Elsevier: Exam 3 – Flashcards

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question
What nutrients should the nurse instruct a pregnant patient to increase in the diet to ensure proper fetal growth? Select all that apply.
answer
Zinc, Iron, Folate
question
What nutritional deficiency contributes to osteoporosis in older adult patients?
answer
Vitamin D deficiency
question
While reviewing the diagnostic reports of a patient, the nurse finds the patient's serum cholesterol level is 250 mg/dL. What risk is associated with this cholesterol level?
answer
Myocardial infarction
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The nurse is teaching the mother of a 1-year-old about proper nutritional care of the child. Which statement made by the mother indicates the need for further teaching?
answer
"I give low-fat milk to my baby."
question
While assessing a female patient, the nurse determines that the patient is at high risk for diabetes mellitus and metabolic syndrome. Which finding in the patient supports the nurse's conclusion?
answer
Waist circumference of 42 inches
question
While reviewing the patient's medical record, the nurse notices that the blood pressure is consistently above 139/110 mm Hg, fasting blood glucose levels average 150 mg/dL, and serum triglyceride levels are 260 mg/dL. What should the nurse infer from these findings?
answer
The patient has metabolic syndrome.
question
What should the nurse instruct an obese patient to do before measuring the triceps skin fold (TSF) thickness?
answer
"Stand with arms hanging freely."
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While assessing a 22-year-old patient, the nurse determines that the patient's height is 1.71 m and the weight is 68 kg. What should the nurse interpret from these findings?
answer
The patient is of normal weight.
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While assessing a patient, the nurse observes that the patient's nails are brittle and spoon shaped. Which nursing intervention is the most helpful for the patient?
answer
Instruct the patient to eat foods high in iron.
question
What is the most common nutritional concern in the United States?
answer
Overnutrition
question
Which value indicates a normal fasting level of serum triglycerides in an adult patient?
answer
150 mg/dL
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When reviewing the laboratory data of a patient, the nurse finds that the patient has a low-density lipoprotein (LDL) level of 245 mg/dL. Which disease is this patient at risk for?
answer
Coronary artery disease
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The nurse is caring for a patient who says, "Please don't include shellfish in my diet because of my religion." What can the nurse infer from this patient's statement?
answer
The patient is a Seventh-day Adventist.
question
Which tool collects dietary information without providing any information on the quantity of food consumed?
answer
Food frequency questionnaire
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Which value of high-density lipoprotein (HDL) in a male patient is normal?
answer
40 mg/dL
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Which laboratory result would the nurse use to evaluate the effectiveness of nursing interventions for a patient with protein calorie malnutrition?
answer
Increased serum albumin levels
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The nurse instructs a patient with conjunctival xerosis to increase intake of carrots and green leafy vegetables that are rich in vitamin A. Which complication is the nurse trying to prevent in the patient?
answer
Keratomalacia
question
The nurse is caring for a patient who has been receiving intravenous fluids containing dextrose for an extended period of time. The nurse notices reduced serum albumin and transferrin levels in the patient's laboratory reports. Which complication does the nurse expect to find in the patient?
answer
Kwashiorkor
question
Which vitamin deficiency may cause xerophthalmia?
answer
Vitamin A
question
Which nutrient deficiency may cause red conjunctivae in the patient?
answer
Riboflavin
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Which complication would the nurse find in a patient with niacin deficiency?
answer
Pellagra
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During a nutritional assessment, the nurse finds that the serum albumin count of a patient is 3 g/dL. Which disease can the nurse anticipate in the patient?
answer
Kwashiorkor
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Which parameters does the nurse assess when using dual-energy x-ray absorptiometry (DEXA)? Select all that apply.
answer
Body mass Bone density
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The nurse assesses a 60-year-old patient and notices a decrease in muscle mass and an increase in body fat. Which condition does the nurse observe in the patient?
answer
Sarcopenic obesity
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Which soft, lobulated gland is located behind the stomach?
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Pancreas
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While assessing a 4-year-old patient, the nurse observes the abdomen of the child has a scaphoid shape. What is the possible cause of the shape?
answer
Dehydration
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What precaution does the nurse take while auscultating the abdomen of a patient?
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Auscultate using the diaphragm endpiece
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While caring for a patient with a feeding tube, which assessment must the nurse use to confirm the feeding tube's position?
answer
Obtain a chest x-ray
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What finding does the nurse document after inspecting the abdomen of a patient with obesity?
answer
Uniformly rounded with sunken umbilicus
question
Which quadrant should the nurse assess in a pregnant patient for pain related to appendicitis?
answer
Right Lower Quadrant (RLQ)
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While assessing a patient with abdominal distention, the nurse observes that the shape of the abdomen is like a single round curve. On palpation, the nurse detects a muscle spasm of the abdominal wall. What is the likely cause of the abdominal distention?
answer
Air
question
Which organ is located in all four quadrants of the abdomen?
answer
Small Intestine
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The nurse observes rebound tenderness in the abdomen of a patient. What condition does this finding indicate?
answer
Appendicitis
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What assessment finding will the nurse document in a patient with an aortic aneurysm?
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Presence of bruit on auscultation
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While assessing a 35-year-old patient, the nurse hears a vascular sound between the xiphoid process and the umbilicus. What can the nurse presume from the sound?
answer
Bruits
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What does the nurse find on assessing the abdomen of a patient with ascites?
answer
Presence of an everted umbilicus
question
The nurse is assessing a patient for the presence of free fluids in the peritoneal cavity. Arrange the steps of the fluid wave test in the order in which the nurse would implement them.
answer
The nurse assesses the patient for ascites, or the presence of free fluids in the peritoneal cavity, by using the fluid wave test. First, the patient is assisted to a supine position. In this position, ascitic fluid settles by gravity into the flanks, displacing the air-filled bowel to the periumbilical region. The nurse stands at the patient's right and instructs the patient to place the ulnar edge of the hand firmly on the abdomen in the midline. The nurse places the left hand on the patient's right flank. The nurse then reaches out across the patient's abdomen to strike the left flank with the right hand. If ascites is present, the blow will generate a fluid wave through the abdomen. In a positive test, the nurse will feel a distinct tap on the left hand.
question
The nurse palpates a small, fatty nodule through the linea alba on the abdomen when the patient is standing. What term does the nurse use to document this finding?
answer
Epigastric hernia
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Which finding of an umbilical cord during a newborn's assessment is cause for concern?
answer
The umbilical cord has an artery and a vein.
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Which test does the nurse use to assess a patient with suspected appendicitis pain?
answer
Iliopsoas muscle test
question
Arrange the order in which the nurse should assess the abdomen of a patient.
answer
Inspection Auscultation Percussion Palpation
question
Which intervention is used to determine Murphy sign?
answer
Ask the patient to take a deep breath while holding the fingers under the liver border.
question
Which finding during the abdominal assessment of a newborn needs further investigation?
answer
Venous hum
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What should the nurse expect to find while assessing the abdomen of a patient with chronic emphysema?
answer
The liver appears to be displaced downward.
question
Which organs are located at the right upper quadrant (RUQ) in the abdomen? Select all that apply.
answer
Liver Gallbladder Duodenum
question
What are the changes in the gastrointestinal system due to aging? Select all that apply.
answer
Decreased liver size Decreased sense of taste Impaired drug metabolism
question
The internal organs of the abdomen are called viscera. Which organs constitute the solid viscera? Select all that apply.
answer
Liver Kidneys Ovaries
question
The nurse places the stethoscope over the xiphoid process while lightly stroking the skin with one finger up the midclavicular line from the right left quadrant (RLQ). Which test is the nurse performing in the patient?
answer
Doing a scratch test
question
While performing a head-to-toe assessment on a patient, the nurse instructs the patient to rest in a supine position. The nurse tells the patient, "Raise each leg and extend your knees." What is the nurse focusing on in this part of the assessment?
answer
The hips
question
Which condition involves the accumulation of sodium urate crystals in the joint space?
answer
Tophi with chronic gout
question
Which disease conditions are associated with hard, nontender Heberden and Bouchard nodules?
answer
Osteoarthritis
question
What does the nurse tell a patient with carpal tunnel syndrome when performing the Phalen test?
answer
"Hold your wrist in acute flexion for 60 seconds."
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Which characteristic feature indicates a positive Allis sign?
answer
Presence of one knee lower than the other
question
What does the nurse expect to observe in a patient with fibromyalgia?
answer
Spasms of the paraspinal muscles
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Which joint facilitates pronation and supination movements of the hand and the forearm?
answer
Radioulnar joint
question
The nurse is caring for a patient who has rheumatoid arthritis. While performing a musculoskeletal assessment, the nurse hears a crunching or grating sound that accompanies movement of the joints. Which term will the nurse use to describe this finding?
answer
Crepitation
question
A soccer player complains of locking and pain that is localized in the knee. On further interview, the nurse learns that the player has a history of knee trauma. On further assessment, the nurse suspects a torn meniscus. Which test helps the nurse in coming to this conclusion?
answer
McMurray test
question
The nurse asks a patient to move his or her arm away from the midline of the body. What is this angular motion called?
answer
Abduction
question
An obese patient reports continuous throbbing pain in the foot. On assessment, the nurse finds that the patient has swelling, redness, and tender pain around the metatarsal-phalangeal joint. On reviewing the laboratory reports, the nurse finds the patient also has increased uric acid levels in the blood and urate crystals in the joint fluids. What does the nurse infer from the findings?
answer
The patient has acute gout.
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What characteristic feature does the nurse observe in a child with "pigeon toes?"
answer
The child tends to walk on the lateral side of the foot.
question
Which condition does the nurse expect in a patient who is on prolonged bed rest?
answer
Adhesive capsulitis
question
While assessing a patient, the nurse firmly strokes the medial aspect of the knee two to three times and taps the lateral aspect of the knee. What does the nurse learn from this assessment technique?
answer
Checking for bulge sign
question
Which findings does the nurse expect in a patient who has tophi with chronic gout?
answer
Presence of swollen finger joints with white chalky discharge
question
A parent explains, "My daughter doesn't stand properly because of a difference in the height of her shoulders." The nurse suspects structural scoliosis. Which finding supports the nurse's suspicion?
answer
Humping of the ribs on one side while bending
question
The nurse is caring for an infant who has limited arm range of motion (ROM) and unilateral response to Moro reflex. While assessing the patient, the nurse finds a palpable lump on the neck. Which complication does the nurse expect in the infant?
answer
Fractured clavicle
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An elderly patient reports pain and swelling at the base of the thumb. After assessing the patient, the nurse suspects carpel tunnel syndrome. Which finding enabled the nurse to reach this conclusion?
answer
Presence of positive Tinel sign
question
Which deformity involves stiffness of the joints?
answer
Ankylosis
question
A patient complains of pain, redness, and a burning sensation in the joints. On assessment, the nurse finds that the joint feels soft and boggy on palpation. What can the nurse deduce from the findings?
answer
Gouty arthritis
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An elderly patient complains of stiffness in the knee joints and severe pain with motion. On further assessment, the nurse learns that the patient has inflamed joints with a hard bony protuberance on the joint. What can the nurse suspect from the findings?
answer
Osteoarthritis
question
Which structure connects the knee joint at both sides and prevents its dislocation?
answer
Collateral ligaments
question
During an assessment, the nurse finds that a child has genu varum (bowlegs). Which finding in the patient enabled the nurse to make such a conclusion?
answer
A distance of 3 cm between the knees when the medial malleoli are together
question
While assessing a patient, the nurse begins palpation on the anterior thigh about 10 cm from the patella. The nurse then proceeds toward the knee, exploring the region of the suprapatellar pouch of the patient. For what is the nurse assessing with this technique?
answer
The nurse is assessing for atrophy in the quadriceps muscles.
question
While assessing a patient with wrist dislocation, the nurse finds swan-neck deformity and ulnar deviation of the fingers in the patient. Which disease condition does the nurse expect in the patient?
answer
Chronic rheumatoid arthritis
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The nurse suspects carpal tunnel syndrome in a patient. Which assessment technique would the nurse perform on the patient?
answer
Ask the patient to hold both hands back to back while flexing the wrists 90 degrees.
question
The nurse is caring for an adolescent who reports severe pain below the knees while playing soccer. After reviewing the diagnostic reports, the nurse finds that the patient has swelling of the tibial tubercle. Which is the best nursing intervention in this situation?
answer
Instruct the adolescent to take a break from soccer for a while.
question
The nurse is caring for a patient who has been experiencing axial skeletal pain for 3 months and who reports mental confusion and forgetfulness. The nurse finds that the patient also has insomnia and fatigue. Which condition does the nurse anticipate in the patient?
answer
Fibromyalgia syndrome
question
Which test helps in screening a child's fine and gross motor skills?
answer
Denver II test
question
The nursing instructor is teaching a class on the types of joints. Which statement by the student nurse about synovial joints indicates effective learning?
answer
"Synovial joints are freely movable and lined with synovial membranes."
question
The nurse is assessing the integrity of the spinal accessory nerve (cranial nerve XI). What should the nurse ask the patient to do?
answer
Shrug the shoulders
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A patient with a history of a knee injury reports local pain in the knee. What action should the nurse take?
answer
Perform the McMurray test
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Which nursing intervention helps the nurse assess the trigeminal nerve?
answer
Ask the patient to move the jaw forward and laterally.
question
The nurse is assessing the spine of an obese patient. What change may the nurse observe in the spine of the patient?
answer
Lordosis
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The nurse is caring for a patient with swelling and tenderness at the anterior portion of the knee. The nurse observes that the affected skin is red and shiny. During examination, the nurse finds that the patient's range of motion is normal. What does the nurse infer from these findings?
answer
The patient may have prepatellar bursitis.
question
A patient is lying supine with the leg relaxed. The nurse slowly raises the foot, keeping the knee straight until the patient complains of pain, and then dorsiflexes the foot. What is the reason for this assessment technique?
answer
To check for a herniated nucleus pulposus
question
While assessing the muscles around the wrist joint of a patient, the nurse finds full range of motion against gravity and some resistance. Which grade should the nurse document in the patient's medical record?
answer
Grade 4
question
Which complication may occur due to a decrease in the blood supply to the femoral epiphysis?
answer
Legg-Calve-Perthes syndrome
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What are signs and symptoms of rheumatoid arthritis? Select all that apply.
answer
Fatigue, weight loss, low-grade fever
question
A patient who has kyphosis reports constant pain and stiffness in the lower back, buttocks, and hips. The nurse, after palpating the spinous processes, observes spasms. Which condition does the nurse expect in the patient?
answer
Ankylosing spondylitis
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During an assessment, the nurse expects that the patient had a strain in the lateral ligament of the knee. Which injury may have led to this finding?
answer
Injury outside the knee
question
The nurse is preparing a teaching plan for a patient education class on osteoporosis for aged adults. What should the nurse include in the teaching plan? Select all that apply.
answer
Osteoporosis occurs due to calcium deficiency, Osteoporosis occurs due to deficiency of vitamin D, osteoporosis occurs primarily in postmenopausal, fair-skinned women
question
While assessing a child with Down syndrome, the nurse finds webbing between the adjacent fingers of the palm. Which other findings would the nurse observe in the child?
answer
Simian crease
question
Which condition is caused by mutations in the BRCA2 gene?
answer
Prostate cancer
question
The nurse is preparing to palpate the anus and rectum of a patient during an examination. In which direction should the nurse insert the finger into the anus?
answer
Toward the umbilicus
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While palpating the anus of a patient, the nurse notes increased muscle tone. What should the nurse infer from this finding?
answer
The patient has anxiety.
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Which finding does the nurse expect to see in the patient with a rectal prolapse?
answer
Rounded tissue located near the anus
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A patient reports frequent urination, pain, and burning during urination. The nurse finds an elevated prostate-specific antigen (PSA) level in the patient's laboratory reports. While palpating the prostate, the nurse finds a hard, fixed nodule on the posterior surface of the prostate gland. What complication should the nurse suspect in the patient?
answer
The patient may have prostate cancer.
question
Which characteristic feature does the nurse observe in a patient with a pilonidal cyst?
answer
Hair containing cysts over the coccyx
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A patient reports black, tarry stools with a distinct malodor. For which complication does the nurse screen in this patient?
answer
Upper gastrointestinal bleeding
question
The nurse assesses the prostate gland of an adult patient and documents the findings. What should the nurse infer from these findings?
answer
The patient has normal development.
question
The nurse instructs a student nurse to palpate the rectum of an infant to evaluate for hemorrhoids. Which action done by the student nurse needs correction?
answer
Using the middle finger for rectal palpation
question
A patient reports intense itching around the perineum. While assessing, the nurse sees dull grayish pink, thickened excoriated skin around the anus. Which treatment strategy would be most beneficial for the patient?
answer
Instruct the patient to use topical steroid cream.
question
The nurse is caring for a patient who is taking iron supplements. Which finding should the nurse expect in the patient?
answer
Black, nontarry stool
question
During a physical assessment, which finding would be considered abnormal?
answer
The prostate is tender to palpation with the central groove obliterated.
question
Which statement precisely describes the internal anal sphincter?
answer
It is under involuntary control by the autonomic nervous system.
question
At what age does a child develop voluntary control over the external anal sphincter?
answer
At 18 months
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Which position would be suitable to assess the rectal area and genitalia in a female patient?
answer
Lithotomy
question
The nurse is caring for an adult patient with a history of diabetes mellitus. The patient complains of perianal itching. The nurse finds the perianal skin to be dull grayish-pink in color and cracked. What does the nurse conclude from these signs and symptoms?
answer
Pruritus ani
question
While examining a patient's genitals, the nurse finds that the patient has a swollen, shiny, blue mass below the anorectal junction. What does the nurse conclude from these findings?
answer
The patient has a thrombosed hemorrhoid.
question
A patient with diabetes mellitus has perianal itching and red, raised, thickened, excoriated skin around the anus. The patient's anus is swollen, moist, and dull grayish-pink in color. The microscopic tape test report indicates the presence of translucent eggs. What do these findings indicate?
answer
The patient has pruritus ani.
question
The diagnostic reports of a patient indicate the presence of a symmetric, nontender prostate gland. The patient has a positive hematest and has no lesions in the perianal area. What do these findings indicate?
answer
The patient has upper gastrointestinal bleeding.
question
The health care provider instructs the nurse to administer a bismuth preparation to the patient for the treatment of diarrhea. Which statement should the nurse make before administering the bismuth preparation to the patient?
answer
"You may have black stools as a result of bismuth preparations."
question
A hospitalized geriatric patient with rheumatoid arthritis reports severe abdominal pain and difficulty during defecation. After doing a digital rectal examination, the nurse finds a fecal mass in the patient's colon. Which medication does the nurse suspect to be the cause of this finding?
answer
Morphine (Roxanol)
question
Which complications are associated with constipation? Select all that apply.
answer
Fissure Hemorrhoids Fecal impaction
question
A geriatric patient with anemia is admitted to the hospital. The patient is receiving iron supplements and reports abdominal pain and difficulty passing stool. Which is the best nursing intervention for the patient?
answer
Administer an enema to the patient.
question
The nurse is caring for a patient with cystic fibrosis. While reviewing the laboratory reports, the nurse finds increased levels of fat in the feces. Based on this, what does the nurse expect the stool to look like?
answer
Frothy stool
question
How would the nurse describe abnormalities observed during an anal examination?
answer
The nurse describes the abnormality in terms of clock position.
question
A patient with hypothyroidism has a fecal impaction. Which treatment strategies would be beneficial for the patient? Select all that apply.
answer
Prescribing enemas Prescribing laxatives Prescribing suppositories
question
The nurse notices that the patient has a tuft of hair in the sacrococcygeal area and a tightly closed anal opening. The nurse also finds that the patient's prostate surface is rubbery and the prostate gland is slightly movable. Which finding indicates that the patient is at risk for rectal disorders?
answer
Tuft of hair in the sacrococcygeal area
question
The nurse is assessing a patient who reports persistent, throbbing rectal pain. On examining the patient's anus, the nurse finds a localized cavity of pus, which is red, hot, swollen, indurate, and tender. What should the nurse infer from these findings?
answer
The patient has a perianal abscess.
question
The nurse is examining the genitals of a child who is a victim of sexual abuse. Which findings is the nurse likely to observe in the child? Select all that apply.
answer
Anal abrasions Perianal tears
question
The nurse is evaluating a student nurse who is palpating the anus of a patient. Which action of the student nurse indicates the need for correction?
answer
Approaching the anus at a right angle with the index finger
question
A patient presents with fever, chills, painful urination, and severe pain in the rectum. After reviewing the patient's diagnostic reports, the nurse suspects the patient has inflammation of the prostate gland. Which findings support this conclusion?
answer
Slightly swollen and asymmetric prostate gland
question
Which finding would the nurse observe in a patient with prolapsed hemorrhoids?
answer
Soiled underwear with excess mucoid discharge
question
A patient reports to the nurse, "I have itching and pain during defecation." Upon examination, the nurse finds flabby skin sacs around the anus. What should the nurse conclude from these findings?
answer
The patient has hemorrhoids.
question
What is the approximate length of the rectum in an adult patient?
answer
12 cm
question
While doing a digital rectal exam for a 50-year old patient, the nurse finds that the patient has rectal lesions that are irregular and appear to be cauliflower-shaped. What is the priority nursing intervention in this condition?
answer
Instruct the patient to consult an oncologist.
question
While doing the anal examination of a child, the nurse finds that the child's anal region is swollen, moist, and dull grayish-pink in color. Which test should the nurse expect to be prescribed for the child to diagnose the illness?
answer
Microscopic tape test
question
After interacting with the mother of a 2-year-old child, the nurse suspects that the child has a risk of developing gastrointestinal disorders. Which statement made by the mother would lead the nurse to this conclusion? Select all that apply.
answer
"I found my child eating raw eggs yesterday!" "We eat raw shellfish at home several times a week."
question
Which foods should the nurse include in the patient's diet to reduce the risk of colon cancer? Select all that apply.
answer
Prunes Cereals Wheat germ
question
The nurse is caring for a patient with celiac disease. Which sign or symptom is the nurse likely to find in the patient?
answer
Passage of frothy stools
question
A student nurse is discussing the anatomy of the anal canal with a study group after class. Which statement made by the student nurse needs correction?
answer
"The anal canal contains the valves of Houston."
question
Which condition is associated with melena?
answer
Upper gastrointestinal bleeding
question
Which statement accurately describes the sigmoid colon?
answer
It is approximately 40 cm in length.
question
What are the objective assessment findings recorded by the nurse after examining a male patient's genitourinary system? Select all that apply.
answer
Asymmetrical testis Inflammation of the glans penis Presence of white discharge from the penis
question
Which medication does the primary health care provider prescribe to a patient who is at risk of developing an HPV-related cervical cancer?
answer
HPV4 (Gardasil)
question
What condition does the nurse suspect in the patient whose creatinine level is 3.0 mg/dL?
answer
Decreased kidney function
question
While examining a patient's penis, the nurse finds that the patient has a narrow, red, and edematous urethral meatus with purulent discharge. What does the nurse infer from these findings?
answer
The patient has urethritis.
question
Which statement, if made by the nurse while instructing the patient about testicular self-examination, is appropriate?
answer
"You should perform self-examination monthly."
question
Which structure controls the size of the scrotum?
answer
Cremaster muscle
question
The nurse is reviewing the data obtained on the examination of a male genitourinary system. Which assessment finding does the nurse consider normal?
answer
Left scrotal sac is lower than right
question
Before assessment, the health care provider instructs the nurse to perform a careful examination of the inguinal area of a 6-month-old child. What is the most likely reason for this instruction?
answer
It is a potential site for a hernia.
question
A male patient expresses discomfort with a female nurse performing a genitalia examination. What action should the nurse take?
answer
Arrange to have a male nurse perform the physical assessment.
question
When should the nurse obtain a patient's sexual history?
answer
Before a genital examination
question
The nurse teaches a patient about testicular self-examination. Which statement would be appropriate for the nurse to include?
answer
"The cure rate of testicular cancer is almost 100% when detected early."
question
A 20-year-old white male has a history of undescended testes. Which condition is this patient at high risk of developing?
answer
Testicular cancer
question
While caring for a patient with benign prostatic hyperplasia (BPH), the nurse finds that the patient is unable to urinate and has abdominal pain. Which condition does the nurse suspect in the patient?
answer
Acute urinary retention
question
A patient tells the nurse, "I feel the need to urinate about 10 to 12 times a day, but I have trouble starting my urine stream. And sometimes I have a bit of leakage." On reviewing the laboratory reports, the nurse finds that the patient has increased prostate specific antigen (PSA) levels. What does the nurse infer from these findings?
answer
The patient has prostate cancer.
question
How would a normal epididymis feel in a male patient?
answer
Softer than the testes
question
What is hypospadias?
answer
A urethral meatus at a proximal, ventral site on the penis
question
Which structure is the storage site of sperm?
answer
Epididymis
question
Which infection can be prevented by administering the HPV4 vaccine to a patient?
answer
Genital warts
question
What is an abnormal assessment finding in a male patient?
answer
The right side of a patient's scrotum is lower than the left side.
question
A patient's medical record shows the patient's urinary output is 200 mL per day. What does the nurse infer from this finding?
answer
The patient has oliguria.
question
Which condition is caused by hyperactivity of the detrusor muscle?
answer
Urge incontinence
question
The nurse is instructing an 18-year-old patient how to perform a testicular self-exam as a part of self-care. Which statements by the patient indicate effective learning? Select all that apply.
answer
"I should perform testicular self-examination while bathing." "I should report if the scrotum feels rubbery, tender, and enlarged." "I should use the thumb and the first two fingers to assess the testicles."
question
Which developmental changes would the nurse be able to observe in a male adolescent during physical examination? Select all that apply.
answer
Enlargement of the testis Increase in the penis size Appearance of pubic hair
question
While performing a routine physical assessment, the nurse asks a patient about any difficulty in urination, any dribbling, incomplete emptying, and straining during urination. What is the reason for these questions?
answer
To identify the early symptoms of an enlarging prostate
question
Which laboratory parameter indicates decreased kidney function?
answer
Increased serum creatinine
question
When does sperm production start decreasing in an adult?
answer
Around 40 years of age
question
While performing a genital examination of a male infant, the nurse sees that the infant's urethral meatus is located ventrally. Which condition does the infant have?
answer
Hypospadias
question
Which complications should the nurse watch for in an infant who has undergone circumcision? Select all that apply.
answer
Wound infection Urinary retention
question
A patient reports having a painless, swollen, hard nodule in the left scrotum. On palpation, the nurse finds that the patient has testicular swelling and a hard, solitary nodule. What does the nurse infer from these findings?
answer
The patient may have early testicular tumor.
question
A patient presents with a genital infection. During the assessment, the nurse finds a small, round, silvery papule with a yellowish serous discharge. On palpation, the nurse finds a nontender button-like structure and enlarged lymph nodes in the inguinal region. Which medication may help treat this patient?
answer
Penicillin G (Pfizerpen)
question
A patient complains of a dragging sensation in the scrotal area. On palpation, the nurse feels a "bag of worms" in the scrotum. Which condition does the nurse suspect in the patient?
answer
Varicocele
question
The nurse is preparing a questionnaire to assess stress incontinence in a patient. Which is the most important question that should be asked by the nurse?
answer
"Do you accidentally urinate when you sneeze, laugh, cough, or bear down?"
question
While inspecting a patient's scrotum, the nurse observes a red glow of serous fluid upon transillumination. Which condition could this patient have?
answer
Hydrocele
question
A patient presents with clusters of painful vesicles and eruptions on the glans and foreskin of the penis. Which drug could be prescribed to treat this condition?
answer
Oral acyclovir (Zovirax)
question
Which complication does the nurse expect to find in a patient with prostatitis?
answer
Epididymitis
question
The nurse is reviewing the urinalysis reports of a patient. Which assessment findings does the nurse consider abnormal?
answer
Urine of pH 4
question
A patient complains of difficulty voiding. On assessment, the nurse finds that the patient's prostate is enlarged and smooth. Which condition does the nurse suspect?
answer
Benign prostatic hypertrophy (BPH)
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