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Exam (elaborations)

Med-Surg 2 Exam 4 Study Guide | 2026/2027 Nursing Prep & Key Concepts

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Prepare for Med-Surg 2 Exam 4 with our 2026/2027 comprehensive study guide. Includes high-yield nursing concepts, practice questions, and expert strategies to boost exam performance and clinical knowledge.

Institution
Medical-Surgical Nursing
Course
Medical-Surgical Nursing











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Institution
Medical-Surgical Nursing
Course
Medical-Surgical Nursing

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Uploaded on
November 27, 2025
Number of pages
239
Written in
2025/2026
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Med-Surg 2 Exam 4 Save




Terms in this set (540)


1. In teaching a patient with d. an ascending infection
pyelonephritis about the
disorder, the nurse informs the
paitent that the organisms that
cause pyelonephritis most
commonly reach the kidneys
through
a. the bloodstream
b.the lymphatic system
c. a descending infection
d. an ascending infection

2. The nurse teaches the female b.urinate before and after sexual intercourse
paitent who has frequent UTIs
that she should
a. take tub baths with bubble
bath
b.urinate before and after sexual
intercourse
c.take prophylactic sufonamides
for the rest of her life
d. restrict fluid intake to prevent
the need for frequent voiding

,2. The nurse teaches the female b.urinate before and after sexual intercourse
paitent who has frequent UTIs
that she should
a. take tub baths with bubble
bath
b.urinate before and after sexual
intercourse
c.take prophylactic sufonamides
for the rest of her life
d. restrict fluid intake to prevent
the need for frequent voiding

3. The immunologic mechanisms b. deposition of immune complexes and complement along the
involved in acute GBM
poststreptococal
glomerulonephritis include:
a. tubular blocking by
precipitates of bacteria and
antibody reactions
b. deposition of immune
complexes and complement
along the GBM
c. thickening of the GBM from
autoimmune microangiopathic
changes
d. destruction of glomeruli by
proteolytic enzymes contained in
the GBM

,4.One of the nruse's most a. promote early diagnosis and treatment of sore throats and skin
important roles in relation to lesions
acute poststreptococcal
golmerulonephritis is to
a. promote early diagnosis and
treatment of sore throats and skin
lesions
b.encourage patients to obtain
antibiotic therapy for upper
respiratory tract infections
c.teach patients with APSGN that
long term prophylactic antibiotic
therapy is necessary to prevent
recurrence
d.monitor patients for respiratory
symptoms that indicate the
disease is affecting the alveolar
basement membrane

5.The edema that occurs in d.decreased colloidal osmotic pressure caused by loss of serum
nephrotic syndrome is due to albumin
a. increased hydrostatic pressure
caused by sodium retention.
b. decreased aldosterone
secretion from adrenal
insufficiency.
c. increased fluid retention
caused by decreased glomerular
filtration
d.decreased colloidal osmotic
pressure caused by loss of serum
albumin

, 6. A patient is admitted to the a. administer opioids as prescribed.
hospital with severe renal colic.
The nurse's first priority in
management of the patient is to
a. administer opioids as
prescribed.
b. obtain supplies for straining all
urine
c. encourage fluid intake of 3-
4L/day
d. keep the patient NPO in
preparation for surgery

6. A patient is admitted to the a. administer opioids as prescribed.
hospital with severe renal colic.
The nurse's first priority in
management of the patient is to
a. administer opioids as
prescribed.
b. obtain supplies for straining all
urine
c. encourage fluid intake of 3-
4L/day
d. keep the patient NPO in
preparation for surgery

6. What is the result of stimulation ANS: C
of erythropoietin production in Erythropoietin is produced in the kidney and released in response
the kidney tissue? to decreased oxygen
A. Increased blood flow to the tension in the renal blood supply. Erythropoietin stimulates red
kidney blood cell (RBC)
B. Inhibition of vitamin D and loss production in the bone marrow.
of bone density
C. Increased bone marrow
production of red blood cells
D. Inhibition of the active
transport of sodium, leading to
hyponatremi

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