TEST BANK For Leddy & Pepper’s Professional Nursing, 1
g g g g g g g g
0th Edition by Lucy Hood
g g g g
Agclientgisgdiagnosedgwithgcondylomagacuminatum.gWhichgfindinggingthegclientgsupport
sgthegdiagnosis?
g1g
Moist,gfleshygprojectionsgongthegpenis
g2 g
Pus-filledgulcersgongthegpenis
g3 g
Swollengpenisgwithgtightgforeskin
g4 g
Maculesgongthegpenisg-gANSWER:1
Moist,gfleshygprojectionsgongthegpenisgwithgsinglegorgmultiplegprojectionsgisgagclinicalgm
anifestationgofgcondylomagacuminatum.gMaculesgongthegpenisgorgscrotumgaregclinicalg
manifestationsgofgpenilegerythema.gChancroidgisgmanifestedgbygpus-
filledgulcersgongthegpenis.gAgswollengpenisgwithgtightgforeskingisgagclinicalgmanifestationg
ofgparaphimosis
Agnursegisgcaringgforgagclientgwithgagdiagnosisgofgcancergofgthegprostate.gThegnursegshou
ldgteachgthegclientgthatgwhichgserumglevelgwillgbegmonitoredgthroughoutgthegcoursegofg
thegdisease?
g1g
Albumin
2g
Prostate-specificgantigeng(PSA)
g3 g
Bloodgureagnitrogeng(BUN)
g4 g
Creatinineg-
gANSWER:.2..ThegPSAgisgangindicationgofgcancergofgthegprostate;gtheghighergtheglevel,gth
eggreatergthegtumorgburden.gAlbumingisgagproteingthatgisgangindicatorgofgnutritionalgand
gfluidgstatus.gIncreasedgcreatininegorgBUNglevelsgmaygbegcausedgbygimpairedgrenalgfunc
tiongasgagresultgofgblockagegbygangenlargedgprostategbutgdognotgindicategthatgmetastasi
sghasgoccurred.
Thegnursegisgcaringgforgagclientgwithgureteralgcolic.gTogpreventgthegdevelopmentgofgrena
lgcalculigingthegfuture,gwhichgstrategygshouldgbegincludedgingthegclient'sgplangofgcare?
,g1g
Excludinggmilkgproductsgfromgthegdiet
g2 g
Interventionsgtogdecreasegthegserumgcreatinineglevel
g3 g
Instructinggthegclientgtogdrinkg8gtog10gglassesgofgwatergdaily
g4 g
Agurinarygoutputggoalgofg2000gmLgperg24ghoursg-
gANSWER:.3..Increasinggfluidgintakeg[1]g[2]gdilutesgthegurine,gandgcrystalsgareglessglikelyg
togcoalescegandgformgcalculi.gAngelevatedgserumgcreatinineghasgnogrelationshipgtogthegf
ormationgofgrenalgcalculi.gCalciumgrestrictiongisgnecessarygonlygifgcalculighavegagcalcium
gphosphategbasis.gProducinggonlyg2000gmLgofgurinegperg24ghoursgisginadequate.g
STUDYgTIP:gAnswergeverygquestion.gAgquestiongwithoutganganswergisgthegsamegasgagwr
ongganswer.gGogaheadgandgguess.gYoughavegstudiedgforgthegtestgandgyougknowgthegmat
erialgwell.gYougaregnotgmakinggagrandomgguessgbasedgongnoginformation.gYougaregguess
inggbasedgongwhatgyoughaveglearnedgandgyourgbestgassessmentgofgthegquestion.
Whengassessinggagclientgduringgperitonealgdialysis,gagnursegobservesgthatgdrainagegofgt
hegdialysategfromgthegperitonealgcavityghasgceasedgbeforegthegrequiredgvolumeghasgret
urned.gWhatgshouldgthegnurseginstructgthegclientgtogdo?
g1g
Turngfromgsidegtogside
g2 g
Deepgbreathegandgcough
g3 g
Drinkgagglassgofgwater
g4 g
Rotategthegcathetergperiodicallyg-
gANSWER:1...Turninggfromgsidegtogsidegwillgchangegthegpositiongofgthegcatheter,gthereb
ygfreeinggthegdrainagegholesgofgthegtubing,gwhichgmaygbegobstructed.gDrinkinggagglassg
ofgwatergandgdeepgbreathinggandgcoughinggdognotginfluencegdrainagegofgdialysategfro
mgthegperitonealgcavity.gThegpositiongofgthegcathetergshouldgbegchangedgonlygbygthegpr
imaryghealthcaregprovider.
Agnursegisgteachinggagbirthing/prenatalgclassgaboutgbreast-
feeding.gWhichghormonegstimulatesgthegproductiongofgmilkgduringglactation?
1g
g
Progesterone
2g
Prolactin
,g3g
Inhibin
g4g
Estrogeng-
gANSWER:2...Prolactingisgtheghormonegthatginitiatesgandgproducesgmilkgduringglactatio
n.gInhibingpreventsgthegsecretionsgofgfolliclegstimulatingghormonegandggonadotropingre
leasingghormone.gEstrogengandgprogesteronegaregthegsexghormonesgproducedgbygtheg
ovaries.
Agclientgisgdiagnosedgwithgcondylomagacuminatum.gWhichgfindinggingthegclientgsupport
sgthegdiagnosis?
1g
g
Moist,gfleshygprojectionsgongthegpenis
2g
g
Pus-filledgulcersgongthegpenis
3g
g
Swollengpenisgwithgtightgforeskin
g4g
Maculesgongthegpenisg-
gANSWER:1...Moist,gfleshygprojectionsgongthegpenisgwithgsinglegorgmultiplegprojectionsg
isgagclinicalgmanifestationgofgcondylomagacuminatum.gMaculesgongthegpenisgorgscrotu
mgaregclinicalgmanifestationsgofgpenilegerythema.gChancroidgisgmanifestedgbygpus-
filledgulcersgongthegpenis.gAgswollengpenisgwithgtightgforeskingisgagclinicalgmanifestationg
ofgparaphimosis.
Whichgstatementgregardinggerythropoietingisgtrue?
1g
g
Angerythropoietingdeficiencygisgassociatedgwithgrenalgfailure.
2g
g
Erythropoietingisgreleasedgonlygwhengtheregisgadequategbloodgflow.
3g
g
Angerythropoietingdeficiencygcausesgdiabetes.
g 4g
, Erythropoietingisgreleasedgbygthegpancreas.g-
gANSWER:...1gcorrectgErythropoietingisgproducedgbygthegkidneys;gitsgdeficiencygoccursgi
ngrenalgfailure.gErythropoietingisgreleasedgbygthegkidneys,gnotgthegpancreas.gErythropoi
etingdeficiencygcausesganemia.gErythropoietingisgsecretedgingresponsegtoghypoxia,gwhic
hgresultsgingdecreasedgoxygenatedgbloodgflowgtogthegtissues.
Whichgdruggprescribedgtogagclientgwithgagurinarygtractginfectiong(UTI)gturnsgurinegreddis
h-orangegingcolor?
1g
g
Nitrofurantoin
2g
g
Ciprofloxacin
3g
g
Phenazopyridine
g4g
Amoxicilling-
gANSWER:...3...Phenazopyridinegisgagtopicalganestheticgthatgisgusedgtogtreatgpaingorgbur
ninggsensationgassociatedgwithgurination.gItgalsogimpartsgagcharacteristicgorangegorgred
gcolorgtogurine.gAmoxicillingisgagpenicillingformgthatgcouldgcausegpseudomembranousgco
litisgasgagcomplication;gitgisgnotgassociatedgwithgreddish-
orangegcoloredgurine.gCiprofloxacingisgagquinolonegantibioticgusedgforgtreatinggUTIsgan
dgcangcausegseriousgcardiacgdysrhythmiasgandgsunburns.gItgisgnot,ghowever,gresponsibl
egforgreddish-
orangegcoloredgurine.gNitrofurantoingisgangantimicrobialgmedicationgprescribedgforgUTI
s.gThisgdruggmaygaffectgthegkidneysgbutgisgnotgassociatedgwithgreddish-
orangegcoloredgurine.
Agclientgarrivesgatgaghealthgclinicgreportingghematuria,gfrequency,gurgency,gandgpaingon
gurination.gWhichgdiagnosisgwillgthegnursegmostglikelygobservegwrittengingthegclient'sgm
edicalgrecord?
1g
Pyelonephritis
2g
g
Nephroticgsyndrome
3g
g
Cystitis
g g g g g g g g
0th Edition by Lucy Hood
g g g g
Agclientgisgdiagnosedgwithgcondylomagacuminatum.gWhichgfindinggingthegclientgsupport
sgthegdiagnosis?
g1g
Moist,gfleshygprojectionsgongthegpenis
g2 g
Pus-filledgulcersgongthegpenis
g3 g
Swollengpenisgwithgtightgforeskin
g4 g
Maculesgongthegpenisg-gANSWER:1
Moist,gfleshygprojectionsgongthegpenisgwithgsinglegorgmultiplegprojectionsgisgagclinicalgm
anifestationgofgcondylomagacuminatum.gMaculesgongthegpenisgorgscrotumgaregclinicalg
manifestationsgofgpenilegerythema.gChancroidgisgmanifestedgbygpus-
filledgulcersgongthegpenis.gAgswollengpenisgwithgtightgforeskingisgagclinicalgmanifestationg
ofgparaphimosis
Agnursegisgcaringgforgagclientgwithgagdiagnosisgofgcancergofgthegprostate.gThegnursegshou
ldgteachgthegclientgthatgwhichgserumglevelgwillgbegmonitoredgthroughoutgthegcoursegofg
thegdisease?
g1g
Albumin
2g
Prostate-specificgantigeng(PSA)
g3 g
Bloodgureagnitrogeng(BUN)
g4 g
Creatinineg-
gANSWER:.2..ThegPSAgisgangindicationgofgcancergofgthegprostate;gtheghighergtheglevel,gth
eggreatergthegtumorgburden.gAlbumingisgagproteingthatgisgangindicatorgofgnutritionalgand
gfluidgstatus.gIncreasedgcreatininegorgBUNglevelsgmaygbegcausedgbygimpairedgrenalgfunc
tiongasgagresultgofgblockagegbygangenlargedgprostategbutgdognotgindicategthatgmetastasi
sghasgoccurred.
Thegnursegisgcaringgforgagclientgwithgureteralgcolic.gTogpreventgthegdevelopmentgofgrena
lgcalculigingthegfuture,gwhichgstrategygshouldgbegincludedgingthegclient'sgplangofgcare?
,g1g
Excludinggmilkgproductsgfromgthegdiet
g2 g
Interventionsgtogdecreasegthegserumgcreatinineglevel
g3 g
Instructinggthegclientgtogdrinkg8gtog10gglassesgofgwatergdaily
g4 g
Agurinarygoutputggoalgofg2000gmLgperg24ghoursg-
gANSWER:.3..Increasinggfluidgintakeg[1]g[2]gdilutesgthegurine,gandgcrystalsgareglessglikelyg
togcoalescegandgformgcalculi.gAngelevatedgserumgcreatinineghasgnogrelationshipgtogthegf
ormationgofgrenalgcalculi.gCalciumgrestrictiongisgnecessarygonlygifgcalculighavegagcalcium
gphosphategbasis.gProducinggonlyg2000gmLgofgurinegperg24ghoursgisginadequate.g
STUDYgTIP:gAnswergeverygquestion.gAgquestiongwithoutganganswergisgthegsamegasgagwr
ongganswer.gGogaheadgandgguess.gYoughavegstudiedgforgthegtestgandgyougknowgthegmat
erialgwell.gYougaregnotgmakinggagrandomgguessgbasedgongnoginformation.gYougaregguess
inggbasedgongwhatgyoughaveglearnedgandgyourgbestgassessmentgofgthegquestion.
Whengassessinggagclientgduringgperitonealgdialysis,gagnursegobservesgthatgdrainagegofgt
hegdialysategfromgthegperitonealgcavityghasgceasedgbeforegthegrequiredgvolumeghasgret
urned.gWhatgshouldgthegnurseginstructgthegclientgtogdo?
g1g
Turngfromgsidegtogside
g2 g
Deepgbreathegandgcough
g3 g
Drinkgagglassgofgwater
g4 g
Rotategthegcathetergperiodicallyg-
gANSWER:1...Turninggfromgsidegtogsidegwillgchangegthegpositiongofgthegcatheter,gthereb
ygfreeinggthegdrainagegholesgofgthegtubing,gwhichgmaygbegobstructed.gDrinkinggagglassg
ofgwatergandgdeepgbreathinggandgcoughinggdognotginfluencegdrainagegofgdialysategfro
mgthegperitonealgcavity.gThegpositiongofgthegcathetergshouldgbegchangedgonlygbygthegpr
imaryghealthcaregprovider.
Agnursegisgteachinggagbirthing/prenatalgclassgaboutgbreast-
feeding.gWhichghormonegstimulatesgthegproductiongofgmilkgduringglactation?
1g
g
Progesterone
2g
Prolactin
,g3g
Inhibin
g4g
Estrogeng-
gANSWER:2...Prolactingisgtheghormonegthatginitiatesgandgproducesgmilkgduringglactatio
n.gInhibingpreventsgthegsecretionsgofgfolliclegstimulatingghormonegandggonadotropingre
leasingghormone.gEstrogengandgprogesteronegaregthegsexghormonesgproducedgbygtheg
ovaries.
Agclientgisgdiagnosedgwithgcondylomagacuminatum.gWhichgfindinggingthegclientgsupport
sgthegdiagnosis?
1g
g
Moist,gfleshygprojectionsgongthegpenis
2g
g
Pus-filledgulcersgongthegpenis
3g
g
Swollengpenisgwithgtightgforeskin
g4g
Maculesgongthegpenisg-
gANSWER:1...Moist,gfleshygprojectionsgongthegpenisgwithgsinglegorgmultiplegprojectionsg
isgagclinicalgmanifestationgofgcondylomagacuminatum.gMaculesgongthegpenisgorgscrotu
mgaregclinicalgmanifestationsgofgpenilegerythema.gChancroidgisgmanifestedgbygpus-
filledgulcersgongthegpenis.gAgswollengpenisgwithgtightgforeskingisgagclinicalgmanifestationg
ofgparaphimosis.
Whichgstatementgregardinggerythropoietingisgtrue?
1g
g
Angerythropoietingdeficiencygisgassociatedgwithgrenalgfailure.
2g
g
Erythropoietingisgreleasedgonlygwhengtheregisgadequategbloodgflow.
3g
g
Angerythropoietingdeficiencygcausesgdiabetes.
g 4g
, Erythropoietingisgreleasedgbygthegpancreas.g-
gANSWER:...1gcorrectgErythropoietingisgproducedgbygthegkidneys;gitsgdeficiencygoccursgi
ngrenalgfailure.gErythropoietingisgreleasedgbygthegkidneys,gnotgthegpancreas.gErythropoi
etingdeficiencygcausesganemia.gErythropoietingisgsecretedgingresponsegtoghypoxia,gwhic
hgresultsgingdecreasedgoxygenatedgbloodgflowgtogthegtissues.
Whichgdruggprescribedgtogagclientgwithgagurinarygtractginfectiong(UTI)gturnsgurinegreddis
h-orangegingcolor?
1g
g
Nitrofurantoin
2g
g
Ciprofloxacin
3g
g
Phenazopyridine
g4g
Amoxicilling-
gANSWER:...3...Phenazopyridinegisgagtopicalganestheticgthatgisgusedgtogtreatgpaingorgbur
ninggsensationgassociatedgwithgurination.gItgalsogimpartsgagcharacteristicgorangegorgred
gcolorgtogurine.gAmoxicillingisgagpenicillingformgthatgcouldgcausegpseudomembranousgco
litisgasgagcomplication;gitgisgnotgassociatedgwithgreddish-
orangegcoloredgurine.gCiprofloxacingisgagquinolonegantibioticgusedgforgtreatinggUTIsgan
dgcangcausegseriousgcardiacgdysrhythmiasgandgsunburns.gItgisgnot,ghowever,gresponsibl
egforgreddish-
orangegcoloredgurine.gNitrofurantoingisgangantimicrobialgmedicationgprescribedgforgUTI
s.gThisgdruggmaygaffectgthegkidneysgbutgisgnotgassociatedgwithgreddish-
orangegcoloredgurine.
Agclientgarrivesgatgaghealthgclinicgreportingghematuria,gfrequency,gurgency,gandgpaingon
gurination.gWhichgdiagnosisgwillgthegnursegmostglikelygobservegwrittengingthegclient'sgm
edicalgrecord?
1g
Pyelonephritis
2g
g
Nephroticgsyndrome
3g
g
Cystitis
