Ms3 Final Review Part 3

51 Questions | Attempts: 109
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Ms3 Final Review Part 3 - Quiz

Questions and Answers
  • 1. 
    The patient has been diagnosed with breast cancer in the early stage. Which of the following surgical procedures would preserve the most breat tissue for this patient?
    • A. 

      Lumpectomy

    • B. 

      Mastectomy

    • C. 

      Needle biopsy

    • D. 

      Oophorectomy

  • 2. 
    The patient is having a gynecologic exam in the hospital bed. Which position will the nurse assist the patient in achieving? 
    • A. 

      Sims

    • B. 

      Prone

    • C. 

      Lithotomy

    • D. 

      Dorsal recumbent

  • 3. 
    In planning the nursing care of the patient with dysmenorrhea, the nurse suggests that the patient: 
    • A. 

      Engage in strenuous exercise to delay painful cramps

    • B. 

      Eat protein packed foods to delay painful cramps

    • C. 

      Drink warm beverages and use heat to relieve symptoms

    • D. 

      Apply ice packs to the abdomen twice a day

  • 4. 
    Lar Which of the following subjective symptoms from a patient would lead a nurse to suspect that he may have benign prostatic hypertrophy? 
    • A. 

      Inability to perform intercourse

    • B. 

      Hematuria

    • C. 

      Decreased force of urine stream

    • D. 

      Testicular pain when voiding

  • 5. 
    Which nursing intervention would discourage the development of edema in the arm of an individual who had a mastectomy? 
    • A. 

      Administer diuretics as ordered

    • B. 

      Elevate the arm above the level of the heart

    • C. 

      Bind the affected arm to the patient's side

    • D. 

      Assess circulatory status frequently

  • 6. 
    The nurse observes that her patient, age 60, has stress incontinence each time she gets out of bed. The nurse understands that
    • A. 

      Hormonal changes place older women at risk for stress incontinence

    • B. 

      Her patient is not emptying her bladder completely

    • C. 

      The nerves controlling the bladder are affected

    • D. 

      Her patient's bladder is displaced in her pelvic cavity

  • 7. 
    The nurse  is distributing health literature on prostate cancer. Which of the following blood test is recommended by the American Cancer Society as a screening for this type of cancer?
    • A. 

      Carcinogenic embryonic antigen(CEA)

    • B. 

      Prostate-specific antigen(PSA)

    • C. 

      Digital rectal examination(DRE)

    • D. 

      Enzyme-linked immunosorbent assay (ELISA)

  • 8. 
    The nurse is caring for a patient who has developed a possible rectovaginal fistula after the delivery of her fifth child. Which of the following symptoms would suggest that the patient had developed a rectovaginal fistula?
    • A. 

      Leakage of urine from the vagina

    • B. 

      Extreme pain following a bowel movement

    • C. 

      Passage of stool and flatus from the vagina

    • D. 

      White creamy discharge and extreme pruritis

  • 9. 
    A nurse is preparing a client for an upcoming histerectomy. Which of the following should the nurse caution the patient to expect following the surgery? 
    • A. 

      The patient will have a catheter after surgery

    • B. 

      The pt should expect to be on bed rest for at least 3 days

    • C. 

      It is unlikely that the pt will resume a PO intake for atleast 72hrs

    • D. 

      Physical therapy will be an integral part of her rehabilitation process

  • 10. 
    A nurse is caring for a pt who has an internal radiation implant in her uterus for treatment of cervical cancer. Which of the following statements made by the pt would indicate that further teaching may be necessary?
    • A. 

      I should be taking stool softners everyday

    • B. 

      I can lay on either my back or my side when I sleep

    • C. 

      I should expect to get sick to my stomach with this type of treatment

    • D. 

      I can have my daughter come in and sit with me if I get bored being hospitalized

  • 11. 
    While providing care to a 26yr old married female, the nurse notes multiple ecchymotic areas on her arms and trunk. The color of the ecchymotic areas range from blue to purple to yellow, When asked by the nurse how she got these bruises, the client replies "Oh I tripped". How should the nurse respond? Select all that apply. (3)
    • A. 

      Document the client's statement and complete a body map indicating the size, color, shape, location, and type of injury

    • B. 

      Report suspicions of abuse to the local authorities

    • C. 

      Call the clients husband to discuss the situation

    • D. 

      Tell the client that she needs to leave the abusive situation as soon as possible

    • E. 

      Provide the client with telephone numbers of local shelters and safe house

  • 12. 
     A client receiving chemotherapy for breast cancer develops myelosupression. Which inlstructions should the nurse include in the discharge teaching plan? Select all that apply.
    • A. 

      Avoid people who recently have recently received attenuated vaccines

    • B. 

      Avoid activities that may cause bleeding

    • C. 

      Wash hands frequently

    • D. 

      Increase intake of fresh fruits and vegetables

    • E. 

      Avoid crowded places such as shopping malls

    • F. 

      Treat a sore throat with over the counter products

  • 13. 
     A male pt is diagnosed with Chlamydia. Which of the following symptoms would cause the physician to suspect the pt to complain about?
    • A. 

      Urethritis

    • B. 

      A sore on his penis

    • C. 

      Anal itching

    • D. 

      Papular warts on the genitals

  • 14. 
     A pt just underwent a cystoscopy. Immediately following this procedure, which of the following nursing actions is most appropriate?
    • A. 

      Taking vital signs

    • B. 

      Administering PRN narcotic ordered for pain

    • C. 

      Applying cool towels to the lower abdomen

    • D. 

      Assisting the pt off the table to the wheelchair

  • 15. 
     A nurse is assisting a physician in a gynecological exam. Which of the following interventions would increase the comfort of the pt during the procedure?
    • A. 

      Allow the pt to wear undergarments

    • B. 

      Have the pt void before positioning on the exam table

    • C. 

      Ensure that the pt is not mensturating when the exam is done

    • D. 

      Leave the room when the exam begins to reduce embarrassment for the pt

  • 16. 
     The nurse is educating a group of women on the correct technique for breast self-exam. Which of the following methods would the nurse recommend?
    • A. 

      Exam your breast when your period first starts

    • B. 

      Palpate your breast for lumps while sitting at a table

    • C. 

      Use the palms of your hands to feel for lumps in your breasts

    • D. 

      Visually inspect the breast while standing in front of a mirror and then palpate each breast using the fingertips of your hands to feel for lumps

  • 17. 
     A female pt presents to an outpatient clinic because she is concerned that she may have gonorrhea. The pt states that her male partner was diagnosed but she has no symptoms. Which of the following is the best response by the nurse?
    • A. 

      I am sure that there is no reason to worry if you have no symptoms

    • B. 

      I think we should test you because gonorrhea can be asymptomatic in women

    • C. 

      You can return to the clinic whenever you have burning on urination or get a fever

    • D. 

      I think we can prescribe you an antibiotic without even doing a culture because your partner is infected

  • 18. 
    A pt has a prolapsed uterus. Which of the following is the priority nursing diagnosis for this pt? 
    • A. 

      Alteration in body image

    • B. 

      Alteration in sexual patterns

    • C. 

      Alteration in urinary elimination

    • D. 

      Alteration in bowel elimination

  • 19. 
    A LVN is assisting in developing a plan of care for a client who will be hospitalized for insertion of an internal radiation implant. Which of the following does the LVN suggest be included in the plan of care? 
    • A. 

      Limit visitors time to 60 minute visits

    • B. 

      Place a radiation sign on the door of the client's room

    • C. 

      Place the client in a private room near the nurses station

    • D. 

      Reinsert the implant into the vagina immediately if it becomes dislodged

  • 20. 
     A prenatal client who has acquired the sexually transmitted virus Condyloma acuminatum (human papilloma virus) asks the nurse to explain again the treatment for the infection. The nurse should reinforce additional information about which of the following safe treatments with this client?
    • A. 

      Laser therapy

    • B. 

      Cytotoxic mediations

    • C. 

      No therapy is available

    • D. 

      Antibiotics for 12 weeks

  • 21. 
    A nurse is  assisting in preparing a plan of care for the client being admitted to the hospital for insertion of a cervical radiation implant. Which safe activity should the nurse suggest for this client following insertion of the implant?
    • A. 

      Maintain bed rest only

    • B. 

      Out of bed in a chair only

    • C. 

      Elevate the head of the bed at least 45 degrees

    • D. 

      Maintain the client on the side-lying position

  • 22. 
     A nurse is caring for a client with breast cancer who is receiving chemo. On reviewing the morning lab results, the nurse notes that the WBC count is extremely low, and the client is placed on neutropenic precautions. The client's breakfast tray arrives , and the nurse inspects the tray and prepares to bring it to the clients room. Which of the following actions should the nurse take before bringing the meal to the client?
    • A. 

      Remove the coffee from the tray

    • B. 

      Remove the fresh peach from the tray

    • C. 

      Ask the client if she feels like eating at this time

    • D. 

      Call the dietary department and request disposable utensils

  • 23. 
    A nurse has reinforced discharge instructions to a client following a TURP for BPH. Which statement by the client indicates an understanding of instructions?
    • A. 

      I can begin to drive in 1 week

    • B. 

      I cannot lift anything that weighs more than 20lbs

    • C. 

      If I see clots in my urine, I should call the physician immediately

    • D. 

      To prevent dribbling of urine, i should limit my fluid intake to 4 glasses daily

  • 24. 
     A nurse is providing instructions to a client after a mastectomy who will be discharged with the axillary drain in place. Which statement by the client indicates a need for further instruction?
    • A. 

      I should keep my arm elevated when I sit or lie down

    • B. 

      I can massage the area with lotion once the incision heals

    • C. 

      I will continue to do BSE monthly and have mammograms as recommended by the doctor

    • D. 

      I should begin full range-of-motion exercises to my upper arm as soon as I get home

  • 25. 
    A client with  prostatitis ask the nurse, Why do I need stool softners? The problem is my urine, not my bowels! The nurse should provide which explanation to the client?
    • A. 

      This is standard medication for anyone with adominal problems

    • B. 

      This will keep the bowel free of feces, which will help decrease swelling on the inside

    • C. 

      Being constipated puts you at more risk for developing complications of prostatitis

    • D. 

      This will help prevent constipation, because straining is painful with prostatitis

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