A 60-year-old woman has begun a course of oral antibiotics for the treatment of a urinary tract infection (UTI). The patient's nurse should recognize that the causative microorganisms most likely originated from:
A) Fecal contamination from the patient's perineum
B) Colonization of the patient's urethra from bloodborne pathogens
C) Proliferation of normal microbiotic flora
D) Ingested microorganisms
Question 2Nurses are performing hourly neurological assessments of a patient who is postoperative day 1 following spinal surgery that was performed to treat spinal cord compression (SCC).
The nurse's most recent assessment shows a marked reduction in motor and sensory function. How should the nurse best follow-up this assessment finding?
A) Inform the care provider promptly about this sudden change.
B) Reassess the patient in 15 minutes.
C) Contact the anesthesiologist to discuss possible residual effects of anesthesia.
D) Document these findings and have a colleague confirm the assessment.
Question 3A patient had an ileal conduit created and is being cared for by a postsurgical nurse. What is a complication the nurse would monitor this patient for in the immediate postoperative care period?
A) Respiratory alkalosis
B) Colon obstruction
C) Ureteral obstruction
D) Gangrene of the ilium
Question 4The nurse is planning the care of a patient who has been admitted to the hospital for surgical treatment of prostate cancer that has metastasized to his spine.
When planning nursing care that is specific to this patient's spinal metastasis, what outcome should the nurse identify?
A) The patient will explain the importance of exercise in his recovery.
B) The patient will maintain full range of motion.
C) The patient will perform activities of daily living comparable to his prediagnosis abilities.
D) The patient will state that pain control is adequate.
Question 5The nurse is assessing a patient admitted to the unit with kidney stones. What assessment parameters would be priorities for the nurse to address? Select all that apply.
A) Dietary history
B) Family history of renal stones
C) Medication history
D) Surgical history
E) Vaccination history
Question 6A middle-aged patient has undergone emergency neurosurgery for the treatment of spinal cord compression (SCC) that was detected by magnetic resonance imaging (MRI).
Which of the following signs and symptoms is considered an early sign of spinal compression?
A) Personality changes
B) Muscle spasticity
C) Intermittent claudication
D) Urinary incontinence
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