A nurse obtains the health history of a client with a suspected diagnosis of bladder cancer. Which question should the nurse ask when determining this client's risk factors?
a. Do you smoke cigarettes?
b. Do you use any alcohol?
c. Do you use recreational drugs?
d. Do you take any prescription drugs?
Question 2A nurse cares for a client who is scheduled for the surgical creation of an ileal conduit. The client states, I am anxious about having an ileal conduit. What is it like to have this drainage tube? How should the nurse respond?
a. I will ask the provider to prescribe you an antianxiety medication.
b. Would you like to discuss the procedure with your doctor once more?
c. I think it would be nice to not have to worry about finding a bathroom.
d. Would you like to speak with someone who has an ileal conduit?
Question 3A nurse teaches a young female client who is prescribed amoxicillin (Amoxil) for a urinary tract infection. Which statement should the nurse include in this client's teaching?
a. Use a second form of birth control while on this medication.
b. You will experience increased menstrual bleeding while on this drug.
c. You may experience an irregular heartbeat while on this drug.
d. Watch for blood in your urine while taking this medication.
Question 4A nurse cares for a client who has kidney stones from secondary hyperoxaluria. Which medication should the nurse anticipate administering?
a. Phenazopyridine (Pyridium)
b. Propantheline (Pro-Banthine)
c. Tolterodine (Detrol LA)
d. Allopurinol (Zyloprim)
Question 5A nurse assesses a client who is recovering from extracorporeal shock wave lithotripsy for renal calculi. The nurse notes an ecchymotic area on the client's right lower back. Which action should the nurse take?
a. Administer fresh-frozen plasma.
b. Apply an ice pack to the site.
c. Place the client in the prone position.
d. Obtain serum coagulation test results.
Question 6A nurse cares for a client admitted from a nursing home after several recent falls. What prescription should the nurse complete first?
a. Obtain urine sample for culture and sensitivity.
b. Administer intravenous antibiotics.
c. Encourage protein intake and additional fluids.
d. Consult physical therapy for gait training.
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