Med Surge 2 exam.docx 2021 practice questions and answers solution

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Med Surge 2 exam.docx 2021 practice questions and answers solution 1) A nurse is reviewing the drugs taken by a 50-year-old male patient. What medication should the nurse recognize as the most prob... able cause of erectile dysfunction (ED)? Antibiotic for an upper respiratory infection Vasodilator for hypertension Antihistamine for allergies Glucophage for type 2 diabetes 2)A male student comes to the campus clinic complaining of painful scrotal edema, nausea, vomiting, chills, and fever. What should the nurse recognize these signs and symptoms as being associated with? Cystitis Epididymitis Orchitis Urethritis 3)What should a nurse explain to a young man being treated for infertility as the purpose of a semen analysis? Determine whether any urethral obstructions are present. Evaluate the potential for genetic problems. Determine the history of sexually transmitted infections. Microscopically assess the sperm for number and motility. 4)What is the purpose of the urethral smear? Verifies fertility through a sperm count Detects sexually transmitted infections Eliminates concerns of prostate problems Screens for human immunodeficiency viral (HIV) infection 5)A patient is placed on diethylstilbestrol (DES) for prostate cancer. What should the nurse explain as a possible side effect of the medication? Pruritus Gynecomastia Tinnitus Constipation 6)Which statement by a patient indicates he understands the teaching relative to how to perform a testicular self-examination? "It doesn’t really matter when I do it; just do it sometime." "The best time to do a self-examination is after a shower, when my body is warm." "It’s not necessary to feel the testes; just look at them in a mirror." "The physician is really the best person to check this for me." 7)When conducting an initial assessment on a 65-year-old male patient, a nurse assesses a mass in the left testicle that on transillumination glows red. What should the nurse note this indicates the presence of? Smegma A hematocele Phimosis A hydrocele 8)A mother of a newborn with cryptorchidism asks if this condition will be permanent. What is the nurse’s best response? "Yes, but your child can develop normally with hormone replacement therapy." "Yes, but the undescended testicle is still able to function in a normal manner." "No, several medical and surgical remedies can be performed after your baby’s first birthday." "No, the process of sexual maturity will cause it to descend at puberty." 9)A patient has been prescribed flutamide (Eulexin) for the treatment of prostate cancer. What possible side effect should the nurse remind the patient might occur? Incontinence Weight loss Hot flashes Insomnia 10)After an accident at a track meet, a young male runner is brought to the emergency department complaining of intense pain in his scrotum and nausea and vomiting. What should the nurse suspect base on these initial findings? Testicular torsion Varicocele Cryptorchidism Epididymitis 11)A patient is recovering after surgery to correct a testicular torsion. Which possibility should the nurse caution the young patient about? Reoccurrence Significant risk of prostatic hypertrophy Orchiditis Infertility 12)What can men who have sustained spinal cord injuries with resultant ED use to aid in the ability to have sexual intercourse? Testosterone injections Oral sildenafil (Viagra) Papaverine penile injections Inflatable penile implants 13)A nurse is assessing a young man who is being treated for sterility and inquires whether the young man had any common childhood disease that may be the cause of sterility. What childhood disease might result in sterility? Scarlet fever Measles Mumps Chicken pox 14)A patient has an elevation in the prostatic-specific antigen (PSA) level from 4 to 6 ng/L. What should the nurse suspect to be the cause? Probability of orchiditis Possibility of prostatic cancer ED Significant indication of Peyronie disease 15)A patient who had a prostatectomy 1 year earlier now has elevations in serum alkaline phosphatase and calcium levels. What should the nurse be aware that this indicates? Testicular cancer Orchiditis Reduction of cancer risk Metastasis 16)What instruction should a nurse include when giving education about taking sildenafil (Viagra)? Tablet should be taken 1 hour before sexual activity. No more than two tablets should be taken in a 24-hour period. Nitrates should be taken at least 4 hours before taking Viagra. Erection occurs without stimulation. 17)A nurse is completing a history of illnesses for a young woman who suspects she may have a sexually transmitted infection (STI). What specific symptom(s) should the nurse ask this patient if she experienced? Genital discharge Abdominal cramps Lethargy and fatigue Heavy menses 18)A patient has been diagnosed with herpes simplex virus, type 2 (HSV type 2). What instruction should the nurse provide? Wear close-fitting undergarments Soak the sores with peroxide every day. Avoid telling anyone about the condition. Wash towels and personal items daily. 19)A nurse is caring for a patient taking acyclovir (Zovirax). Which side effects of this drug should the nurse be alert for? Leukopenia and peripheral neuropathy Dizziness, headache, and nausea Vaginal burning and skin irritation Fever and bone marrow suppression 20)A woman diagnosed with gonorrhea is astounded and states that she had no idea that she had an STI. What should the nurse explain about gonorrhea? It may appear to be an upper respiratory infection in the early stages of the infection. It causes a vaginal chancre that is not easily detected. It always produces a foul vaginal discharge. It produces no symptoms in half of those in the early stages of the infection. 21)A patient at the outpatient clinic is reluctant to identify her sexual contacts. Why is the reporting of contacts essential? Slows transmission and spread of infections Collects data for research Increases state funding for treatment Increases public awareness 22)A patient with gonorrhea is taking a protocol of tetracycline antibiotics. Which statement by the nurse is most likely to help overcome patient noncompliance? "You should take all of this medicine." "You will become sterile if you do not complete the supply of medicines." "The doctor wants you to take all of this medication." "Failing to take the entire medicine amount will make your disease resistant to it." 23)A patient with syphilis is seen at the clinic and complains of body aches, pustules, fever, and sore throat. Which stage of syphilis should the nurse recognize these symptoms identify? Late Primary Latent Secondary 24)Doxycycline (Vibramycin) has been prescribed for a patient who has gonorrhea. What instruction should the nurse provide to the patient before beginning the medication? Take the medication with food or crackers. Keep the medication in the refrigerator. Follow up to determine if the treatment was effective. Refrain from sexual relations for 4 weeks. 25)A couple comes to the emergency department for the treatment of an STI. The man’s presenting symptoms include a creamy penile discharge and frequent urination. The woman has lower abdominal pain and a vaginal discharge. What should the nurse recognize these symptoms to characterize? Chlamydial infection HSV type B Gonorrhea infection Trichomoniasis 26)A pregnant patient with HSV type 2 has a Herp-Test performed in the physician’s office 1 day before she is due to deliver by cesarean section. The test result is negative. What should the nurse know this means? The delivery must be by cesarean section. The patient must start on an antiviral protocol today. The baby will have to have antiviral medication 24 hours after birth. The delivery may be accomplished vaginally. 27)Which method is used to identify organisms of gonorrhea? Smears and cultures Serologic tests Antibody screening Sensitivity testing 28)What instruction should be included by a health educator giving a presentation on how to use condoms correctly? Condoms are 100% effective when used correctly. Any style and material of condom is safe to use. Use of petroleum jelly will ease application. The effectiveness of condoms deteriorates in heat. 29)What is characteristic of the primary stage syphilis? Pruritus Chancre Dry skin Alopecia 30)What does diagnosis with the human papilloma virus (HPV) increase a person’s risk for? Cervical cancer Chronic vaginitis Premature menopause Uterine fibroids 31)Which antiviral drug is commonly used to relieve symptoms of herpes simplex virus (HSV)? Erythromycin (E-Mycin) Acyclovir (Zovirax) Tetracycline (Achromycin) Metronidazole (Flagyl) 32)What does chlamydial infection place a person at greater risk for? Opportunistic bacterial infections HIV if exposed to it Hepatitis B if exposed to it Urinary infections 33)A patient at the outpatient clinic who has received an intramuscular dose of ceftriaxone sodium (Rocephin) calls and complains of pain and induration at the injection site. What should the nurse advise the patient to do? Place a warm compress on the area. Immediately come to the clinic for treatment of the allergic reaction. Undergo 30 minutes of active exercise to speed absorption of the drug. Make an appointment at the clinic for evaluation to initiate another drug. 34)What should a nurse caution a patient taking Flagyl for Trichomonas to do? Take the drug on an empty stomach. Double the dose if any doses are missed. Abstain from alcohol while taking the drug. Report dark urine. 35)A patient with a chlamydial infection is taking a 7-day course of doxycycline (Vibramycin). What information should the nurse provide? Expect genital or anal itching or burning. Delay sexual activity until cured. Take the drug on an empty stomach with a minimum of fluid. Return in 1 month for a follow-up culture. 36)A nurse is caring for a patient with pruritus. Which implementation can the nurse perform without a physician’s order? Administer an antihistamine. Apply lubricant to unbroken skin. Apply topical corticosteroids to affected areas. Bathe the patient in an oatmeal bath. 37)Which action should a nurse implement to make a patient with atopic dermatitis more comfortable? Increase the room temperature between 78° F and 80° F. Provide a diet low in fat. Instruct the patient to wear loose clothing. Add alcohol to the bath water. 38)Which sign or symptom suggests that a patient with impaired skin integrity is developing a systemic infection? Blood pressure that has risen from 126/84 to 130/86 mm Hg Request by the patient for medication for severe itching Temperature that has risen to 101° F Lesion on the patient’s leg that is swollen and warm to the touch 39)A family member of an older patient with severe dermatitis says, "I was always so careful to bathe him every day. I guess I just wasn’t careful enough." What is the best response by the nurse? "Don’t worry; we will bathe him thoroughly while he is here." "You shouldn’t feel like the skin condition is your fault." "You will have a chance to do better when he is back at home." "Dermatitis is not caused by poor hygiene." 40)A nurse is caring for an obese patient who has been bedridden for a long time and who has a nursing diagnosis of "Risk for infection, related to obesity." Where is the best location for the nurse to assess for the moist red lesions of Candida albicans? Shaft of the penis Sacrum and bony prominences Scalp, behind the ears Abdominal skin folds 41)What information is most essential for a nurse to gather when interviewing a young woman who is taking the drug isotretinoin (Accutane) for acne? Drugs previously used Usual weight Current method of birth control Family history of breast cancer 42)An excited mother of a teenage boy with severe acne furiously reports to the nurse, "I’ve told him a thousand times he should bathe more often! I’ve kept after him about all that junk food he eats. I jump on him when I see him squeezing his zits. I tried to get him to scrub his face three times a day!" Which statement indicates the most likely cause of the boy’s acne? Squeezing lesions Ingestion of junk food Need for facial scrubs Poor personal hygiene 43)A patient who has undergone treatment for herpes simplex virus type 2 (HSV type 2) expresses relief that she is cured. What should the nurse include in her teaching? HSV lies dormant and can be triggered without any sexual contact. Daily douches of Burow solution are needed. HSV is permanently cured by acyclovir (Zovirax). Sexual partners are now safe from infection from her. 44)How does cutaneous T-cell lymphoma differ from squamous cell and basal cell carcinomas? Does not metastasize Has a cause unrelated to sun exposure Can be treated with radiation Can be treated topically 45)A nurse is caring for an adult patient with extensive burns on the front of the trunk, including the genitalia, and the fronts of both legs. How should the nurse document the burn size using the rule of nines? 17% 25% 37% 13% 46)What should a nurse be sure to frequently assess when caring for a burn patient with eschar formation around an entire arm? Pain level Urine output Breath sounds Capillary refill 47)During the first 24 hours after a burn, fluid replacement is the treatment priority. Which assessment should alert the nurse that the fluid protocol is ineffective? Urine output of 20 mL/hr Crackles in the lower left lobe Rectal temperature of 101° F Significant edema in the burn area 48)What direction should a nurse provide when instructing a patient who is to have a semen analysis? (Select all that apply.) Abstain from sexual activity 3 to 5 days before the test. Bring the specimen to the laboratory within 4 hours. Keep the specimen container in warm tap water. Keep the specimen at room temperature until given to the laboratory. Collect specimen in a rubber condom. 49)What body areas might systemic (disseminated) gonorrhea involve? (Select all that apply.) Heart Joints Eyes Skin Meninges 50)Which conditions can be improved with negative pressure therapy? (Select all that apply.) Burns Dehisced surgical wounds Pressure ulcers Skin grafts Eczema [Show More]

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