The clinic nurse is teaching a young woman about preventing recurrent urinary tract infections. What information should the nurse include?
A) Bathe daily.
B) Avoid voiding immediately after sexual intercourse.
C) Drink liberal amounts of fluids.
D) Void every 6 to 8 hours.
Question 2A 30-year-old female patient has been referred to a specialist by her primary care provider because she has recently developed fat pads at the base of her neck, an increasingly round face, and striae at various locations.
The patient's signs of illness have been attributed to a brain tumor. What type of brain tumor is most likely to result in these changes to the woman's physical appearance?
A) Glioma
B) Acoustic neuroma
C) Meningioma
D) Pituitary adenoma
Question 3A 14-year-old boy was brought to the emergency department (ED) after taking a line drive to the right kidney during a baseball game. Assessment reveals microscopic hematuria and normal renal blood flow.
As a result, a diagnosis of kidney contusion is made. The ED nurse anticipates that the boy will require what course of treatment?
A) Hemodialysis for 6 to 8 weeks
B) Bed rest and close observation
C) IV antibiotics
D) Phlebotomy
Question 4A patient is postoperative day 3 following the successful transplantation of a kidney. The nurse is aware of the importance of assessing the patient for signs and symptoms of rejection.
Consequently, the nurse is constantly monitoring the patient for:
A) Decreased level of consciousness and pruritus
B) Oliguria and edema
C) Pain and hematuria
D) Weight loss and lethargy
Question 5A 66-year-old woman with a recent history of headaches and agitation has been found to have a meningioma. The neurological nurse should understand that the symptoms of this woman's tumor are attributable to what pathophysiological process?
A) Invasion of brain tissue by the tumor
B) Intracerebral hemorrhage
C) Compression of brain tissue
D) Impaired cerebrospinal fluid (CSF) synthesis
Question 6A patient with end-stage renal failure has made the decision to be put on the kidney transplant waiting list and now eagerly anticipates the possibility of eventually being matched with a donor.
How can the patient maximize his chances of being able to undergo a transplant when a kidney becomes available?
A) Trying to stay free of infections
B) Eating a high-protein diet
C) Increasing the frequency of dialysis
D) Withholding scheduled medications
Question 7Magnetic resonance imaging has confirmed a diagnosis of glioblastoma multiforme (GBM) in a 56-year-old male patient. The nurse who is planning this patient's care should prioritize which of the following nursing actions?
A) Liaising with community agencies to organize long-term rehabilitation
B) Teaching the patient about the importance of healthy lifestyle in recovery from GBM
C) Choosing psychosocial interventions that are relevant to the patient's poor prognosis
D) Teaching the patient about the pharmacological interventions relevant to his treatment
Question 8The nurse earlier infused the prescribed quantity of dialysate into the peritoneal dialysis catheter of an adult patient and has now drained the fluid.
Upon examination, the nurse observes that there is significantly less fluid removed than was earlier infused. How should the nurse follow up this observation?
A) Adjust the quantity of dialysate used in the next scheduled dialysis treatment accordingly.
B) Inform the care provider and arrange for peritoneal lavage.
C) Inform the hemodialysis team and facilitate a hemodialysis treatment.
D) Reposition the patient to facilitate drainage from the peritoneal cavity.
Question 9Extensive diagnostic testing has resulted in a patient's diagnosis of a benign brain tumor. When providing care for this patient, the nurse should be cognizant of which of the following characteristics of benign brain tumors?
A) Benign brain tumors constitute a risk factor for possible metastasis.
B) Benign brain tumors can slowly grow into an area of vital brain function.
C) Benign brain tumors have no physiological effect but should be closely monitored.
D) Benign brain tumors typically become malignant within 1 to 2 years.
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