Clinical Insights into Reproductive and Urologic Disorders

Exam 2 Reproductive Disorders Which of the following is a common symptom of genital herpes?  Painful blisters or sores in the genital area A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the UTI?  Prostatitis A nurse is teaching a client who has genital herpes about physiologic effects of the infection. Which of the following statements by the client indicates the teaching has been effective?  "The medication will decrease manifestations but not cure the infection." You are a nurse educating a patient on the following common causes of prostatitis. Which of the following should you include in the patient teaching?  Sexually transmitted infections (STls) A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?  "Dietary supplements can cause a drug-drug interaction with nitrates." You are discharging a patient after radical breast mastectomy that has resulted in left side swelling of the left arm. Which of the following is a priority intervention for a client with lymphedema?  Elevating the affected limb A nurse is reinforcing teaching for a client about testing for gonorrhea. Which of the following statements will the nurse include in the teaching?  “You will have a culture swab taken from your cervix, rectum or mouth.” A nurse is reviewing the medical record of a male client who has chlamydia. Which of the following factors contribute to the client's risk of chlamydia?  The client is Black.  The client has several sexual partners.  The client has sex with men. A nurse is caring for a client who has erectile dysfunction. Which of the following lab tests should the nurse expect will be ordered to evaluate this client?  Testosterone  Thyroid stimulating hormone  Blood glucose  Total cholesterol You are the nurse reinforcing teaching to a patient who has been diagnosed with Chlamydia. Which of the following statements by the client demonstrates an understanding of the transmission of chlamydia?  Chlamydia can only be transmitted through sexual contact. When teaching a patient about gonorrhea lab testing, which of the following statements is correct?  Gonorrhea lab testing can detect the presence of the gonorrhea bacteria in the urine. What is a recommended treatment for chlamydia?  B. Azithromycin When teaching a perimenopausal client about bleeding changes, it is important for the nurse to include information about which of the following?  Increased estrogen levels during perimenopause can cause heavy or prolonged menstrual bleeding. What is a common cause of pelvic inflammatory disease (PID)?  Chlamydia Infection A nurse is collecting data from a male client who has genital herpes. Which of the following findings should the nurse expect?  Painful ulcers on the penis  Temperature = 37.6° C (99.6° F) Which of the following is a common symptom of gonorrhea?  Painful urination, with green or yellow discharge A nurse is teaching a client about fibrocystic breasts. Which of the following statements should the nurse include in the teaching?  "Fibrocystic breast changes are caused by changes in hormone levels." Who is at risk for complications of PID and infertility?  Women who have multiple sexual partners A nurse is delivering a presentation on the care of populations to staff nurses. Which of the following factors should the nurse identify as being potential areas of concern for the transgender population?  Mental health  Stable housing  Sexually transmitted infections  Partner violence A nurse is caring for a client who is undergoing gender-affirming therapy. Which of the following is an expected outcome of gender-affirming care?  The client is likely to experience an improvement in quality of life and mental health. Which of the following procedures is commonly used for the treatment of genital warts?  Cryotherapy Which of the following is the male reproductive cell?  Sperm Which of the following statements is true regarding self-testicular exams?  Self-testicular exams should be performed monthly. A nurse is reinforcing teaching with a client about the use of a condom to prevent transmission of sexually transmitted infections. Which of the following statements should be included in the teaching?  "Using a condom decreases but does not completely eliminate the risk of transmission of STls.".  "Using an oral contraceptive without a condom decreases the risk of transmitting an STI." A nurse is contributing to the plan of care for a client who has erectile dysfunction. Which of the following should be included in the plan of care?  Review the client's current medication list.  Screen the client for manifestations of depression.  Ask the client to describe current physical activity.  Assess the client's use of tobacco products. A nurse is reviewing the medical record for a male client. The nurse identifies that which of the following data increases the risk for prostatitis?  The client had prostatitis 4 years ago.  The client has type 2 diabetes mellitus.  The client has a urinary catheter. A nurse is teaching a client about primary syphilis. Which of the following information should the nurse include in the teaching?  "Syphilis can affect many areas of your body, including your brain and heart." Which of the following statements is true regarding patient teaching for self-breast examination?  Self-breast examination should be performed lying down. A nurse is caring for a client in an outpatient clinic. The medical record lists the client's name as "Brian" and sex as "male". The client states their name is "Brianna" and their gender is "female". Which of the following terms describes this client?  Transgender A nurse is caring for a client who has fibrocystic breasts. The client asks the nurse, "What will happen to my fibrocystic breast changes after menopause?" Which of the following statements is an appropriate response by the nurse?  "The manifestations usually go away after menopause." A nurse is providing medication teaching about sildenafil to a client who has erectile dysfunction. Which of the following statements is the nurse's highest priority?  "If you have an erection for more than four hours, seek emergency treatment." A nurse is reinforcing teaching for a client who has fibrocystic breasts about the use of acetaminophen. Which of the following statements should be included in the teaching?  "Check your other medication labels to be sure they don't include acetaminophen." A nurse is caring for a female client in an outpatient clinic. Which of the following actions by the client increases the risk of bacterial vaginosis?  the client douches after Intercourse. A nurse is teaching a client who is scheduled for a colposcopy tomorrow. Which of the following statements should the nurse include in the teaching?  "During the procedure, a biopsy may be performed." A nurse is collecting data for a female client who has genital herpes. Which of the following manifestations should the nurse expect?  Vesicles and lesions on the labia PAP Smear is to check for cervical cancer only Hyperplasia= overgrowth Dysplasia= abnormal cells Prostates safety: Alcohol, caffeine, spicy and acidic foods If a patient has chlamydia, the partner needs to get treated too. Neuro Exam A nurse is caring for a client admitted with meningitis. The student nurse asks, "I know that the client has a lot of edemas in the brain, but what causes it?" Which of the following responses from the nurse best answers the student's question?  "Cerebral edema is caused by cerebrospinal fluid flowing from the intraventricular space to the interstitial area of the brain." 2. A client who has uncontrolled diabetes mellitus visits a clinic. Client reports numbness and tingling in the feet which keeps them up at night. The nurse explains this condition as a nerve disorder called peripheral neuropathy. Which of the following statements by the client indicates an understanding of what causes this condition.  "The elevated blood sugar from my diabetes can cause underlying nerve damage." 3. A nurse is caring for a client who has chronic migraine headaches. The client asks the nurse if it could be a cerebral aneurysm. Which of the following responses should the nurse use?  "If you have a cerebral aneurysm, you typically will have no symptoms." 4. A nurse is caring for a client who is newly diagnosed with Parkinson's disease. The client states, "I have no idea why I got this." Which of the following is the most important question the nurse should ask this client while performing the assessment?  "What kind of work do you do?" 5. A nurse is providing discharge instruction to a client who has hypertension that has resulted in a transient ischemic attack (TIA). Which of the following information should the nurse discuss with the client regarding blood pressure (BP) management?  The client should maintain systolic BP between 120 and 129 mm Hg. 6. A nurse is caring for a client in the emergency department who has a preliminary diagnosis of a transient ischemic attack (TIA). Which of the following diagnostic testing should the nurse anticipate the provider to prescribe?  CTA 7. A client who has a history of migraines comes into the clinic reporting "tingling of the face" and blind spots in the eyes. Which of the following phases of a migraine is the client experiencing?  Aura 8. A nurse is reinforcing teaching with a newly licensed nurse about coup and contrecoup injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?  The coup injury is the primary focal injury, and the contrecoup injury occurs on the opposite side of the brain. 9. A nurse is caring for a client who has a traumatic brain injury (TBI). Which of the following should the nurse understand is a possible consequence of a TBI?  Disruption of cellular function and blood vessel damage 10.The nurse is assisting with planning care for a client who has a subarachnoid hemorrhage (SAH). Which of the following relates to a high mortality rate for a client who has an SAH?  Rebleeding of the injury 11.A nurse is caring for a client who has a cerebral aneurysm. In the event of a ruptured cerebral aneurysm, which of the following manifestations would be present in the client?  light sensitivity, loss of consciousness, visual disturbances, and nausea and vomiting 12.A nurse is assisting in providing care for a client in the intensive care unit who was admitted with severe head trauma and cerebral edema. The client opens their eyes spontaneously, is oriented, and obeys commands. Which of the following findings indicate the client is experiencing a decline in their condition?  Eyes open to painful stimuli, client is confused, client mumbles inappropriate words, eyes do not open to name. 13.A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?  Hypertension 14.A client who has a history of migraines reports to a clinic with a throbbing headache. Which of the following questions should the nurse include in the assessment? SATA  Have you had any nausea and vomiting with your headache, Are you bothered by the lights in here, Have you experienced or are you experiencing any strange smells 15.A nurse is caring for a client who reports continuing problems related to migraines. The nurse is assessing the psychosocial impact of migraines on the client. Which of the following questions should the nurse include in the assessment? -"Are you having any feelings of depression?": -"Are you feeling any increase in your sexual drive?" -"Are you experiencing any episodes of 'panic-type' feelings?" 16.A nurse is reinforcing teaching to a group of clients about the changes that occur when clients experience cataracts. Which of the following statements should the nurse include in the teaching?  "Vision changes occur when the cloudy lens alters the passage of light through the eye." 17.A nurse is reinforcing teaching to a group of clients about changes that occur when clients experience open-angle glaucoma. Which of the following statements should the nurse include in the teaching?  "Vision changes occur when pressure in the eye is increased due to a decrease of aqueous humor." 18.A nurse is reinforcing teaching to a group of clients about the changes that occur in the eye when clients experience retinal detachment. Which of the following statements will the nurse include in the teaching?  "Vision changes occur when retinal tissue pulls away from the blood vessels in the eye." 19.A nurse is collecting data on a client who has Mèniére's disease. The nurse identifies which of the following manifestations is caused by an excessive accumulation of endolymph fluid?  Vertigo 20.A nurse is reinforcing teaching to a group of clients about risk factors for developing age-related macular degeneration (AMD). Which of the following would be included in the teaching?  Light blue colored eyes 21.A nurse is reinforcing teaching to a client about risk factors for developing glaucoma. Which of the following risk factors should the nurse include in the teaching?  Severe nearsightedness 22. A nurse is reinforcing teaching to a group of clients about lifestyle modifications that could decrease risk factors for developing hearing loss. Which of the following risk factors should the nurse include in the teaching?  Avoid smoking tobacco products 23.A nurse is evaluating the plan of care during a postoperative visit for a client who had a retinal reattachment procedure. Which of the following statements indicates the client is following the instructions in the plan of care?  "I will be relieved once I can drive myself to the store." 24.A nurse is collecting data from a client experiencing a change in vision. Which of the following statements indicates that the client might be developing cataracts?  "My vision is blurry and objects are hazy." 25.A nurse is collecting data from a client experiencing an episode of tinnitus. Which of the following statements from the client indicate that the tinnitus is affecting their mental well-being?  "The ringing in my ears is distracting." 26.A nurse is reviewing home medications with a client scheduled for a cataract extraction procedure. Which of the following medications should the nurse question administering?  Clopidogrel 27.A nurse is developing a plan of care for a client who has Mèniére’s disease. Which of the following medications should the nurse anticipate administering?  Furosemide 28.A nurse is collecting data from a client who is experiencing a loss of hearing. Which of the following communication techniques should the nurse use when interviewing the client?  Face the client when talking. 29.A nurse is collecting data on a client who has hearing loss. Which of the following client statements should indicate to the nurse that the client is experiencing manifestations of Mèniére’s disease?  "I can't get out of bed because the room is spinning." 30.A nurse is collecting data from an admission history for a client who reports being tackled while playing football and is now seeing bright flashes of light and dark floating spots. Which of the following conditions should the nurse expect the client to be experiencing?  Retinal detachment 31.A nurse is collecting data on a client who has dementia. The nurse recognizes the client is experiencing manifestations consistent with Lewy body dementia. The nurse should understand that the Alpha-synuclein protein is responsible for these changes.  Alpha-synuclein protein 32.The spouse of an older client experiencing delirium is at the client's bedside. The nurse is providing an update to the spouse regarding the client's plan of care. Which of the following responses by the spouse indicates a need for further teaching?  "I am not worried. This sort of thing happens all the time to us 'old people.’” 33.A family of a client who has a medical history of stroke, hyperlipidemia, and peptic ulcer disease arrives at the memory care clinic with concerns about their loved one. The family states that the client has experienced worsening memory loss and forgetfulness over the last 6 months. The nurse is concerned the client is experiencing vascular dementia, due to which of the following factors?  The client's history of stroke, because stroke can lead to dementia due to changes in the blood vessels of the brain. 34.A nurse is teaching clients at a senior center about the etiology of Alzheimer's disease. Which of the following statements by a client indicates the need for further teaching?  "I do not have to worry about this because I do not have Down syndrome and I have never had a stroke." 35.A nurse is teaching a client who is newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?  "Medications for Alzheimer's disease will help slow the progression of my disease." 36.A nurse is teaching a class at a senior center on dementia. Which of the following statements by a client indicates a need for further teaching?  "I should speak with my doctor about ordering a brain scan for dementia with my yearly exams so that we can identify any changes in my memory early." 37.A nurse is contributing to a plan of care for a client who has Alzheimer's disease who resides in a memory care unit. When considering activities for the client, which factors should contribute to the nurse's selection?  The nurse should choose activities that the client and/or their family have expressed that the client used to enjoy before moving. 38.A nurse is caring for a client in the intensive care unit. Which of the following laboratory values could contribute to an episode of delirium?  Blood glucose level of 254 mg/dL 39.A nurse is caring for a client who has Alzheimer’s disease and is going to transition from home to a skilled nursing facility. Which of the following interventions should the nurse incorporate into the plan of care to help the client with this transition and avoid relocation stress syndrome?  Provide opportunities for education and continually evaluate the client’s preferences and goals for care. 40.A nurse is caring for a client in the intensive care unit who suddenly becomes confused and agitated. The nurse recognizes these manifestations are likely related to a condition with which of the following characteristics?  Reversible 41.A nurse is caring for a client who has a spinal cord injury at the first thoracic level. Which of the following should the nurse recognize can trigger autonomic dysreflexia?  Autonomic dysreflexia is triggered by a noxious stimulus below the level of injury, commonly bladder or bowel distention. Any noxious stimulus, including sexual intercourse, can trigger autonomic dysreflexia.Nausea is not a painful stimulus and is not below the level of the injury. Therefore, it should not trigger autonomic dysreflexia. 42.A nurse is reinforcing teaching to a client who has multiple sclerosis about factors that can worsen their manifestations. Which of the following factors should the nurse include in the teaching?  Sunbathing 43.A nurse is collecting data on a client who has multiple sclerosis. The client reports there are times when the symptoms are active and times when there are no symptoms. Which of the following types of multiple sclerosis does this pattern indicate?  Relapsing-remitting multiple sclerosis 44.A nurse is caring for a client who has multiple sclerosis and reports a tightening feeling around their torso. Which of the following conditions should the nurse recognize this finding indicates?  MS hug 45.A nurse is collecting data on a client who has multiple sclerosis. Which of the following findings should the nurse anticipate?  Clients who have multiple sclerosis have multiple manifestations that include paresthesia, dysphagia, spasticity, and vertigo. 46.A nurse is teaching a student about cerebral edema. The student nurse asks, "What type of cerebral edema is associated with a client who has a stroke?" Which of the following is the best response from the nurse?  Vasogenic cerebral edema 47.A nurse is reinforcing teaching to a group of high school students about how penetrating traumatic brain injuries cause damage to the brain. Which of the following statements should the nurse include in the teaching?  "Damage to the brain is related to the size, route, and rate of speed of the object entering the brain." 48.A nurse is reinforcing teaching to a group of nursing students about possible psychosocial changes a client might have after sustaining a neurologic injury such as increased intracranial pressure. Which of the following psychosocial changes should the nurse include in the teaching?  Changes to social cognition and challenges to inhibitory control 49.A nurse is teaching a group of older adult clients at the senior center about chronic illnesses. Which of the following acronyms should the nurse teach to the clients to help them remember common manifestations of a stroke?  FAST 50.A client is beginning inpatient rehabilitation after experiencing a stroke. A nurse is working with the client during this transition and helping to set realistic goals. Which of the following is the most appropriate goal for this client?  Optimize function Immune/HIV 1. You are assisting with the treatment of a client in anaphylaxis. When utilizing the Trendelenburg position as one of your nursing interventions, what is the primary goal of putting the client in this position?  To facilitate venous return and improve circulation 2. Which laboratory result will indicate inflammation in a patient with osteoarthritis?  C-reactive protein (CRP) 3. An office nurse plans to vaccinate a client against HPV. This is an example of which of the following kinds of prevention?  Primary prevention 4. A nurse is collecting data for a health history from a client who reports that they think they have lupus. Which of the following statements made by the client would help validate this diagnosis?  ' have had occupational exposures to silica dust." 5. Which of the following is a potential risk factor for HIV in heterosexual women?  Engaging in unprotected sexual intercourse with multiple partners 6. A nurse is reinforcing teaching with a client who has lupus. Which of the following health conditions should the nurse include in the reinforced teaching?  Cardiovascular disease. 7. A nurse is caring for a client who has small moveable lumps around several finger joints that inhibit movement. Which of the following findings should the nurse document?  Rheumatoid nodules. 8. What does the viral load measure in a person who has HIV?  The amount of HIV in the blood 9. A nurse is caring for a client who has HIV and a CD4-T-cell count of 150/mm3. Which of the following conditions should the nurse monitor the client for?  Tuberculosis 10. A patient with AIDS is expressing feelings of sadness and isolation. As a nurse, what is the most appropriate response?  "' understand you're feeling sad today. It must be really difficult for you." 11. You are preparing to administer a scratch test to a client who has possible food and environmental allergies. Which of the following actions should the nurse perform prior to the procedure? (Select All that Apply.)  Ask the client about previous reactions to allergens  Ask the client about medications taken over the past several days????  Inform the client to expect itching at one site 12. A nurse is providing care for clients in a hospital setting. Which of the following clients is at highest risk for developing an opportunistic infection?  A client who has HIV 13. A nurse is providing care for multiple clients diagnosed with infections. Which of the following clients is at the greatest risk of sepsis?  A client who has AIDS 14. A nurse in a clinical setting is collecting data from a client who reports experiencing hives after eating tomatoes. Which of the following factors should the nurse further explore as a possible allergy?  Latex 15. Which of the following interventions is an example of primary care for a patient with rheumatoid arthritis?  Performing regular physical activity and exercise 16. A nurse is caring for a client who has influenza. Which of the following personal protective equipment (PPE) should the nurse instruct the client to wear?  Mask 17. A nurse is providing care to a client who has an infection. Which of the following findings is a localized manifestation that the nurse should monitor for?  Abscess. 18. A nurse is collecting data from a client who reports having had an anaphylactic reaction to peanuts. Which of the following risk factors increases the client's risk of death from a future anaphylaxis reaction?  Taking beta blockers 19. A nurse is providing care to a client who reports facial pain, including dental pain in the upper teeth. Which of the following additional symptoms would lead the nurse to suspect sinusitis as the source of the pain?  The client has nasal congestion that does not significantly improve with over-the-counter decongestants or antihistamines. 20. A nurse is reinforcing teaching for a client who has stage 3, HIV. Which of the following client statements indicate an understanding of the teaching  "I need to wash all fruits and vegetables well before cooking them" 21. You are assisting with educating a group of students about vaccines. Which of the following is an explanation of how Active immunity works in some vaccines?  Antibodies are produced after exposure to a killed virus. 22. Rheumatoid factor is a blood test used to diagnose and monitor the progression of which autoimmune disease?  Rheumatoid arthritis 23. Which of the following is a potential risk for healthcare workers when providing care to HIV patients?  Needlestick injuries 24. A nurse is reinforcing teaching with a client about manifestations of allergic reaction. The nurse should explain that histamine release causes, which of the following reactions?  Increased mucous secretion 25. Which of the following is an example of a standard precaution that nurses should take when caring for a patient with HIV?  Wearing gloves during all patient interactions 26. You are caring for a client who is suspected of having HIV. As the nurse, you should identify that which of the following diagnostic and lab test are used to confirm HIV infection?  HIV antibody test 27. A 17-year-old is reluctant to use condoms because "it doesn't feel the same". You as the nurse understand that despite the teen's preference, which barrier method is the BEST that the nurse should be suggested?  Condoms. 28. A nurse is collecting data from a client who has osteoarthritis of the knee. Which of the following assessment findings should the nurse expect?  Crepitus 29. A nurse is providing care to a client who presents with manifestations consistent with bacterial meningitis. After evaluating the client and completing a head CT scan, the provider delays performing a lumbar puncture and orders a corticosteroid combined with antibiotics. The nurse knows that the lumbar puncture has most likely been delayed for what reason?  The client has elevated intracranial pressure. 30. A nurse is reinforcing, teaching client with HIV about how the virus is transmitted. Which of the following statements should you include the teaching?  HIV can be transmitted to anyone who hs had a contact with infected blood. 31. A nurse is providing care to a client who has osteoarthritis and is experiencing difficulty with mobility and cannot leave their house. Which of the following psychosocial health impacts is expected and requires further evaluation?  Depression 32. A nurse is providing care to a client who has a history of asthma. The client presents with influenza symptoms that started the previous day. The provider orders an influenza test and prescribes an oral antiviral with instructions to begin the treatment as soon as possible. The client asks the nurse whether they can take the antiviral before the lab results are back. Which of the following responses by the nurse is appropriate?  "Yes, antiviral treatments are most effective when they are started within 48 hours of symptom onset." 33. A nurse is reinforcing education provided to a client who has osteoarthritis of the knee. Which of the following explanations should the nurse give to the client as part of the disease process?  Damage to cartilage and bone can progressively worsen. 34. A nurse is collecting data from an assessment performed on a client who reports severe fatigue, hair loss, and trouble remembering things. The nurse notes a butterfly-shaped rash on the client's face. Which of the following conditions is the client likely experiencing?  Systemic lupus erythematosus 35. A nurse is providing care to a client who has rheumatoid arthritis and reports experiencing pain and swelling of joints in both feet. Which of the following interventions should the nurse suggest the client use to assist with comfort?  Shoes with hook-and-loop fastener closures 36. A nurse is caring for a client who is receiving peritoneal dialysis for kidney failure. Which additional condition in the client's medical history puts the client at increased risk for development of peritonitis?  Ulcerative Colitis 37. A nurse is reinforcing teaching with a female who has a new diagnosis of SLE (Systemic Lupus) about factors that can trigger an exacerbation of SLE. The nurse should determine that the client requires further teaching when she identifies which of the following as a factor that can exacerbate SLE?  Exercise. 38. Which of the following is an opportunistic infection commonly seen in HIV patients?  Pneumocystis pneumonia. 39. Which group of individuals is least at risk for HIV infection?  Individuals who practice safe sex and use barrier methods consistently 40. A nurse is providing care to a client who has peritonitis. Which of the following conditions is the highest priority for the nurse to monitor?  Sepsis 41. A nurse is reinforcing education provided to a client who has HIV about the infection process. Which of the following features of the virus should the nurse explain can result in opportunistic infection?  Ability to target and destroy CD4 lymphocytes 42. A nurse is administering a vaccine to a client. Which of the following protective factors should the nurse expect the client's immune system to produce as a result of the vaccination?  Antibodies 43. You are the nurse having lunch with a friend. The friend orders shrimp cocktail and takes 50mg of diphenhydramine. The friend states "i'm allergic to shrimp but I just love them, so I take medication before I eat them." Which response is your best response, as a health care professional educate & explain the danger your friend is putting themselves in?  "Every time you eat shrimp, the reaction could get worse and you may experience anaphylaxis" 44. n/a 45. Which of the following statements regarding HIV and breastfeeding is correct?  HIV-positive mothers can breastfeed their infants as long as they take antiretroviral medication. 46. What is a priority nursing intervention during anaphylaxis?  Administer epinephrine immediately 47. Which of the following strategies is most effective for teaching health promotion and HIV prevention to a teenage population?  Providing comprehensive and accurate information about HIV transmission and prevention methods 48. A nurse is providing care to a client who is experiencing wheezing after receiving an antibiotic 20 min ago. Which of the following findings is the priority for the nurse to monitor for?  Decrease in blood pressure 49. A nurse is providing care to a client who has a skin infection. The client questions the necessity of testing, "Why do you need to take a culture? It's clearly infected. Just give me some amoxicillin and let me go home." Which of the following responses by the nurse is most appropriate?  "The culture is needed to determine whether the infection is bacterial. If it is bacterial, knowing the kind of bacteria helps the physician determine which antibiotic you need." 50. n/a Cancer Exam 1. A nurse is reinforcing teaching at an in-service about cancer at a staff meeting which of the following information should the nurse include about adenocarcinoma.  Most prostate cancers are slow growing adenocarcinomas 2. A nurse is caring for a client who has prostate surgery and has experiencing erectile dysfunction which of the following treatment options should the nurse understand can be utilized for this client? SATA  Vacuum devices  Penial implant  Pelvic floor physical therapy 3. Case study- a nurse is caring for a client at an outpatient clinic - which findings should the nurse report to the healthcare provider? 4. A nurse is preparing medications for an older adult client who has kidney cancer. Which of the following should the nurse anticipate?  The client might have to receive multiple chemotherapy agent 5. A nurse is caring for a client who has advanced age cancer and is experiencing disorganized cognition altered awareness and confusion Which of the following complications of cancer should the nurse understand this client is experiencing.  Delirium 6. A client is being treated with chemotherapy for squamous cell carcinomas which of the following methods should the nurse anticipate for this chemotherapy?  a topical application 7. a nurse is reinforcing education to clients about breast cancer at a community health event which of the following statements should the nurse include in the training?  breast cancer can occur in any part of the breast, but ductal breast cancer is most common 8. A nurse is assisting with planning a cancer awareness and screening event for the public in a local community center, which of the following types of screening should the nurse plan to include for this type of event.  Screening for skin cancer on plantar surfaces of the feet 9. NGN Case study - My nurses reviewing the medical record of a client recently admitted to the hospital which of the following findings should the nurse report to the healthcare provider? 10. A nurse is screening a client for cancer risk factors. The nurse records that the client is a 65-year-old male clinically obese with a history of past smoking and drinks moderately which of the following is a primary risk factor for prostate cancer?  65-Year-old 11. A nurses reinforcing teaching to a client who has breast cancer and is receiving Brachytherapy about how to address breast tennis and bruising which of the following statements should the nurse include in the instructions.  you should wear a bra with a soft cup 12. A nurse is reinforcing teaching to a client who was recently diagnosed with cancer until the nurse they are worried about infertility following radiation treatment which of the following intervention should the nurse recommend?  Use radiation shielding techniques 13. NGN CASE STUDY - I was just caring for a client on a medical unit 14. A nurse assisting with the creation of a plan of care for prostate screening and high risk populations which of the following is an important consideration?  prostate cancer mortality is more than double for black American males than for men and every other group 15. A nurses reinforcing and teaching to a client who has colorectal cancer and is undergoing radiation therapy about how to relieve nausea which of the following recommendations should miners get this client.  eat bland snacks such as crackers 16. A nurse is caring for a client who has Stage 4 lung cancer and was prescribed opioid medication for pain management the client is unable to engage in most physical activity which of the following manifestations should the nurse anticipate?  impaction 17. A nurse is caring for a client who has colorectal cancer and is recovering from surgery to redirect intestinal contents out of the body which of the following post-surgical manifestations require nursing interventions to avoid a serious complication.  the client has absent bowel sounds in lower abdominal quadrants 18. A nurse is caring for a client who has kidney cancer and has been told it has metastasized. Which of the following statements should the nurse make when the client asked what metastasis means?  Metastasis occurs when cancerous growth are located in the kidneys and also the other parts of the body 19. A nurse's reinforcing education to a client who has a central nervous system tumor. Which of the following information should the nurse include in the teaching?  Malignant brain tumors often originate from another part of the body 20. A nurse is reinforcing education to a client about a recent diagnosis of pancreatic cancer which of the following information should the nurse include in the client teaching?  The pancreas’ location increases the risk that the cancer will spread into nearby structures and blood vessels 21. A nurse is caring for a client who has prostate cancer which of the following manifestations does the nurse attribute to advancing disease process?  Blood in the urine or semen 22. NGN CASE STUDY - a nurse is care for a client on a medical unit select firefighting’s that require follow-up 23. A client has a family history of breast cancer wants to know whether they have a substantially increased risk of developing breast cancer which of the following statements should the nurse use to address the client's concern.  You can be screened for BRCA1 or BRCA2 gene mutations 24. A nurse is caring for a client who has a high risk for breast cancer and has been prescribed an MRI scan. the client asks why the mammogram was not prescribed which of the following statements should the nurse make?  The MRI is more sensitive to diagnostic testing tools 25. A nurse is caring for a client who has brain cancer and his undergoing radiation therapy which of the following manifestations to the nurse report immediately?  seizures 26. A nurses reinforcing teaching to a client who is receiving treatment for a malignant melanoma about prescribed radionuclide bones scan. which of the following should the nurses include in the teaching.  this test is used to determine that the primary cancer has metastasized to the Bone 27. NGN CASE STUDY - A nurse is caring for a client and an outpatient clinic 28. A nurse is caring for a client who has prostate cancer and had a prostatectomy which of the following should the nurse understand is the potential complication of prostate surgery?  Erectile dysfunction 29. Our nurse’s assistant is a care of a client who is receiving chemotherapy for breast cancer which of the following actions should the nurse understand should occur during administration of oral chemotherapy?  Chemotherapy gloves 30. A nurse is assisting in planning a training session for newly licensed nurses to discuss commonly missed or misdiagnosed cancer as a result in higher mortality rates which of the following types of cancer should the nurse include in the discussion.  Pancreatic cancer 31. NGN CASE STUDY a nurse is caring for a client on an oncology unit - which of the following healthcare provider prescription should the nurse anticipate when planning care for this client? SATA 32. A nurse is caring for a client who has a suspected brain tumor. Which of the following diagnostic test should the nurse understand is more frequently used to diagnose brain tumors?  CT scan 33. A nurse is reinforcing teaching to a client who has cancer about angiography which of the following statements should the nurse include in the teaching?  angiography is used to see what blood vessels are supplying the tumor to assist with treatment 34. A nurse is reviewing the laboratory report of a client’s most recent pap smear that indicates moderately abnormal cervical cells were present. Based on the description of the cells, which of the following changes of precancerous cell growth to the client’s cervix should the nurse identify?  Dysplasia 35. A nurse is caring for a client who recently started treatment for stage 1 Hodgkin's lymphoma and describes the falling to the nurse my arms and hands feel so tight and heavy I can't put my ring on and I'm having trouble doing everyday things around the house because my fingers won't move normally then there should understand that the client is experiencing which of the following complications associated with cancer and cancer treatment?  Lymphedema CASE STUDY 59-year-old hypertension 5 days ago:  Initiate fall precautions  Instruct the client to use a soft toothbrush  Give packed red blood cells  Administer prescribed corticosteroids