Mary Roth
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Test sobre N195 Test 4, creado por Mary Roth el 24/10/2017.

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Mary Roth
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N195 Test 4

Pregunta 1 de 68

1

A client has a routine sigmoidoscopy with a tissue biopsy. What complication is the nurse looking for in a postprocedure assessment?

Selecciona una de las siguientes respuestas posibles:

  • Excessive diarrhea

  • Heavy bleeding

  • Nausea and vomiting

  • Severe rectal pain

Explicación

Pregunta 2 de 68

1

A client is scheduled for a colonoscopy. What does the nurse tell the client to do before the procedure is performed?

Selecciona una de las siguientes respuestas posibles:

  • "Begin a clear liquid diet 12 to 24 hours before the test."

  • "Do not eat or drink anything for 12 hours before the test."

  • "Give yourself tap water enemas until the fluid returns are clear."

  • "You will have to drink a contrast liquid 2 hours before the test."

Explicación

Pregunta 3 de 68

1

A client with newly diagnosed irritable bowel syndrome (IBS) reports having five to six loose stools daily. What is the common psychological client response to this gastrointestinal health problem?

Selecciona una de las siguientes respuestas posibles:

  • Acceptance

  • Embarassment

  • Euphoria

  • Grief

Explicación

Pregunta 4 de 68

1

Which substance, produced in the stomach, facilitates the absorption of vitamin B12?

Selecciona una de las siguientes respuestas posibles:

  • Glucagon

  • Hydrochloric acid

  • Intrinsic factor

  • Pepsinogen

Explicación

Pregunta 5 de 68

1

What is a common gastrointestinal problem that older adults experience more frequently as they age?

Selecciona una de las siguientes respuestas posibles:

  • Decreased hydrochloric acid

  • Excess lipase production

  • Increased liver enzymes

  • Increased peristalsis

Explicación

Pregunta 6 de 68

1

A client is admitted to the hospital with severe right upper quadrant (RUQ) pain. Which assessment technique does the nurse use for this client?

Selecciona una de las siguientes respuestas posibles:

  • Assesses the abdomen in the following sequence: inspection, palpation, percussion, auscultation

  • Examines the RUQ of the abdomen last

  • Has the client lie in a supine position with legs straight and arms at the sides

  • Views the abdomen by looking directly down while standing over the client's abdominal area

Explicación

Pregunta 7 de 68

1

A client is admitted to the hospital with elevated serum amylase and lipase levels and a decreased calcium level. Which gastrointestinal health problem is indicated by these laboratory findings?

Selecciona una de las siguientes respuestas posibles:

  • Acute pancreatitis

  • Cirrhosis

  • Chrohn's disease

  • Diarrhea

Explicación

Pregunta 8 de 68

1

The nurse is assessing a client who had abdominal surgery yesterday. What method provides the most accurate data about resumption of peristalsis in the client?

Selecciona una de las siguientes respuestas posibles:

  • Asking the client whether he or she has passes flatus (gas)

  • Auscultating bowel sounds in all abdominal quadrants

  • Counting the number of bowel sounds in each abdominal quadrant

  • Observing the abdomen for symmetry and distention

Explicación

Pregunta 9 de 68

1

The nurse is educating a group of older adults about screening for colorectal cancer. Which statement by a group member indicates the need for further clarification about these guidelines?

Selecciona una de las siguientes respuestas posibles:

  • "A barium enema every 5 years is a screening option."

  • "I will need to have a routine colonoscopy every 5 years."

  • "My routine flexible sigmoidoscopy every 5 years is OK."

  • "The 'virtual' colonoscopy every 5 years is acceptable."

Explicación

Pregunta 10 de 68

1

The outpatient clinic nurse is caring for a recovering client who had a colonoscopy. The client asks for a drink. How does the nurse respond to this request?

Selecciona una de las siguientes respuestas posibles:

  • "After I hear bowel sounds, you can have a drink."

  • "Twenty minutes after the procedure was completed, you may have some liquids."

  • "When you are able to pass flatus (gas), you can have a drink."

  • "You can have fluids hen you get home and are settled."

Explicación

Pregunta 11 de 68

1

The nurse is assessing a client who comes to the emergency department with acute abdominal pain. The nurse notes a bulging, pulsating mass when inspecting the abdomen. Which action by the nurse is correct?

Selecciona una de las siguientes respuestas posibles:

  • Auscultate the abdomen to determine the presence of bowel sounds.

  • Notify the provider about this finding immediately.

  • Palpate the client's abdomen to determine the outlines of the mass.

  • Question the client about recent stool habits.

Explicación

Pregunta 12 de 68

1

The nurse is assessing a client who has come to the emergency department with acute abdominal pain. The client is very thin and the nurse observes visible peristaltic movements when inspecting the abdomen. What does the nurse suspect?

Selecciona una de las siguientes respuestas posibles:

  • Acute diarrhea

  • Aortic aneurysm

  • Intestinal obstruction

  • Pancreatitis

Explicación

Pregunta 13 de 68

1

Which client does the charge nurse on the adult medical unit assign to an RN who has floated from the outpatient gastrointestinal (GI) unit?

Selecciona una de las siguientes respuestas posibles:

  • A 38-year-old who needs discharge after having an ERCP

  • A 40-year-old who needs laxatives administered and effectiveness monitored before a colonoscopy

  • A 43-year-old recently admitted with nausea, abdominal pain, and abdominal distention

  • A 50-year-old with epigastric pain who needs conscious sedation during a scheduled endoscopy procedure

Explicación

Pregunta 14 de 68

1

Which client does the charge nurse assign to an experienced LPN/LVN working on the adult medical unit?

Selecciona una de las siguientes respuestas posibles:

  • A 32-year-old who needs a nasogastric tube inserted for gastric acid analysis

  • A 36-year-old who needs teaching about an ERCP

  • A 40-year-old who will need administration of IV midazolam hydrochloride (Versed) during an upper endoscopy

  • A 46-year-old who was recently admitted with abdominal cramping and diarrhea of unknown causes

Explicación

Pregunta 15 de 68

1

While working in the outpatient procedure unit, the RN is assigned to these clients. Which client does the nurse assess first?

Selecciona una de las siguientes respuestas posibles:

  • A 51-year-old who recently had an ERCP

  • A 54-year-old who is ready for discharge following a colonoscopy

  • A 58-year-old who has just arrived for basal gastric secretion and gastric acid stimulation testing

  • A 60-year-old with questions about an endoscopic ultrasound examination

Explicación

Pregunta 16 de 68

1

After a colonoscopy, a client reports severe abdominal pain. The nurse obtains these data: temperature 100.2 F, pulse 122 beats/min, blood pressure 100/45 mm Hg, respirations 44 breaths/min and O2 saturation 89%. Which request from the health care provider does the nurse implement first?

Selecciona una de las siguientes respuestas posibles:

  • Give cefazolin (Ancef) 500 mg IV

  • Infuse normal saline at 200 mL/hr

  • Give morphine sulfate 2 mg IV

  • Provide oxygen at 6 L/min per nasal cannula

Explicación

Pregunta 17 de 68

1

A client arrives at the emergency department with acute abdominal pain in the lower left quadrant. In which order does the nurse examine and assess the client's left lower quadrant (LLQ), left upper quadrant (LUQ), right lower quadrant (RLQ), and right upper quadrant (RUQ)?

Selecciona una de las siguientes respuestas posibles:

  • LLQ, RLQ, LUQ, RUQ

  • LUQ, LLQ, RUQ, RLQ

  • RLQ, LLQ, RUQ, LUQ

  • RUQ, LUQ, RLQ, LLQ

Explicación

Pregunta 18 de 68

1

The nurse practitioner is performing an abdominal assessment on a newly admitted client. In which order should the nurse proceed with assessment technique?

Selecciona una de las siguientes respuestas posibles:

  • Auscultation, percussion, palpation, inspection

  • Inspection, auscultation, percussion, palpation

  • Palpation, percussion, inspection, auscultation

  • Percussion, auscultation, palpitation, inspection

Explicación

Pregunta 19 de 68

1

Which factors place a client at risk for gastrointestinal (GI) problems? Select all that apply.

Selecciona una o más de las siguientes respuestas posibles:

  • Eating a high-fiber diet

  • Smoking a half-pack of cigarettes per day

  • Socioeconomic status

  • Some herbal preparations

  • Use of NSAIDs

Explicación

Pregunta 20 de 68

1

Which food does the nurse instruct a client undergoing chemotherapy for oral cancer with secondary stomatitis to avoid?

Selecciona una de las siguientes respuestas posibles:

  • Broiled fish

  • Ice cream

  • Salted pretzels

  • Scrambled eggs

Explicación

Pregunta 21 de 68

1

The nurse is providing instructions to a client who has a history of stomatitis. Which instructions does the nurse include in the client's teaching plan?

Selecciona una de las siguientes respuestas posibles:

  • Encourage the client to eat acidic foods to decrease bacteria

  • Mouth care should be performed twice daily

  • Rinse the mouth with warm saline or sodium bicarbonate

  • Use a medium-bristled toothbrush for oral care

Explicación

Pregunta 22 de 68

1

When caring for a client with oral cancer who has developed stomatitis as a complication of radiation and chemotherapy, which action does the nurse delegate to the home health aide?

Selecciona una de las siguientes respuestas posibles:

  • Provide oral care using disposable foam swabs

  • Inspect the oral mucosa for evidence of oral candidiasis

  • Instruct the client on how to use nystatin oral rinses

  • Assist the client in making appropriate dietary choices

Explicación

Pregunta 23 de 68

1

The nurse is working with the dietitian to plan a menu for a client who has persistent difficulty swallowing. What is a suitable breakfast selection for this client?

Selecciona una de las siguientes respuestas posibles:

  • Scrambled eggs and toast

  • Oatmeal and orange juice

  • Pureed fruit and english muffin

  • Cream of wheat and applesauce

Explicación

Pregunta 24 de 68

1

A client in the outpatient clinic tells the nurse about experiencing heartburn and nighttime coughing episodes. Which action does the nurse take first?

Selecciona una de las siguientes respuestas posibles:

  • Teach the client about antacid effects and side effects

  • Ask the client about medications and dietary intake

  • Suggest that the client sleep with the head elevated 6 inches

  • Tell the client to avoid drinking alcohol late in the evening

Explicación

Pregunta 25 de 68

1

A client has been diagnosed with mild GERD and asks the nurse about nonpharmacologic treatments to prevent symptoms. What does the nurse tell this client?

Selecciona una de las siguientes respuestas posibles:

  • "Avoid caffeine-containing foods and beverages."

  • "Eat three meals each day and avoid snacking between meals."

  • "Peppermint lozenges help to reduce stomach upset."

  • "Sleep on your left side with a pillow between your knees."

Explicación

Pregunta 26 de 68

1

The nurse is assessing a client with GERD. Which findings does the nurse expect to observe?

Selecciona una o más de las siguientes respuestas posibles:

  • Blood-tinged sputum

  • Dyspepsia

  • Excessive salivation

  • Flatulence

  • Regurgitation

Explicación

Pregunta 27 de 68

1

A client has a long-term history of Crohn's disease and has recently developed acute gastritis. The clients asks the nurse whether Crohn's disease was a direct cause of the gastritis. What is the nurse's best response?

Selecciona una de las siguientes respuestas posibles:

  • "Yes, Crohn's disease is known to be a direct cause of the development of chronic gastritis."

  • "We know what there can be an association between Crohn's disease and chronic gastritis, but Crohn's does not directly cause acute gastritis to develop."

  • "What has your doctor told you about how your gastritis developed?"

  • "Yes, a familial tendency to inherit Crohn's disease and gastritis has been reported. Have your other family members been tested for Crohn's disease?"

Explicación

Pregunta 28 de 68

1

The nurse is teaching a client how to prevent recurrent chronic gastritis symptoms before discharge. Which statement by the client demonstrates a correct understanding of the nurse's instruction?

Selecciona una de las siguientes respuestas posibles:

  • "It is ok to continue to drink coffee in the morning when I get to work."

  • "I will need to take vitamin B12 shots for the rest of my life."

  • "I should avoid alcohol and tobacco."

  • "I should eat small meals about six times a day."

Explicación

Pregunta 29 de 68

1

The home health nurse is teaching a client about the care of a new colostomy. Which client statement demonstrates a correct understanding of the instructions?

Selecciona una de las siguientes respuestas posibles:

  • "A dark or purplish-looking stoma is normal and should not concern me."

  • "If the skin around the stoma is red or scratched, it will heal soon."

  • "I need to check for leakage underneath my colostomy."

  • "I should strive for a very tight fit when applying the barrier around the stoma."

Explicación

Pregunta 30 de 68

1

A client is being evaluated in the emergency department for a possible small bowel obstruction. Which signs and/or symptoms does the nurse expect to assess?

Selecciona una de las siguientes respuestas posibles:

  • Cramping intermittently, metabolic acidosis, and minimal vomiting

  • Intermittent lower abdominal cramping, obstipation, and metabolic alkalosis

  • Metabolic acidosis, upper abdominal distention, and intermittent cramping

  • Upper abdominal distention, metabolic alkalosis, and great amount of vomiting

Explicación

Pregunta 31 de 68

1

What does the nurse advise a client diagnosed with irritable bowel syndrome (IBS) to take during periods of constipation?

Selecciona una de las siguientes respuestas posibles:

  • Bulk-forming laxatives

  • Saline laxatives

  • Stimulant laxatives

  • Stool-softening agents

Explicación

Pregunta 32 de 68

1

A client diagnosed with irritable bowel syndrome (IBS) is discharged home with a variety of medications for IBS symptoms. Upon returning to the clinic, the client states, "Most of my symptoms have improved, except for the diarrhea." What does the nurse anticipate will be prescribed for this client?

Selecciona una de las siguientes respuestas posibles:

  • Antidiarrheal agent

  • Muscarinic receptor antagonist

  • Serotonin antagonist

  • Tricyclic antidepressant

Explicación

Pregunta 33 de 68

1

A client is diagnosed with irritable bowel syndrome (IBS). What factors does the nurse suspect as possible causes of the client's problem?

Selecciona una o más de las siguientes respuestas posibles:

  • Antihistamines

  • Caffeinated drinks

  • Stress

  • Sleeping pills

  • Anxiety

Explicación

Pregunta 34 de 68

1

A client who had surgery for inflammatory bowel disease is being discharged. The case manager will arrange for home health care follow-up. The client tells the nurse that family members will also be helping with care. What information is critically important for the nurse to provide to these collaborating members?

Selecciona una de las siguientes respuestas posibles:

  • A list of medical supply facilities where wound care supplies may be purchased

  • Proper handwashing techniques to avoid cross-contamination of the client's wound

  • The amount of pain medication that the client is allowed to take in each dose

  • Written and oral instructions regarding symptoms to report to the health care provider

Explicación

Pregunta 35 de 68

1

A client is scheduled for discharge after surgery for inflammatory bowel disease. The client's spouse will be assisting home health services with the client's care. What is most important for the home health nurse to assess in the client and the spouse with regard to the client's home care?

Selecciona una de las siguientes respuestas posibles:

  • Ability of the client and spouse to perform incision care and dressing changes

  • Effective coping mechanisms for the client and spouse after the surgical experience

  • Knowledge about the client's requested pain medications

  • Understanding of the importance of keeping scheduled follow-up appointments

Explicación

Pregunta 36 de 68

1

A client with a history of osteoarthritis has a 10-inch incision following a colon resection. The incision has become infected, and the wound requires extensive irrigation and packing. What aspect of the client's care does the nurse make certain to discuss with the health care provider before the client's discharge?

Selecciona una de las siguientes respuestas posibles:

  • Having a home health consultation for wound care

  • Requesting an antianxiety medication

  • Requesting pain medication for the client's osteoarthritis

  • Placing the client in a skilled nursing facility for rehabilitation

Explicación

Pregunta 37 de 68

1

A client has vague symptoms that indicate an acute inflammatory bowel disorder. Which symptom is most indicative of Crohn's disease (CD)?

Selecciona una de las siguientes respuestas posibles:

  • Abdominal pain relieved by bending the knees

  • Chronic diarrhea, abdominal pain, and fever

  • Epigastric cramping

  • Hypotension with vomiting

Explicación

Pregunta 38 de 68

1

A client demonstrates the manifestations of diverticulitis with a suspected complication of peritonitis. What is the priority nursing intervention?

Selecciona una de las siguientes respuestas posibles:

  • Assessing the client for changes in vital signs

  • Medicating the client for pain

  • Monitoring for changes in the client's mentation

  • Preparing the client for emergency surgery

Explicación

Pregunta 39 de 68

1

A client has developed gastroenteritis while traveling outside the country. What is the likely cause of the client's symptoms?

Selecciona una de las siguientes respuestas posibles:

  • Bacteria on the client's hands

  • Ingestion of parasites in the water

  • Insufficient vaccinations

  • Overcooked food

Explicación

Pregunta 40 de 68

1

What is a correct statement differentiating Crohn's disease (CD) from ulcerative colitis (UC)?

Selecciona una de las siguientes respuestas posibles:

  • Clients with CD experience about 20 loose, bloody stools daily

  • Clients with US may experience hemorrhage

  • The peak incidence of UC is between 15 and 40 years of age

  • Very few complications are associated with CD

Explicación

Pregunta 41 de 68

1

A nurse is teaching a client with Crohn's disease about managing the disease with the drug adalimumab (Humira). Which instruction does the nurse emphasize to the client?

Selecciona una de las siguientes respuestas posibles:

  • "Avoid large crowds and anyone who is sick."

  • "Do not take the medication if you are allergic to foods with fatty acids."

  • "Expect difficulty with wound healing while you are taking this drug."

  • "Monitor your blood pressure and report any significant decrease in it."

Explicación

Pregunta 42 de 68

1

A nurse is teaching a client about dietary methods to help manage exacerbations ("flare-ups") of diverticulitis. What does the nurse advice the client?

Selecciona una de las siguientes respuestas posibles:

  • "Be sure to maintain an exclusively low-fiber diet to prevent pain on defecation."

  • "Consume a low-fiber diet while your diverticulitis is active. When inflammation resolves, consume a high-fiber diet."

  • "Maintain a high-fiber diet to prevent the development of hemorrhoids that frequently accompany this condition."

  • "Make sure you consume a high-fiber diet wile diverticulitis is active. When inflammation resolves, consume a low-fiber diet."

Explicación

Pregunta 43 de 68

1

A client who developed viral gastroenteritis with vomiting and diarrhea is scheduled to be seen in the clinic the following day. What will the nurse teach the client to do in the meantime?

Selecciona una de las siguientes respuestas posibles:

  • "Avoid all solid foods to allow complete bowel rest."

  • "Consume extra fluids to replace fluid losses."

  • "Take an over-the-counter antidiarrheal medication."

  • "Contact your provider for an antibiotic medication."

Explicación

Pregunta 44 de 68

1

A client has been newly diagnosed with ulcerative colitis (UC). What does the nurse teach the client about diet and lifestyle choices?

Selecciona una de las siguientes respuestas posibles:

  • "Drinking carbonated beverages will help with your abdominal distress."

  • "It's OK to smoke cigarettes, but you should limit them to 1/2 pack per day."

  • "Lactose-containing foods should be reduced or eliminated from your diet."

  • "Raw vegetables and high-fiber foods may help to diminish your symptoms."

Explicación

Pregunta 45 de 68

1

The nurse is instructing a client with recently diagnosed diverticular disease about diet. What food does the nurse suggest the client include?

Selecciona una de las siguientes respuestas posibles:

  • A slice of 5-grain bread

  • Chuck steak patty

  • Strawberries

  • Tomato

Explicación

Pregunta 46 de 68

1

An obese client is discharged 10 days after being hospitalized for peritonitis, which resulted in an exploratory laparotomy. Which assessment finding by the client's home health nurse requires immediate action?

Selecciona una de las siguientes respuestas posibles:

  • Pain when coughing

  • States, "I am too tired to walk very much."

  • States, "I feel like the incision is splitting open"

  • Temperature of 100.8ª F (38.2ª C)

Explicación

Pregunta 47 de 68

1

A client newly diagnosed with ulcerative colitis (UC) is started on sulfasalazine (Azulfidine). What does the nurse tell the client about why this therapy has been prescribed?

Selecciona una de las siguientes respuestas posibles:

  • "It is to stop the diarrhea and blood stools."

  • "This will minimize your GI discomfort."

  • "With this medication, your cramping will be relieved."

  • "Your intestinal inflammation will be reduced."

Explicación

Pregunta 48 de 68

1

A client with ulcerative colitis is prescribed sulfasalazine (Azulfidine) and corticosteroid therapy. As the disease improves, what change does the nurse expect in the client's medication regimen?

Selecciona una de las siguientes respuestas posibles:

  • Corticosteroid therapy will be stopped

  • Sulfasalazine (Azulfidine) will be stopped

  • Corticosteroid therapy will be tapered

  • Sulfasalazine (Azulfidine) will be tapered

Explicación

Pregunta 49 de 68

1

A client diagnosed with ulcerative colitis is to be discharged on loperamide (Imodium) for symptomatic management of diarrhea. What does the nurse include in the teaching about this medication?

Selecciona una de las siguientes respuestas posibles:

  • "Be aware of the symptoms of toxic megacolon that we discussed."

  • "If diarrhea increases, you should let your health care provider know."

  • "Pregnancy should be avoided."

  • "You will need to decrease your dose of sulfasalazine (Azulfidine)."

Explicación

Pregunta 50 de 68

1

A client is admitted with severe viral gastroenteritis caused by norovirus. The client asks the nurse, "How did I get this disease?" Which answer by the nurse is correct?

Selecciona una de las siguientes respuestas posibles:

  • "You may have contracted it from an infected infant."

  • "You may have consumed contaminated food or water."

  • "You may have come into contact with an infected animal."

  • "You may have had contact with the blood of an infected person."

Explicación

Pregunta 51 de 68

1

A client admitted with severe gastroenteritis has been started on an IV, but the client continues having excessive diarrhea. Which medication does the nurse ask the health care provider about prescribing?

Selecciona una de las siguientes respuestas posibles:

  • Balsalazide (Colazal)

  • Loperamide (Imodium)

  • Mesalamine (Asacol)

  • Milk of Magnesia (MOM)

Explicación

Pregunta 52 de 68

1

A humidified atmosphere is recommended for a young child with an upper respiratory tract infection because this environment facilitates:

Selecciona una de las siguientes respuestas posibles:

  • liquefying secretions

  • improving oxygenation

  • promoting ventilation

  • soothing inflamed mucous membrane

Explicación

Pregunta 53 de 68

1

A child with acute streptococcal pharyngitis should be treated with antibiotics to prevent:

Selecciona una de las siguientes respuestas posibles:

  • otitis media

  • diabetes insipidus

  • nephrotic syndrome

  • acute rheumatic fever

Explicación

Pregunta 54 de 68

1

The mother of a 20-month-old child tells the nurse that the child has a barking cough at night. The child's temperature is 37º C (98.6º F). Based on the nurse's knowledge of upper respiratory infections, this is a symptom of croup. The nurse should recommend to:

Selecciona una de las siguientes respuestas posibles:

  • control the fever with acetaminophen and call if the cough gets worse tonight

  • try a cool-mist vaporizer at night and watch for signs of difficulty breathing

  • try over-the-counter cough medicine and come to the clinic tomorrow if there is no improvement

  • admit to the hospital and observe for impending epiglottitis

Explicación

Pregunta 55 de 68

1

Which nursing intervention or practice is most effective in helping to prevent UTI in hospitalized clients?

Selecciona una de las siguientes respuestas posibles:

  • Encouraging them to drink fluids

  • Irrigating all catheters daily with sterile salines

  • Recommending that catheters be placed in all clients

  • Periodically re-evaluating the need for indwelling catheters

Explicación

Pregunta 56 de 68

1

A 26-year-old client with multiple sexual partners is being assessed for symptoms of dysuria and vaginal discharge. Because the results from the culture of the cervical cells are not available, the client will be treated for both Chlamydia and gonorrhea. Which explanation by the nurse is best?

Selecciona una de las siguientes respuestas posibles:

  • "This early treatment will prevent obstruction to the fallopian tubes."

  • "Only azithromycin (Zithromax) is prescribed for both sexually transmitted diseases."

  • "The treatment will prevent aortic valve disease and aneurysms."

  • "Oral antibiotic treatment will prevent frequent occurrences of meningitis."

Explicación

Pregunta 57 de 68

1

A 23-year-old female has been diagnosed with genital warts. Which action by the nurse is best?

Selecciona una de las siguientes respuestas posibles:

  • Encourage the client to have an annual Papanicolaou (Pap) test

  • Recommend an over-the-counter wart treatment for genital tissue

  • Report the case to the Centers for Disease Control and Prevention (CDC)

  • Discuss popular options for contraception

Explicación

Pregunta 58 de 68

1

A female client returned to the clinic with a yellow vaginal discharge after being treated for Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse that there may be a recurrence of the infection?

Selecciona una de las siguientes respuestas posibles:

  • "I did practice abstinence while taking the medication."

  • "I took doxycycline two times a day for a week."

  • "I never told my boyfriend about the infection."

  • "I did drink wine when taking the medication for Chlamydia."

Explicación

Pregunta 59 de 68

1

A client with pelvic inflammatory disease is seen by the nurse 72 hours after starting oral antibiotics. Which finding leads the nurse to take immediate action?

Selecciona una de las siguientes respuestas posibles:

  • Feelings of anger that her partner infected her

  • Loose stools over the last 2 days

  • Anorexia and nausea

  • Chills and a temperature of 101ºF

Explicación

Pregunta 60 de 68

1

A nurse wants to reduce the risk potential for transmission of chlamydia and gonorrhea with a female client diagnosed with both diseases. Which items should be included in the client's teaching plan? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Expedited partner therapy

  • Abstinence until therapy is completed

  • Use of internal uterine devices

  • Proper use of condoms

  • Re-screening for infection

  • Use of oral contraception

Explicación

Pregunta 61 de 68

1

A client being treated for syphilis visits the office with a possible allergic reaction to benzathine penicillin G. Which abnormal findings would the nurse expect to document? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Red rash

  • Shortness of breath

  • Heart irregularity

  • Chest tightness

  • Anxiety

Explicación

Pregunta 62 de 68

1

Which risk factors would the nurse teach a 23-year-old client about to prevent pelvic inflammatory disease (PID)? (Select all that apply.)

Selecciona una o más de las siguientes respuestas posibles:

  • Having multiple sexual partners

  • Using in intrauterine device (IUD)

  • Smoking

  • Drinking two alcoholic beverages per day

  • Having a history of sexually transmitted diseases (STDs)

Explicación

Pregunta 63 de 68

1

The nurse is teaching a client who is taking an oral antibiotic for treatment of an STD. Which statements by the client indicate a correct understanding of the treatment? Select all that apply.

Selecciona una o más de las siguientes respuestas posibles:

  • "I need to drink at least 8 glasses of fluid each day with my antibiotic."

  • "I should read the instructions to see if I can take the medication with food."

  • "Antacids should not interfere with the effectiveness of the antibiotic."

  • "I need to wait 7 days after the last dose of the antibiotic to engage in intercourse."

  • "It should not matter if I skip a couple of doses of the antibiotic."

Explicación

Pregunta 64 de 68

1

A confused client with pneumonia is admitted with an indwelling catheter in place. During interdisciplinary rounds the following day, which question should the nurse ask the primary health care provider?

Selecciona una de las siguientes respuestas posibles:

  • "Do you want daily weights on this client?"

  • "Will the client be able to return home?"

  • "Can we discontinue the indwelling catheter?"

  • "Should we get another chest x-ray today?"

Explicación

Pregunta 65 de 68

1

A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?

Selecciona una de las siguientes respuestas posibles:

  • Obtain urine sample for culture and sensitivity

  • Administer intravenous antibiotics

  • Encourage protein intake and additional fluids

  • Consult physical therapy for gait training

Explicación

Pregunta 66 de 68

1

A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a UTI. Which statement should the nurse include in this client's teaching?

Selecciona una de las siguientes respuestas posibles:

  • "Use a second form of birth control while on this medication."

  • "You will experience increased menstrual bleeding while on this drug."

  • "You may experience an irregular heartbeat while on this drug."

  • "Watch for blood in your urine while taking this medication."

Explicación

Pregunta 67 de 68

1

A nurse provides phone triage to a pregnant client. The client states, "I am experiencing a burning pain when I urinate." How should the nurse respond?

Selecciona una de las siguientes respuestas posibles:

  • "This means labor will start soon. Prepare to go to the hospital."

  • "You probably have a urinary tract infection. Drink more cranberry juice."

  • "Make an appointment with your provider to have your infection treated."

  • "Your pelvic wall is weakening. Pelvic muscle exercises should help."

Explicación

Pregunta 68 de 68

1

A nurse assess a client with a fungal urinary tract infection. Which assessments should the nurse complete? Select all that apply.

Selecciona una o más de las siguientes respuestas posibles:

  • Palpate the kidneys and bladder

  • Assess the medical history and current medical problems

  • Perform a bladder scan to assess post-void residual

  • Inquire about recent travel to foreign countries

  • Obtain a current list of medications

Explicación

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