WorksheetsMDC3 test 1
Total questions: 13
Worksheet time: 13mins
A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
Hypocalcemia
BMI less than 25
Family history
Diuretic use
A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following medications should the nurse plan to administer?
Danazol
Finasteride
Fluoxymesterone
Methyltestosterone
A nurse in the emergency department is caring for a client who took 3 nitroglycerin tablets sublingually for chest pain. The client reports relief from the chest pain but now he is experiencing a headache. Which of the following statements should the nurse make?
"A headache is an indication of an allergy to the medication."
"A headache is an expected adverse effect of the medication."
"A headache indicates tolerance to the medication."
"A headache is likely due to the anxiety about the chest pain."
A nurse is teaching a client who has a new prescription for transdermal nitroglycerin to treat angina pectoris. Which of the following instructions should the nurse include in the teaching?
Apply a new transdermal patch once a week.
Apply the transdermal patch in the morning.
Apply the transdermal patch in the same location as the previous patch.
Apply a new transdermal patch when chest pain is experienced.
A nurse is reviewing the medication record for a client who has chronic kidney disease. Which of the following medications should the nurse identify as having the potential to cause nephrotoxicity?
Omeprazole
Vancomycin
Ondansetron
Diphenhydramine
A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
Add the amount of bladder irrigation to the total output.
Use sterile technique when preparing the irrigation solution.
Ensure the drainage tubing is patent and without obstruction.
Contact the surgeon if the client reports a continual need to void.
Notify the surgeon if the urine is bright red in appearance or has large clots.
A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?
Perform catheterization when you recognize the urge to void.
Hold the penis at a 30° to 45° angle when inserting the catheter.
Inflate the balloon when the urine flow stops.
Use soap and water to wash the catheter after each use.
A nurse is caring for a client who is 5 hr postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained in the past hour. Which of the following actions should the nurse take first?
Notify the provider
Check the tubing for kinks
Adjust the rate of the bladder irrigant
Irrigate the catheter
A nurse is teaching a client who has a urinary tract infection (UTI) and is taking ciprofloxacin. Which of the following instructions should the nurse give to the client?
"If the medicine causes an upset stomach, take an antacid at the same time."
"Limit your daily fluid intake while taking this medication."
"This medication can cause photophobia, so be sure to wear sunglasses outdoors."
"You should report any tendon discomfort you experience while taking this medication."
A nurse is reviewing a client's laboratory values and discovers the client has a serum potassium of 6.2 mEq/L. Which of the following interventions should the nurse anticipate?
Initiate IV potassium infusion
Encourage the client to eat bananas
Administer sodium polystyrene sulfonate
Administer a potassium sparring diuretic
A nurse is caring for a client who is 4 days postoperative following a right radical mastectomy. Which of the following activities should the nurse anticipate being the most difficult for this client to perform with her right hand?
Buttoning her blouse
Eating her breakfast
Combing her hair
Brushing her teeth
A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?
Replace the catheter every 3 days.
Check the catheter tubing for kinks or twisting.
Irrigate the catheter once each shift.
Clean the perineal area with an antiseptic solution daily.
A nurse is caring for a client who is 2 hr postoperative following a transurethral resection of the prostate (TURP) gland. Which of the following assessments should the nurse view to be an indication of a postoperative complication?
Output of burgundy colored urine
Pulse rate of 88/min
Oral temperature of 38.2° C (100.76° F)
An urge to void despite having an indwelling urinary catheter
