Exam 1 Med Surg 3 – jdg jdg jdg jdg jdg
Sherpath EXAM QUESTIOns and answer
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s correct and verified 100%
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Which information from a patient who had a transurethral resection with fulguration for bladder
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cancer 3 days ago is most important to report to the health care provider?
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A. The patient is voiding every 4 hours
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B. The patient is using opioids for pain
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C. The patient has seen clots in the urine
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D. The patient is anxious about the cancer - correct answers-
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C. The patient has seen clots in the urine.
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Clots in the urine are not expected and require further follow-
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up. Voiding every 4 hours, use of opioids for pain, and anxiety are typical after this procedure.
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Which assessment data reported by a patient is consistent with a lower urinary tract infection (U
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TI)?
A. Low urine output
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B. Bilateral flank pain
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C. Nausea and vomiting
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D. Burning on urination - correct answers-D. Burning on urination
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Pain with urination is a common symptom of a lower UTI. Urine output does not decrease, but
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frequency may be experienced. Flank pain and nausea are associated with an upper UTI.
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Which information will the nurse include when teaching the patient with a urinary tract infection
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(UTI) about the use of phenazopyridine?
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A. Take phenazopyridine for at least 7 days
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,B. Phenazopyridine may cause photosensitivity
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C. Phenazopyridine may change the urine color
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D. Take phenazopyridine before sexual intercourse - correct answers-
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C. Phenazopyridine may change the urine color
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Patients should be taught that phenazopyridine will color the urine deep orange. Urinary analgesi
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cs should only be needed for a few days until the prescribed antibiotics decrease the bacterial c
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ount. Phenazopyridine does not cause photosensitivity. Taking phenazopyridine before intercourse
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will not be helpful in reducing the risk for UTI.
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After ureterolithotomy, a patient has a left ureteral catheter and a urethral catheter in place. Wh
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ich action will the nurse include in the plan of care?
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A. Provide teaching about home care for both catheters
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B. Apply continuous steady tension to the ureteral catheter
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C. Call the health care provider if the ureteral catheter output drops suddenly
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D. Clamp the ureteral catheter off when output from the urethral catheter stops -
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correct answers-C. Call the health care provider if the ureteral catheter output drops suddenly.
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The health care provider should be notified if the ureteral catheter output decreases because ob
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struction of this catheter may result in an increase in pressure in the renal pelvis. Tension on th
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e ureteral catheter should be avoided to prevent catheter displacement. To avoid pressure in the
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renal pelvis, the catheter is not clamped. Because the patient is not usually discharged with a ur
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eteral catheter in place, patient teaching about both catheters is not needed.
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A patient who has had progressive chronic kidney disease (CKD) for several years has just begun
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regular hemodialysis. Which information about diet will the nurse include in patient teaching?
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A. Increased calories are needed because glucose is lost during hemodialysis.
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B. More protein is allowed because urea and creatinine are removed by dialysis.
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C. Dietary potassium is not restricted because the level is normalized by dialysis.
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D. Unlimited fluids are allowed because retained fluid is removed during dialysis. -
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correct answers-B. More protein is allowed because urea and creatinine are removed by dialysis.
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, When the patient is started on dialysis and nitrogenous wastes are removed, more protein in the
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diet is encouraged. Fluids are still restricted to avoid excessive weight gain and complications su
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ch as shortness of breath. Glucose is not lost during hemodialysis. Sodium and potassium intake
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
continues to be restricted to avoid the complications associated with high levels of these electrol
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ytes.
A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropri
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ate for the registered nurse (RN) to delegate to a dialysis technician?
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A. Teach the patient about fluid restrictions
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B. Check blood pressure before starting dialysis
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C. Assess for causes of an increase in predialysis weight
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D. Determine the ultrafiltration rate for the hemodialysis - correct answers-
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B. Check blood pressure before starting dialysis.
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Dialysis technicians are educated in monitoring for blood pressure. Assessment, adjustment of the
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appropriate ultrafiltration rate, and patient teaching require the education and scope of practice
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of an RN.
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The nurse will plan to teach a 27-yr-
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old woman who smokes two packs of cigarettes daily about the increased risk for
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A. Kidney Stones
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B. Bladder cancer
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C. Bladder infection
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D. Interstitial cystitis - correct answers-C. Bladder cancer
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Cigarette smoking is a risk factor for bladder cancer. The patient's risk for developing interstitial c
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ystitis, urinary tract infection, or kidney stones will not be reduced by quitting smoking.
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The nurse determines that further instruction is needed for a patient with interstitial cystitis whe
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n the patient says which of the following?
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A. "I should stop having coffee and orange juice for breakfast."
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B. "I will buy calcium glycerophosphate (Prelief) at the pharmacy."
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C. "I will start taking high potency multiple vitamins every morning."
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Sherpath EXAM QUESTIOns and answer
jdg jdg jdg jdg jdg
s correct and verified 100%
jdg jdg jdg jdg
Which information from a patient who had a transurethral resection with fulguration for bladder
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
cancer 3 days ago is most important to report to the health care provider?
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A. The patient is voiding every 4 hours
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B. The patient is using opioids for pain
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C. The patient has seen clots in the urine
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D. The patient is anxious about the cancer - correct answers-
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C. The patient has seen clots in the urine.
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Clots in the urine are not expected and require further follow-
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up. Voiding every 4 hours, use of opioids for pain, and anxiety are typical after this procedure.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
Which assessment data reported by a patient is consistent with a lower urinary tract infection (U
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TI)?
A. Low urine output
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B. Bilateral flank pain
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C. Nausea and vomiting
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D. Burning on urination - correct answers-D. Burning on urination
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Pain with urination is a common symptom of a lower UTI. Urine output does not decrease, but
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
frequency may be experienced. Flank pain and nausea are associated with an upper UTI.
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Which information will the nurse include when teaching the patient with a urinary tract infection
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg j
(UTI) about the use of phenazopyridine?
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A. Take phenazopyridine for at least 7 days
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,B. Phenazopyridine may cause photosensitivity
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C. Phenazopyridine may change the urine color
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D. Take phenazopyridine before sexual intercourse - correct answers-
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C. Phenazopyridine may change the urine color
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Patients should be taught that phenazopyridine will color the urine deep orange. Urinary analgesi
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cs should only be needed for a few days until the prescribed antibiotics decrease the bacterial c
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ount. Phenazopyridine does not cause photosensitivity. Taking phenazopyridine before intercourse
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will not be helpful in reducing the risk for UTI.
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After ureterolithotomy, a patient has a left ureteral catheter and a urethral catheter in place. Wh
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ich action will the nurse include in the plan of care?
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A. Provide teaching about home care for both catheters
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B. Apply continuous steady tension to the ureteral catheter
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C. Call the health care provider if the ureteral catheter output drops suddenly
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D. Clamp the ureteral catheter off when output from the urethral catheter stops -
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correct answers-C. Call the health care provider if the ureteral catheter output drops suddenly.
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The health care provider should be notified if the ureteral catheter output decreases because ob
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
struction of this catheter may result in an increase in pressure in the renal pelvis. Tension on th
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
e ureteral catheter should be avoided to prevent catheter displacement. To avoid pressure in the
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jd
renal pelvis, the catheter is not clamped. Because the patient is not usually discharged with a ur
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eteral catheter in place, patient teaching about both catheters is not needed.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
A patient who has had progressive chronic kidney disease (CKD) for several years has just begun
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
regular hemodialysis. Which information about diet will the nurse include in patient teaching?
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A. Increased calories are needed because glucose is lost during hemodialysis.
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B. More protein is allowed because urea and creatinine are removed by dialysis.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
C. Dietary potassium is not restricted because the level is normalized by dialysis.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
D. Unlimited fluids are allowed because retained fluid is removed during dialysis. -
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correct answers-B. More protein is allowed because urea and creatinine are removed by dialysis.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
, When the patient is started on dialysis and nitrogenous wastes are removed, more protein in the
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
diet is encouraged. Fluids are still restricted to avoid excessive weight gain and complications su
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ch as shortness of breath. Glucose is not lost during hemodialysis. Sodium and potassium intake
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
continues to be restricted to avoid the complications associated with high levels of these electrol
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ytes.
A patient has arrived for a scheduled hemodialysis session. Which nursing action is most appropri
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ate for the registered nurse (RN) to delegate to a dialysis technician?
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
A. Teach the patient about fluid restrictions
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B. Check blood pressure before starting dialysis
jdg jdg jdg jdg jdg jdg
C. Assess for causes of an increase in predialysis weight
jdg jdg jdg jdg jdg jdg jdg jdg jdg
D. Determine the ultrafiltration rate for the hemodialysis - correct answers-
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B. Check blood pressure before starting dialysis.
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Dialysis technicians are educated in monitoring for blood pressure. Assessment, adjustment of the
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg j
appropriate ultrafiltration rate, and patient teaching require the education and scope of practice
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of an RN.
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The nurse will plan to teach a 27-yr-
jdg jdg jdg jdg jdg jdg jdg
old woman who smokes two packs of cigarettes daily about the increased risk for
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A. Kidney Stones
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B. Bladder cancer
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C. Bladder infection
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D. Interstitial cystitis - correct answers-C. Bladder cancer
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Cigarette smoking is a risk factor for bladder cancer. The patient's risk for developing interstitial c
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
ystitis, urinary tract infection, or kidney stones will not be reduced by quitting smoking.
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
The nurse determines that further instruction is needed for a patient with interstitial cystitis whe
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
n the patient says which of the following?
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A. "I should stop having coffee and orange juice for breakfast."
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
B. "I will buy calcium glycerophosphate (Prelief) at the pharmacy."
jdg jdg jdg jdg jdg jdg jdg jdg jdg
C. "I will start taking high potency multiple vitamins every morning."
jdg jdg jdg jdg jdg jdg jdg jdg jdg jdg
