Med Surg. II Elimination
The client asks, "What does an elevated PSA 1 -An elevated PSA can be from urinary retention, BPH, prostate cancer, or pros
test mean?" On which scientific rationale infarct.
should the nurse base the response?
1. An elevated PSA can result from several
different causes.
2. An elevated PSA can be only from
prostate cancer.
3. An elevated PSA can be diagnostic for
testicular cancer.
4. An elevated PSA is the only test used to
diagnose BPH
The client diagnosed with CKD has a new 1 -Carrying heavy objects in the left arm could cause the fistula to clot by puttin
arteriovenous fistula in the left forearm. undue stress on the site, so the client should carry objects with the right arm.
Which intervention should the nurse
implement?
1. Teach the client to carry heavy objects
with the right arm.
2. Perform all laboratory blood tests on the
left arm.
3. Instruct the client to lie on the left arm
during the night.
4. Discuss the importance of not
performing any hand exercises.
, Med Surg. II Elimination
The client diagnosed with CKD is receiving 4 -Because the client is in ESRD, fluid must be removed from the body, so the o
peritoneal dialysis. Which assessment data should be more than the amount instilled. These assessment data require interve
warrant immediate intervention by the by the nurse.
nurse?
1. Inability to auscultate a bruit over the
fistula.
2. The client's abdomen is soft, is nontender,
and has bowel sounds. 3. The dialysate
being removed from the client's abdomen is
clear. 4. The dialysate instilled was 1,500 mL
and removed was 1,500 mL.
The client diagnosed with Crohn's disease is 3. The client is crying and is expressing feelings of powerlessness; therefore, the
crying and tells the nurse, "I can't take it nurse should allow the client to talk.
anymore. I never know when I will get sick
and end up here in the hospital." Which
statement is the nurse's best response? 1. "I
understand how frustrating this must be for
you." 2. "You must keep thinking about the
good things in your life." 3. "I can see you
are very upset. I'll sit down and we can talk."
4. "Are you thinking about doing anything
like committing suicide?"
, Med Surg. II Elimination
The client diagnosed with IBD is prescribed 4. Asulfidine is poorly absorbed from the gastrointestinal tract and acts topicall
sulfasalazine (Asulfidine), a sulfonamide the colonic mucosa to inhibit the inflammatory process
antibiotic. Which statement best describes
the rationale for administering this
medication?
1. It is administered rectally to help
decrease colon inflammation.
2. This medication slows gastrointestinal
motility and reduces diarrhea.
3. This medication kills the bacteria causing
the exacerbation.
4. It acts topically on the colon mucosa to
decrease inflammation.
The client diagnosed with IBD is prescribed 1. TPN is high in dextrose, which is glucose; therefore, the client's blood glucose
total parental nutrition (TPN). Which must be monitored closely.
intervention should the nurse implement?
1. Check the client's glucose level.
2. Administer an oral hypoglycemic.
3. Assess the peripheral intravenous site.
4. Monitor the client's oral food intake
The client asks, "What does an elevated PSA 1 -An elevated PSA can be from urinary retention, BPH, prostate cancer, or pros
test mean?" On which scientific rationale infarct.
should the nurse base the response?
1. An elevated PSA can result from several
different causes.
2. An elevated PSA can be only from
prostate cancer.
3. An elevated PSA can be diagnostic for
testicular cancer.
4. An elevated PSA is the only test used to
diagnose BPH
The client diagnosed with CKD has a new 1 -Carrying heavy objects in the left arm could cause the fistula to clot by puttin
arteriovenous fistula in the left forearm. undue stress on the site, so the client should carry objects with the right arm.
Which intervention should the nurse
implement?
1. Teach the client to carry heavy objects
with the right arm.
2. Perform all laboratory blood tests on the
left arm.
3. Instruct the client to lie on the left arm
during the night.
4. Discuss the importance of not
performing any hand exercises.
, Med Surg. II Elimination
The client diagnosed with CKD is receiving 4 -Because the client is in ESRD, fluid must be removed from the body, so the o
peritoneal dialysis. Which assessment data should be more than the amount instilled. These assessment data require interve
warrant immediate intervention by the by the nurse.
nurse?
1. Inability to auscultate a bruit over the
fistula.
2. The client's abdomen is soft, is nontender,
and has bowel sounds. 3. The dialysate
being removed from the client's abdomen is
clear. 4. The dialysate instilled was 1,500 mL
and removed was 1,500 mL.
The client diagnosed with Crohn's disease is 3. The client is crying and is expressing feelings of powerlessness; therefore, the
crying and tells the nurse, "I can't take it nurse should allow the client to talk.
anymore. I never know when I will get sick
and end up here in the hospital." Which
statement is the nurse's best response? 1. "I
understand how frustrating this must be for
you." 2. "You must keep thinking about the
good things in your life." 3. "I can see you
are very upset. I'll sit down and we can talk."
4. "Are you thinking about doing anything
like committing suicide?"
, Med Surg. II Elimination
The client diagnosed with IBD is prescribed 4. Asulfidine is poorly absorbed from the gastrointestinal tract and acts topicall
sulfasalazine (Asulfidine), a sulfonamide the colonic mucosa to inhibit the inflammatory process
antibiotic. Which statement best describes
the rationale for administering this
medication?
1. It is administered rectally to help
decrease colon inflammation.
2. This medication slows gastrointestinal
motility and reduces diarrhea.
3. This medication kills the bacteria causing
the exacerbation.
4. It acts topically on the colon mucosa to
decrease inflammation.
The client diagnosed with IBD is prescribed 1. TPN is high in dextrose, which is glucose; therefore, the client's blood glucose
total parental nutrition (TPN). Which must be monitored closely.
intervention should the nurse implement?
1. Check the client's glucose level.
2. Administer an oral hypoglycemic.
3. Assess the peripheral intravenous site.
4. Monitor the client's oral food intake
