MED SURG 201 Medical Surgical Final Exam- Questions
and Answers;
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - serum acid phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - wound
contamination
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - Do not allow pregnant women into the pt's room
Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? - avoid
lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - -alopecia
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - blood pressure - Hytrin can cause orthostatic hypotension
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - pain from
bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - bradycardia and confusion
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - the best time for the exam is after a shower
, Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - Alpha fetoprotein (AFP) and chorionic
gonadotropin (hCG)
What is the description of phimosis? - inflammation of the prepuce
Which is the description of a varicocele - testicular vein dilation
what is the description for a hydrocele - scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - treatment of ED is
based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure - an
alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - excruciating wavelike, and
radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - edema,
proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - immunologic basis
Daily fluid intake to prevent a bladder infection should include: - 2-3 liters of water a day
On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - severe, colicky back pain radiating to the groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - encourage high fluid intake
What are the functions of the kidney? Select all that apply: - a. activates vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
The kidneys receive ______% of the cardiac output? - 20%
and Answers;
If a patient's prostate enlargment is caused by malignancy, which of the following labs
would help determine whether metastasis has occurred? - serum acid phosphatase
The most common screening intervention for detecting BPH in med over age 50 is an
annual: - Digital rectal exam
When caring for a patient following a radical prostatectomy with a perineal approach, an
appropriate nursing diagnosis for the nurse is, risk for infection r/t: - wound
contamination
The nurse is caring for a patient with an internal radiation implant. The nurse should
observe which principle? - Do not allow pregnant women into the pt's room
Hormone therapy is prescribed for a patient with prostate cancer. The goal of this
treatment is to: - limit the amount of circulating androgens
What is accurate discharge instructions for a patient following a prostatectomy? - avoid
lifting objects heavier than 20lbs for at least 6 weeks
Which is not a sign of testicular cancer? - -alopecia
The nurse anticipates the patient with BPH will mostly likely report which symptom? -
difficulty starting flow of urine
A patient with BPH is taking terazosin (hytrin) at bedtime. The nurse should monitor the
patient's: - blood pressure - Hytrin can cause orthostatic hypotension
A client returned from a TURP with CBI. In which situation should the nurse increase
the flow rate of the CBI: - when the drainage becomes bright red
A patient is to receive belladonna and opium suppositories, pen, following a TURP. The
nurse should give the patient this drug when he demonstrates signs of: - pain from
bladder spasms
A patient is receiving CBI. Which asesssment data would be consistent with
transurethral resection syndrome? - bradycardia and confusion
The nurse is instructing the patient to perform a testicular self-exam. The nurse tells the
patient - the best time for the exam is after a shower
, Serum tumor markers that may be elevated with cancer of the testicles and used to
monitor response to therapy include: - Alpha fetoprotein (AFP) and chorionic
gonadotropin (hCG)
What is the description of phimosis? - inflammation of the prepuce
Which is the description of a varicocele - testicular vein dilation
what is the description for a hydrocele - scrotal lymphedema
A patient seeking help for ED should be thoroughly evaluated bc: - treatment of ED is
based on the cause of the problem
The nurse teaches the patient having a vasectomy that following the procedure - an
alternative form of contraception must be used for 6-8 weeks
A patient is being admitted to the hospital with a diagnosis of urolithiasis and ureteral
colic. The nurse assesses the patient for pain that is - excruciating wavelike, and
radiating toward genitalia
which is the priority nsg dx for a pt with pyelonephritis - acute/chronic pain
In glomerulonephritis, the glomeruli are injured and the S&S may include: - edema,
proteinuria, hematuria
Acute glomerulonephritis has which of the following causes: - immunologic basis
Daily fluid intake to prevent a bladder infection should include: - 2-3 liters of water a day
On assessment of the patient with a renal calculi passing down the ureter, the nurse
would expect the patient to report - severe, colicky back pain radiating to the groin
following lithotripsy for treatment of renal calculi, the patient has a nsg dx of risk for infx
r/t introduction of bacteria following manipulation of the urinary tract. An appropriate nsg
intervention for the patient is: - encourage high fluid intake
What are the functions of the kidney? Select all that apply: - a. activates vitamin B
b. controls fluid**
c. promotes platelet formation
d. regulates blood pressure **
e. regulates heart rate
f. regulates electrolytes**
The kidneys receive ______% of the cardiac output? - 20%
