med surg 2 final exam (test bank) With Correct Answers!!

med surg 2 final exam (test bank) With Correct Answers!! 1.The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based upon this diagnosis, the nurse will expect to find which of the following as the "classic triad" of presenting symptoms occurring in patients with renal cancer? A.Fever, chills, flank pain B.Hematuria, flank pain, palpable mass C.Hematuria, proteinuria, palpable mass D.Flank pain, palpable abdominal mass, and proteinuria (ANSWER) B. Hematuria, flank pain, palpable mass 2.Which of the following nursing interventions is appropriate in providing care for an adult patient with newly diagnosed adult onset polycystic kidney disease (PKD)? A.Help the patient cope with the rapid progression of the disease. B.Suggest genetic counseling resources for the children of the patient. C.Expect the patient to have polyuria and poor concentration ability of the kidneys. D.Implement appropriate measures for the patient's deafness and blindness in addition to the renal problems. (ANSWER) B. Suggest genetic counseling resources for the children of the patient. 3.An elderly male patient visits his primary care provider because of burning on urination and production of urine that he describes as "foul smelling." The health care provider should assess the patient for which of the following factors that may dispose him to urinary tract infections (UTIs)? A.High-purine diet B.Sedentary lifestyle C.Benign prostatic hyperplasia (BPH) D.Recent use of broad-spectrum antibiotics (ANSWER) C. Benign prostatic hyperplasia (BPH) 4.The nurse is providing care for a patient who has been admitted to the hospital for the treatment of nephrotic syndrome. Which of the following is a priority nursing assessment in the care of this patient? A.Assessment of pain and level of consciousness B.Assessment of serum calcium and phosphorus levels C.Blood pressure and assessment for orthostatic hypotension D.Daily weights and measurement of the patient's abdominal girth (ANSWER) D. Daily weights and measurement of the patient's abdominal girth 5.Which of the following nursing diagnoses is a priority in the care of a patient with renal calculi? A.Acute pain B.Deficient fluid volume C.Risk for constipation D.Risk for powerlessness (ANSWER) A. Acute pain