MSN 277 EXAM 3 2023/2024 REAL EXAM WITH EXPERT VERIFIED ANSWERS 180+ Q AND A LATEST UPDATE

MSN 277 EXAM 3 2023/2024 REAL EXAM WITH EXPERT VERIFIED ANSWERS 180+ Q AND A LATEST UPDATE Which action will t he nurse in the hypertension clinic take in order to obtain an accurate baseline blood pressure (BP) for a new patient? a. Obtain a BP reading in each arm and average the results. b.Deflate the BP cuff at a rate of 5 to 10 mm Hg per second. c.Have the p atient sit in a chair with the feet flat on the floor. d. Assist the patient to the supine position for BP measurements. Have the patient sit in a chair with the feet flat on the floor. A nurse is providing teaching to a male client who has a continent internal ileal reservoir following surgery to treat bladder cancer. Which of the following statements should the nurse make? a. "this should not affect your ability to function sexually" b. "You should expect to gain some weight during the next few weeks." c. "You will need to avoid foods that produce intestinal gas." d. "you must insert a catheter through your stoma to drain the urine" "you must insert a catheter through your stoma to drain the urine" a nurse in a women's health clinic is caring for a client who reports urinary urgency and dysuria. which of the following additional finding should the nurse identify as an indication of a urinary tract infection (UTI)? a. vaginal discharge b. pyuria c. glycosuria d. elevated creatine kinase -MB pyuria The nurse determines that instruction regarding prevention of future urinary tract infections (UTIs) has been effective for a 22 -year-old female patient with cystitis when the patient states which of the following? a.I can use vaginal antiseptic sprays to reduce bacteria. b. I will drink a quart of water or other fluids every day. c. I will wash with soap and water before sexual intercourse. d. I will empty my bladder every 3 to 4 hours during the day. I will empty my bladder every 3 to 4 hours during the day. Which finding by the nurse will be most helpful in determining whether a 67 -year-old patient with benign prostatic hyperplasia has an upper urinary tract infection (UTI)? a. Bladder diste ntion b. Foul -smelling urine c. Suprapubic discomfort d. Costovertebral tenderness Costovertebral tenderness The nurse determines that further instruction is needed for a patient with interstitial cystitis when the patient says which of the following? a. I should stop having coffee and orange juice for breakfast. b. I will buy calcium glycerophosphate (Prelief) at the pharmacy. c. I will start taking high potency multiple vitamins every morning. d. I should call the doctor about increased bladder pai n or odorous urine. I will start taking high potency multiple vitamins every morning. It is most important that the nurse ask a patient admitted with acute glomerulonephritis about a.history of kidney stones. b. recent sore throat and fever. c. history of high blood pressure. d. frequency of bladder infections. recent sore throat and fever. Which finding for a patient admitted with glomerulonephritis indicates to the nurse that treatment has been effective? a. The patient denies pain with voiding. b. The urine dipstick is negative for nitrites. c. The antistreptolysin -O (ASO) titer is decreased. d.nThe periorbital and peripheral edema is resolved. The periorbital and peripheral edema is resolved A nurse is caring for a client following extracorporeal shock wave lithotripsy (ESWL) for the treatment of calcium phosphate kidney stones. Which of the following actions should the nurse take? a. monitor the client's urine for ketones b. provide the client with an increased animal protein diet. c. Limit the client's fluid intake to 1.5L per day d. Strain all of the client's urine Strain all of the client's urine The nurse will anticipate teaching a patient with nephrotic syndrome who develops flank pain about treatment with a. antibiotics. b. antifungals. c. anticoagulants. d. antihypertensives. anticoagulants. Flank pain in a patient with nephrotic syndrome suggests a renal vein thrombosis, and anticoagulation is needed. Antibiotics are used to treat a patient with flank pain caused by pyelonephritis. F ungal pyelonephritis is uncommon and is treated with antifungals. Antihypertensives are used if the patient has high blood pressure Calculating fluid recommendations Weight (lbs)/2= # of ounces of fluid/day recommended - Example: 150lbs/2=75 ounces/day - (-20%) will be obtained from food (15 oz): 60 oz fluid intake by drinking To prevent recurrence of uric acid renal calculi, the nurse teaches the patient to avoid eating a.milk and cheese. b. sardines and liver. c. legumes and dried fruit. d. spinach, c hocolate, and tea. sardines and liver. The nurse teaches a 64 -year-old woman to prevent the recurrence of renal calculi by a. using a filter to strain all urine. b. avoiding dietary sources of calcium. c. choosing diuretic fluids such as coffee. d. dri nking 2000 to 3000 mL of fluid a day. drinking 2000 to 3000 mL of fluid a day. A 56 -year-old female patient is admitted to the hospital with new onset nephrotic syndrome. Which assessment data will the nurse expect? a. Poor skin turgor b. Recent weight g ain c. Elevated urine ketones d. Decreased blood pressure Recent weight gain When planning teaching for a 59 -year-old male patient with benign nephrosclerosis the nurse should include instructions regarding a. preventing bleeding with anticoagulants. b. monitoring and recording blood pressure. c. obtaining and documenting daily weights. d. measuring daily intake and output volumes. monitoring and recording blood pressure. A nurse is teaching a client who has a new diagnosis of acute pyelonephritis. Wh ich of the following instructions should the nurse include in the teaching? a. Drink up to 1,500ml of fluid per day b. avoid the use of NSAIDs for pain c. Check peripheral blood glucose levels twice per day d. Increase dietary protein intake. avoid the us e of NSAIDs for pain A 68 -year-old female patient admitted to the hospital with dehydration is confused and incontinent of urine. Which nursing action will be best to include in the plan of care? a. Restrict fluids between meals and after the evening meal . b. Apply absorbent incontinent pads liberally over the bed linens. c. Insert an indwelling catheter until the symptoms have resolved. d.Assist the patient to the bathroom every 2 hours during the day. Assist the patient to the bathroom every 2 hours d uring the day. A nurse is planning care for a client who is scheduled for extracorporeal shock wave lithotripsy (ESWL) to treat urolithiasis, which of the following actions should the nurse plan to take? A. place the client in a semi -fowler's position b. prepare to intubate the client c. monitor urine flow through a nephrostomy tube d. apply electrodes for cardia monitoring. apply electrodes for cardia monitoring. The home health nurse teaches a patient with a neurogenic bladder how to use intermittent catheterization for bladder emptying. Which patient statement indicates that the teaching has been effective? a. I will buy seven new catheters weekly and use a new one every day. b. I will use a sterile catheter and gloves for each time I self -catheterize. c. I will clean the catheter carefully before and after each catheterization. d. I will need to take prophylactic antibiotics to prevent any urinary tract infec tions. I will clean the catheter carefully before and after each catheterization. A 68 -year-old male patient who has bladder cancer had a cystectomy with creation of an Indiana pouch. Which topic will be included in patient teaching?