrigation in place, is experiencing
confusion, and has a pulse (P) of 52
The nurse is teaching a client who has polycystic kidney disease (PKD) and hypertension and is
prescribed an angiotensin-converting enzyme inhibitor (ACEl) for blood pressure control. Which of
the following statements by the client indicates the need for further teaching?
Correct Ans: "I will eat plenty of potassium-rich foods.
The nurse is teaching a female client about ways to prevent the development of a urinary tract
infection (UTI). Which of the following client statements indicates a correct understanding of the
teaching?
Correct Ans: I should drink 2 to 3 liters of sugar-free fluid every day.
The nurse is admitting a client who is experiencing renal colic, nausea, vomiting, and diaphoresis
due to ureterolithiasis.
Correct Ans: Which of the following actions should the nurse take first? Administer intravenous
(IV) analgesia to the client
The nurse is providing health teaching to a client who was diagnosed with nephrosclerosis. Which
of the following client statements indicates a correct understanding of the teaching?
" Correct Ans: I need to keep my blood pressure consistently below 160/110.
The nurse is teaching a client who has urinary incontinence about lifestyle modifications to reduce
incontinence. Which of the following client statements indicates a need for * additional teaching?
Correct Ans:"I will restrict my fluid intake so that I will not need to void as often."
The nurse is reviewing assessment data for a client who has acute glomerulonephritis (AGN).
Which of the following findings is consistent with this diagnosis?
Correct Ans: Hematuria and proteinuria.
The nurse is providing medication instruction to a male client who has been prescribed the
phosphodiesterase-5 (PDE-5) inhibitor, sildenafil, to treat erectile dysfunction. Which of the
following statements by the client indicates a need for further teaching? "
Correct Ans: I should avoid taking this medication with juice.
The nurse is reviewing the chart of a client who is scheduled to have a computed tomography
(CT) scan with contrast. Which of the following should the nurse question before the procedure?
, Correct Ans: Serum creatinine level of 1.8 mg/dL.
The nurse is caring for a client who had a transurethral resection of the prostate (TURP) 4 days
ago and has continuous bladder irrigation (CBI) infusing at 100 mL/hr. It is necessary. for the
nurse to notify the primary health care provider (PHCP)
Correct Ans: if the nurse observes burgundy-colored urine in the clientis drainage bag.
What type of incontinence does the nurse recognize when a 45-year-old female client reports the
loss of small amounts of urine during coughing, sneezing, jogging, or lifting?
Correct Ans: Stress incontinence
What diagnostic test does the nurse expect the urologist to prescribe for a client with a urinary
tract infection (UTI) who developed signs and symptoms urospepsis of (bacteremia)?
Correct Ans: Urine culture
The nurse is caring for an older adult client with dehydration. Which assessment will the nurse
perform to determine whether the client is safe for independent.. ambulation?
Correct Ans: Comparing orthostatic blood pressure measurements
After receiving the change-of-shift report, which client will the nurse assess first?
Correct Ans: A 57 year old receiving IV diuretics whose blood pressure is 88/52 mm Hg
The nurse is caring for a client with suspected fluid overload. Which action will the nurse take
first?
Correct Ans: Elevate the head of the bed
The nurse is caring for a client in the nursing unit following a nephrostomy. For 6. hours, the tube
drained 40 mL/hr, and has decreased to 12 mL over the last hour. Which of the following
interventions by the nurse is appropriate?
Correct Ans: Assess the client's abdomen and vital * signs
A nurse cares for a client with autosomal dominant polycystic kidney disease (ADPKD). The client
asks, Will my children develop this disease? How should the nurse respond?
Correct Ans: Each of your children has a 50% risk of having ADPKD
A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the
third episode of acute pyelonephritis in the past year. The client asks, What can I do to help
prevent these infections? How should the nurse respond?
Correct Ans: Drink more water and empty your bladder more frequently during the day.
An emergency department nurse assesses a client with kidney trauma and notes that the clients
abdomen is tender and distended and blood is visible at the urinary meatus. Which prescription
should the nurse consult the provider about before implementation?
ACCURATE SOLUTIONS.
The nurse has been made aware of the following client situations. The nurse should first assess
the client who?
Correct Ans: had a TURP 1 day ago with continuous bladder irrigation in place, is experiencing
confusion, and has a pulse (P) of 52
The nurse is teaching a client who has polycystic kidney disease (PKD) and hypertension and is
prescribed an angiotensin-converting enzyme inhibitor (ACEl) for blood pressure control. Which of
the following statements by the client indicates the need for further teaching?
Correct Ans: "I will eat plenty of potassium-rich foods.
The nurse is teaching a female client about ways to prevent the development of a urinary tract
infection (UTI). Which of the following client statements indicates a correct understanding of the
teaching?
Correct Ans: I should drink 2 to 3 liters of sugar-free fluid every day.
The nurse is admitting a client who is experiencing renal colic, nausea, vomiting, and diaphoresis
due to ureterolithiasis.
Correct Ans: Which of the following actions should the nurse take first? Administer intravenous
(IV) analgesia to the client
The nurse is providing health teaching to a client who was diagnosed with nephrosclerosis. Which
of the following client statements indicates a correct understanding of the teaching?
" Correct Ans: I need to keep my blood pressure consistently below 160/110.
The nurse is teaching a client who has urinary incontinence about lifestyle modifications to reduce
incontinence. Which of the following client statements indicates a need for * additional teaching?
Correct Ans:"I will restrict my fluid intake so that I will not need to void as often."
The nurse is reviewing assessment data for a client who has acute glomerulonephritis (AGN).
Which of the following findings is consistent with this diagnosis?
Correct Ans: Hematuria and proteinuria.
The nurse is providing medication instruction to a male client who has been prescribed the
phosphodiesterase-5 (PDE-5) inhibitor, sildenafil, to treat erectile dysfunction. Which of the
following statements by the client indicates a need for further teaching? "
Correct Ans: I should avoid taking this medication with juice.
The nurse is reviewing the chart of a client who is scheduled to have a computed tomography
(CT) scan with contrast. Which of the following should the nurse question before the procedure?
, Correct Ans: Serum creatinine level of 1.8 mg/dL.
The nurse is caring for a client who had a transurethral resection of the prostate (TURP) 4 days
ago and has continuous bladder irrigation (CBI) infusing at 100 mL/hr. It is necessary. for the
nurse to notify the primary health care provider (PHCP)
Correct Ans: if the nurse observes burgundy-colored urine in the clientis drainage bag.
What type of incontinence does the nurse recognize when a 45-year-old female client reports the
loss of small amounts of urine during coughing, sneezing, jogging, or lifting?
Correct Ans: Stress incontinence
What diagnostic test does the nurse expect the urologist to prescribe for a client with a urinary
tract infection (UTI) who developed signs and symptoms urospepsis of (bacteremia)?
Correct Ans: Urine culture
The nurse is caring for an older adult client with dehydration. Which assessment will the nurse
perform to determine whether the client is safe for independent.. ambulation?
Correct Ans: Comparing orthostatic blood pressure measurements
After receiving the change-of-shift report, which client will the nurse assess first?
Correct Ans: A 57 year old receiving IV diuretics whose blood pressure is 88/52 mm Hg
The nurse is caring for a client with suspected fluid overload. Which action will the nurse take
first?
Correct Ans: Elevate the head of the bed
The nurse is caring for a client in the nursing unit following a nephrostomy. For 6. hours, the tube
drained 40 mL/hr, and has decreased to 12 mL over the last hour. Which of the following
interventions by the nurse is appropriate?
Correct Ans: Assess the client's abdomen and vital * signs
A nurse cares for a client with autosomal dominant polycystic kidney disease (ADPKD). The client
asks, Will my children develop this disease? How should the nurse respond?
Correct Ans: Each of your children has a 50% risk of having ADPKD
A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the
third episode of acute pyelonephritis in the past year. The client asks, What can I do to help
prevent these infections? How should the nurse respond?
Correct Ans: Drink more water and empty your bladder more frequently during the day.
An emergency department nurse assesses a client with kidney trauma and notes that the clients
abdomen is tender and distended and blood is visible at the urinary meatus. Which prescription
should the nurse consult the provider about before implementation?
