NR 505/NR: 120.505. INTEGRATED CLINICAL
MANAGEMENT: COMMON HEALTH ALTERATIONS:
FINAL 2024/2025
MARK ALL THAT APPLY
What are risk factors for UTI?
Urinary stasis
Ureteral fistula
Multiple sex partners
Constipation
Underweight patient
Calculi
High serum potassium - Answer Urinary stasis
Ureteral fistula
Multiple sex partners
Constipation
Calculi
Which of the following is an uncomplicated UTI?
a. UTI only found in urinary tract and bladder
b. UTI with renal calculi
c. UTI with pre-existing urinary catheter - Answer a. UTI only found in urinary tract
and bladder
Which nursing action is of highest priority for a 68-year-old patient with renal calculi who
is being admitted to the hospital with gross hematuria and severe colicky left flank pain?
A. Administer prescribed analgesics.
B.Monitor temperature every 4 hours.
C.Encourage increased oral fluid intake.
D.Give antiemetics as needed for nausea - Answer A. Administer prescribed
analgesics.
Lithotripsy is:
a. A new hairstyle
b. A new dance
c. A procedure to eliminate gall stones
d. A procedure to eliminate stones from the urinary tract - Answer d. A procedure to
eliminate stones from the urinary tract
,Cardinal symptom of appendicitis is:
a. Abdominal pain
b. Nausea
c. Pain in RLQ and rebound tenderness
d. Abnormal urinalysis - Answer c. Pain in RLQ and rebound tenderness
Nursing management after an appendectomy should always include:
a. Assessment of abdominal sounds
b. Signs of infection (↓ WBC count, lack of nausea)
c. Fostering mobility
d. B only
e. A and C - Answer e. A and C
What patients are at risk for appendicitis?
A. Patients with Crohn's Disease
B. Patient with colon cancer
C. Females 15-19
D. An adult with cystic fibrosis
E. All of the above - Answer E. All of the above
GERD is also common with what other population?
MARK ALL THAT APPLY
A. Individuals with asthma
B. Obese individuals
C. Individuals with HTN
D. Individuals with fractures - Answer A. Individuals with asthma
B. Obese individuals
Pyrosis refers to:
A. Difficulty breathing
B. Difficulty speaking
C. Difficulty swallowing
D. Heartburn - Answer D. Heartburn
Odynophagia refers to
A. Heartburn
B. Difficulty swallowing
C. Painful swallowing
D. Excessive air swallowing - Answer C. Painful swallowing
, Major nursing management of patients with GERD include patient education
concerning:
A. Increasing intake of some foods, like peppermint
B. Encouraging resting or lying down after a meal to prevent stomach upset
C. Monitoring for extra- esophageal symptoms (like pyrosis)
D. Raising the head of the bed - Answer D. Raising the head of the bed
A nurse needs to let patients know when to contact the healthcare team. When should a
patient IMMEDIATELY contact a provider? When a patient states that:
A. The food gets "stuck"
Actual Nursing Diagnosis
(aka: Problem Focused) - Answer 3 part statement
Part 1: Identify nursing diagnosis label(actual problem)
Part 2: Related Factors (etiology)
R/T
Part 3: defining characteristics (symptoms)
AEB
Ex of Actual Nursing Diagnosis - Answer Impaired mobility r/t sedentary lifestyle, AEB
inability of patient to get out of bed/chair without assistance, inability to walk 10 ft w/o
assistance.
Risk Diagnosis - Answer 2 part statement
** starts with Risk
Part 1: NANDA diagnostic risk factors
Part 2: Risk factors (AEB)
Ex of Risk Diagnosis - Answer Risk for infection as evidenced by inadequate
vaccination and immunosuppression (risk factors).
Health Promotion Nursing Diagnosis - Answer One part statement:
Diagnostic label
Ex of Health Promotion Diagnosis - Answer Readiness for enhanced self-care as
evidenced by expressed desire to enhance self-care.
MANAGEMENT: COMMON HEALTH ALTERATIONS:
FINAL 2024/2025
MARK ALL THAT APPLY
What are risk factors for UTI?
Urinary stasis
Ureteral fistula
Multiple sex partners
Constipation
Underweight patient
Calculi
High serum potassium - Answer Urinary stasis
Ureteral fistula
Multiple sex partners
Constipation
Calculi
Which of the following is an uncomplicated UTI?
a. UTI only found in urinary tract and bladder
b. UTI with renal calculi
c. UTI with pre-existing urinary catheter - Answer a. UTI only found in urinary tract
and bladder
Which nursing action is of highest priority for a 68-year-old patient with renal calculi who
is being admitted to the hospital with gross hematuria and severe colicky left flank pain?
A. Administer prescribed analgesics.
B.Monitor temperature every 4 hours.
C.Encourage increased oral fluid intake.
D.Give antiemetics as needed for nausea - Answer A. Administer prescribed
analgesics.
Lithotripsy is:
a. A new hairstyle
b. A new dance
c. A procedure to eliminate gall stones
d. A procedure to eliminate stones from the urinary tract - Answer d. A procedure to
eliminate stones from the urinary tract
,Cardinal symptom of appendicitis is:
a. Abdominal pain
b. Nausea
c. Pain in RLQ and rebound tenderness
d. Abnormal urinalysis - Answer c. Pain in RLQ and rebound tenderness
Nursing management after an appendectomy should always include:
a. Assessment of abdominal sounds
b. Signs of infection (↓ WBC count, lack of nausea)
c. Fostering mobility
d. B only
e. A and C - Answer e. A and C
What patients are at risk for appendicitis?
A. Patients with Crohn's Disease
B. Patient with colon cancer
C. Females 15-19
D. An adult with cystic fibrosis
E. All of the above - Answer E. All of the above
GERD is also common with what other population?
MARK ALL THAT APPLY
A. Individuals with asthma
B. Obese individuals
C. Individuals with HTN
D. Individuals with fractures - Answer A. Individuals with asthma
B. Obese individuals
Pyrosis refers to:
A. Difficulty breathing
B. Difficulty speaking
C. Difficulty swallowing
D. Heartburn - Answer D. Heartburn
Odynophagia refers to
A. Heartburn
B. Difficulty swallowing
C. Painful swallowing
D. Excessive air swallowing - Answer C. Painful swallowing
, Major nursing management of patients with GERD include patient education
concerning:
A. Increasing intake of some foods, like peppermint
B. Encouraging resting or lying down after a meal to prevent stomach upset
C. Monitoring for extra- esophageal symptoms (like pyrosis)
D. Raising the head of the bed - Answer D. Raising the head of the bed
A nurse needs to let patients know when to contact the healthcare team. When should a
patient IMMEDIATELY contact a provider? When a patient states that:
A. The food gets "stuck"
Actual Nursing Diagnosis
(aka: Problem Focused) - Answer 3 part statement
Part 1: Identify nursing diagnosis label(actual problem)
Part 2: Related Factors (etiology)
R/T
Part 3: defining characteristics (symptoms)
AEB
Ex of Actual Nursing Diagnosis - Answer Impaired mobility r/t sedentary lifestyle, AEB
inability of patient to get out of bed/chair without assistance, inability to walk 10 ft w/o
assistance.
Risk Diagnosis - Answer 2 part statement
** starts with Risk
Part 1: NANDA diagnostic risk factors
Part 2: Risk factors (AEB)
Ex of Risk Diagnosis - Answer Risk for infection as evidenced by inadequate
vaccination and immunosuppression (risk factors).
Health Promotion Nursing Diagnosis - Answer One part statement:
Diagnostic label
Ex of Health Promotion Diagnosis - Answer Readiness for enhanced self-care as
evidenced by expressed desire to enhance self-care.
