Maryville NURS 620 Exam 3 with complete solution latest 2020/2021 A+ exam

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Maryville NURS 620 Exam 3 with complete solution latest 2020/2021 A+ exam Which of the following is not a common cause of chronic renal failure? a. Polycystic kidney disease b. Type 1 diabetes c. H... ypothyroidism Correct Answer- Hypothyroidism In clinical practice the NP notes an elevation in the creatinine clearance and understands that this lab test: a. Does not change with the aging process b. Is greater in women than in men c. Approximates the GFR Correct Answer- Approximates the GFR The NP is seeing an 80 YO patient and understands that which of the following is an early finding of chronic renal disease? a. Hyperkalemia b. Persistent proteinuria c. Elevated creatinine level Correct Answer- Persistent proteinuria Which of the following would allow you to rule out a diagnosis of testicular cancer? a. Caucasian race b. Scandinavian background c. Trans-illumination of suspected mass Correct Answer- Trans-illumination of suspected mass Which of the following would not be considered in a patient presenting with erectile dysfunction? a. Hypertension b. Diabetes c. Normal testosterone Correct Answer- Normal testosterone What is the primary treatment for a patient diagnosed with testicular cancer a. Watch and wait b. Check every 3 months c. Lumpectomy d. Radical orchiectomy Correct Answer- Radical orchiectomy Which of the following would be an appropriate treatment for a patient with benign BPH and an AUASI score of 6? a. Prescribe a trial of Flomax b. Reevaluate symptoms in 1-4 months c. Refer to urology for surgery Correct Answer- Reevaluate symptoms in 1-3 months What is the most common diagnosis for a 63 YOM with chief complaint of nocturia? a. Urethral polyps b. BPH c. Psychogenic nocturia Correct Answer- BPH Which of the following would be associated with a diagnosis of testicular torsion? a. Testicle is very low in the scrotum b. Swollen scrotum with erythema c. Absent cremasteric reflex Correct Answer- Absent cremasteric reflex A 60 YOM presents with an enlarged scrotum. The clinician uses a penlight to illuminate the scrotum. In a patient with a hydrocele, what would the clinician expect to find? a. The scrotum would be dark b. The scrotum would be milky white c. The scrotum would appear light pink or yellow Correct Answer- The scrotum would appear light pink or yellow A 19 YOM is seen with complaints of severe testicular pain. The clinician suspects testicular torsion. Which of the following is true? a. Diagnosis is made by CT scan b. Considered urologic emergency Correct Answer- Considered urologic emergency A 30 YOM is seen with CC of loss of libido. Which of the following laboratory tests would help to establish a diagnosis? a. PSA b. Prolactin level c. Testosterone level Correct Answer- Testosterone level What are the most common gram negative bacteria that cause acute and chronic bacterial prostatitis? a. Staph aureus b. Staph pneumonia c. E. coli Correct Answer- E. coli How long should a 56 YOM with chronic bacterial prostatitis be treated with Bactrim? a. 3-6 weeks b. 7-14 days c. 6-12 weeks Correct Answer- 6-12 weeks A 23 YO sexually active male is seen in the clinic with unilateral painful testicular swelling. He is diagnosed with epididymitis. In order to prescribe the correct drug, the clinician must understand that which of the following is the most common causative organism of epididymitis? a. E. coli b. Staph aureus c. Chlamydia Correct Answer- Chlamydia Which of the following is the most commonly found organism in UTIs in women? a. E. Coli b. Chlamydia c. Klebsiella Correct Answer- E. Coli A patient comes to see you for the 3rd time with complaints of dysuria and frequency. Again, her UA is normal with no signs of infection. She reports the symptoms are worse after intercourse. Based on this information, what should you suspect? a. Pyelonephritis b. Overactive bladder c. Interstitial cystitis Correct Answer- Interstitial cystitis A patient is diagnosed with lower UTI. Which antibiotic should the NP prescribe? a. Doxycycline b. Azithromycin c. Macrobid Correct Answer- Macrobid Which of the following are predisposing factors for pyelonephritis? a. Smoking b. Dehydration c. Pregnancy Correct Answer- Pregnancy Janet has stress urinary incontinence and has been doing Kegel exercises with some success. Which of these other interventions might help her urinary incontinence? a. Limit fluids b. Stop smoking c. Weight lifting Correct Answer- Stop smoking Which of the following is a common bladder irritant? a. ? b. Tylenol c. Sudafed Correct Answer- Sudafed The NP knows that a recurrent UTI diagnosis requires that the patient have how many UTIs in 12 months? a. 2 b. 6 c. at least 3 Correct Answer- at least 3 The inability to empty the bladder resulting in over distention and frequent loss of small amounts of urine describes which type of urinary incontinence? [Show More]

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