Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
Test Bank for Advantage for Understanding
Medical-Surgical Nursing Already Graded A+
Guaranteed Pass – Ace your Exam
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet with limited
fluids during meals for a client recovering from gastric surgery. The client asks the nurse what
the purpose is for this type of diet. Which rationale should be included in the nurse's
explanation to the client?
A. it does not dilate the stomach
B. it does not cause diarrhea
C. it is slow to leave the stomach
D. it is quickly digested
C
This type of diet is slowly digested and is slow to leave the stomach. Because of its density
from proteins and fats, and the reduction of fluids with the meal, the possibility of dumping
syndrome is reduced.
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul
smelling fecal-like material. What action should the nurse implement?
A. position on the left side with knees drawn up
B. Encourage ice chips sparingly
C. administer anti-emetics every 2 to 3 hours
D. give IV fluids with electrolytes
D
When the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral fluids
with sodium chloride, bicarbonate, and potassium should be administered.
What instruction should the nurse include in the discharge teaching for a client who needs to
perform self-catheterization technique at home?
A. maintain sterile technique
B. drink 500 mL of fluid within 2 hours of catheterization
C. use the Cred maneuver before catheterization
D. catheterize every 3 to 4 hours
D
The average interval between catheterization for adults is every 3 to 4 hours. Although sterile
technique is indicated in healthcare facilities, clean technique is often followed by the client
when performing self-catheterization at home.
A client's prostate-specific antigen (PSA) exam result showed a PSA density o 0.13 ng/ml.
Which conclusion regarding this lab data is accurate?
A. biopsy of the prostate is indicated
B. probably prostatitis
C. low risk for prostate cancer
D. the presence of cancer cells
C
Clients with a PSA density of less than 0.15 ng/ml are considered at low risk for prostate
cancer.
The nurse is caring for a client after a transurethral resection of the prostate and determines
the client's urinary catheter is not draining. What should the nurse implement?
A. encourage the client to drink oral fluids
B. change drainage unit tubing
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
C. irrigate the catheter
D. reposition the catheter drainage tubing
C
Obstruction urinary flow after a TURP is most often due to blood clot, and sterile irrigation
should be implemented to remove the clots that are blocking the catheter.
A male client with a prostatic stent is preparing for discharge. What should the nurse ensure
the client understands?
A. increased frequency of assessment for prostatic cancer is needed
B. ongoing antibiotic therapy is needed for one year
C. the client should not undergo magnetic resonance imaging
D. the client should not be catheterized though the stent for at least three months
D
To prevent complications, the client should be cautioned against catheterization through the
stent for three months after stent placement. Long term antibiotic use for one year is not a
part of illness management. There is no contraindication for magnetic resonance imaging.
Frequent assessment of prostate health is part of client teaching for health promotion, but is
not increased because of the stent placement
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn). Which potential
side effect should the nurse provide to the client about this medication?
A. sensitivity to sunlight
B. muscle fascicultations
C. increased urinary frequency
D. gastrointestinal disturbance
D
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal side effects
such as nausea and gastric burning. It is recommended that this drug be taken with food to
avoid gastrointestinal upset. Naproxen does not cause sensitivity to sunlight, muscle
fasicultations, or urinary frequency.
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
A. permanent pigment changes to the breast may result
B. there is a possibility of long bone pain
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
C. dry, itchy, skin changes may occur
D. a low-residue diet may be ordered to reduce the likelihood of diarrhea
C.
Side effects from radiation to the breast most often include temporary skin changes such as:
dryness, tenderness, redness, swelling, and pruritis
The nurse is caring for a client receiving tamoxifen (Nolvadex) for treatment of breast cancer.
Which action should the nurse include in the client's plan of care?
A. encourage milk products to increase calcium intake
B. monitor sodium chloride intake
C. increase fluid intake
D. assist the client in coping with hot flashes
D
Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so it should be
included in the plan of care. Increasing fluid intake, monitoring sodium intake, and
encouraging milk products to increase calcium intake re not related to the care of a client
receiving tamoxifen
The nurse assessing a middle-aged male client for risk factors related to chronic illness. Which
finding should the nurse assess further?
A. increase in muscle tone but decreased muscle strength
B. increase in abdominal fat deposits
C. thinning hair and dry scalp
D. increase in appetite and taste-bud acuity
B
An increase in the abdominal girth may be indicative of the onset of metabolic syndrome,
which places the client at risk for cardiac disease and requires further assessment. During
middle adulthood, common finding include thinning hair, dry skin and scalp, changes in taste
bud acuity, and muscle size and strength, which are consistent with normal system
functioning during aging.
What is the priority nursing action while caring for a client on a ventilator when an electrical
fire occurs in the intensive care unit?
A. tell another staff member to bring extinguishing equipment to the bedside
B. implement an emergency protocol to remove the client from the ventilator
A+ TEST BANK 4
Understanding Medical-Surgical Nursing
Test Bank for Advantage for Understanding
Medical-Surgical Nursing Already Graded A+
Guaranteed Pass – Ace your Exam
The healthcare provider prescribes high-protein, high-fat, low-carbohydrate diet with limited
fluids during meals for a client recovering from gastric surgery. The client asks the nurse what
the purpose is for this type of diet. Which rationale should be included in the nurse's
explanation to the client?
A. it does not dilate the stomach
B. it does not cause diarrhea
C. it is slow to leave the stomach
D. it is quickly digested
C
This type of diet is slowly digested and is slow to leave the stomach. Because of its density
from proteins and fats, and the reduction of fluids with the meal, the possibility of dumping
syndrome is reduced.
A+ TEST BANK 1
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
The nurse is caring for a client with a small bowel obstruction. The client is vomiting foul
smelling fecal-like material. What action should the nurse implement?
A. position on the left side with knees drawn up
B. Encourage ice chips sparingly
C. administer anti-emetics every 2 to 3 hours
D. give IV fluids with electrolytes
D
When the bowel is obstructed, electrolytes and fluids are not absorbed, so parenteral fluids
with sodium chloride, bicarbonate, and potassium should be administered.
What instruction should the nurse include in the discharge teaching for a client who needs to
perform self-catheterization technique at home?
A. maintain sterile technique
B. drink 500 mL of fluid within 2 hours of catheterization
C. use the Cred maneuver before catheterization
D. catheterize every 3 to 4 hours
D
The average interval between catheterization for adults is every 3 to 4 hours. Although sterile
technique is indicated in healthcare facilities, clean technique is often followed by the client
when performing self-catheterization at home.
A client's prostate-specific antigen (PSA) exam result showed a PSA density o 0.13 ng/ml.
Which conclusion regarding this lab data is accurate?
A. biopsy of the prostate is indicated
B. probably prostatitis
C. low risk for prostate cancer
D. the presence of cancer cells
C
Clients with a PSA density of less than 0.15 ng/ml are considered at low risk for prostate
cancer.
The nurse is caring for a client after a transurethral resection of the prostate and determines
the client's urinary catheter is not draining. What should the nurse implement?
A. encourage the client to drink oral fluids
B. change drainage unit tubing
A+ TEST BANK 2
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
C. irrigate the catheter
D. reposition the catheter drainage tubing
C
Obstruction urinary flow after a TURP is most often due to blood clot, and sterile irrigation
should be implemented to remove the clots that are blocking the catheter.
A male client with a prostatic stent is preparing for discharge. What should the nurse ensure
the client understands?
A. increased frequency of assessment for prostatic cancer is needed
B. ongoing antibiotic therapy is needed for one year
C. the client should not undergo magnetic resonance imaging
D. the client should not be catheterized though the stent for at least three months
D
To prevent complications, the client should be cautioned against catheterization through the
stent for three months after stent placement. Long term antibiotic use for one year is not a
part of illness management. There is no contraindication for magnetic resonance imaging.
Frequent assessment of prostate health is part of client teaching for health promotion, but is
not increased because of the stent placement
A client with osteoarthritis receives a prescription for Naproxen (Naprosyn). Which potential
side effect should the nurse provide to the client about this medication?
A. sensitivity to sunlight
B. muscle fascicultations
C. increased urinary frequency
D. gastrointestinal disturbance
D
Prostaglandin synthesis inhibitors such as naproxen can have gastrointestinal side effects
such as nausea and gastric burning. It is recommended that this drug be taken with food to
avoid gastrointestinal upset. Naproxen does not cause sensitivity to sunlight, muscle
fasicultations, or urinary frequency.
When teaching a client with breast cancer about the prescribed radiation therapy for
treatment, what information is important to include?
A. permanent pigment changes to the breast may result
B. there is a possibility of long bone pain
A+ TEST BANK 3
, Test Bank for Davis Advantage for
Understanding Medical-Surgical Nursing
C. dry, itchy, skin changes may occur
D. a low-residue diet may be ordered to reduce the likelihood of diarrhea
C.
Side effects from radiation to the breast most often include temporary skin changes such as:
dryness, tenderness, redness, swelling, and pruritis
The nurse is caring for a client receiving tamoxifen (Nolvadex) for treatment of breast cancer.
Which action should the nurse include in the client's plan of care?
A. encourage milk products to increase calcium intake
B. monitor sodium chloride intake
C. increase fluid intake
D. assist the client in coping with hot flashes
D
Tamoxifen, an estrogen receptor blocking agent, can cause hot flashes, so it should be
included in the plan of care. Increasing fluid intake, monitoring sodium intake, and
encouraging milk products to increase calcium intake re not related to the care of a client
receiving tamoxifen
The nurse assessing a middle-aged male client for risk factors related to chronic illness. Which
finding should the nurse assess further?
A. increase in muscle tone but decreased muscle strength
B. increase in abdominal fat deposits
C. thinning hair and dry scalp
D. increase in appetite and taste-bud acuity
B
An increase in the abdominal girth may be indicative of the onset of metabolic syndrome,
which places the client at risk for cardiac disease and requires further assessment. During
middle adulthood, common finding include thinning hair, dry skin and scalp, changes in taste
bud acuity, and muscle size and strength, which are consistent with normal system
functioning during aging.
What is the priority nursing action while caring for a client on a ventilator when an electrical
fire occurs in the intensive care unit?
A. tell another staff member to bring extinguishing equipment to the bedside
B. implement an emergency protocol to remove the client from the ventilator
A+ TEST BANK 4
