The physician orders a urinalysis and urine culture. To obtain the urine specimen, the nurse would first instruct the patient about
a. collecting the urine for a 24 hour period.
b. obtaining a clean-catch specimen.
c. bringing in an early morning specimen.
d. limiting fluid intake to concentrate the urine.
Question 2The nurse conducts a session entitled Physical Changes after Menopause at a women's health fair. Which of the following conditions are at a significantly higher risk than before menopause based on these physical changes?
A) C. difficileassociated disease
B) Herpes zoster (shingles) of the vagina
C) HIV transmission with unprotected vaginal intercourse
D) Vancomycin-resistant Enterococcus from toilet seats
Question 3A 79-year-old man is scheduled for surgical repair of an inguinal hernia. In light of this patient's age, the nurse will prioritize nursing interventions aimed at preventing:
A) Overstimulation
B) Skin breakdown
C) Hyperglycemia or hypoglycemia
D) Early ambulation
Question 4A patient is observed sitting on the side of the bed crying. When approached the patient does not say anything but continues to cry and hold the nurse's hand. What should the nurse do to communicate being present with the patient?
A) Sit down next to the patient
B) Leave the patient alone to cry
C) Encourage the patient to stop crying
D) Ask the patient to use the call bell if he or she wants to talk
Question 5A nurse who has provided care in perioperative settings for many years has seen first-hand the trend toward increasing numbers of surgical procedures being performed in ambulatory surgical centers and on an outpatient basis.
What factors have contributed most significantly to this trend?
A) The emergence of managed care and the large number of Americans who lack health insurance
B) The nursing shortage and decreasing numbers of health care providers who are choosing surgical specialties
C) Advances in anesthesia and in the technology surrounding surgical techniques
D) Pressure from health care consumers to avoid hospital stays and the decreasing incidence of acute illnesses
Question 6The nurse is planning care to address a patient's spiritual distress. Which interventions would be appropriate to include in this plan of care? (Select all that apply.)
A) Pray with the patient upon request as needed and desired
B) Find a volunteer to read the Bible to the patient upon request
C) Remind the patient that spiritual needs are often addressed last
D) Contact the patient's church to have the clergy visit the patient
E) Help the patient identify factors contributing to spiritual distress
Question 7The patient is scheduled for a cystogram via a cystoscope. Which is the best explanation of this procedure by the nurse?
a. Your doctor will insert a lighted tube into the bladder through your urethra, inspect the bladder, and instill a dye that will outline your bladder on x-ray film.
b. Your doctor will inject a dye into a vein in your arm that is carried to the urinary system. Then a lighted tube in your bladder is used to see when the dye appears.
c. Your doctor will insert a lighted tube into the bladder and inject a dye into your kidneys through little catheters inserted into the ureters.
d. Your doctor will place a catheter into an artery in your groin and inject a dye that will visualize the blood supply to the kidneys.
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