The nurse is reviewing the health history of a newly admitted patient and reads that the patient has been previously diagnosed with exostoses. How should the nurse accommodate this fact into the patients plan of care?- Skildor

Question 1 of 5

The nurse is reviewing the health history of a newly admitted patient and reads that the patient has been previously diagnosed with exostoses. How should the nurse accommodate this fact into the patients plan of care?

A. The nurse should perform the Rinne and Weber tests. B. The nurse should arrange for audiometry testing as soon as possible. C. The nurse should collaborate with the pharmacist to assess for potential ototoxic medications. D. No specific assessments or interventions are necessary to addressing exostoses.

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. Exostoses are bony growths in the external auditory canal. 2. These growths can cause narrowing and obstruction of the canal, affecting hearing. 3. Collaborating with the pharmacist to assess for ototoxic medications is crucial to prevent further hearing impairment. 4. Performing Rinne and Weber tests (choice A) and arranging audiometry testing (choice B) are not directly related to exostoses. 5. Ignoring exostoses (choice D) can lead to worsening hearing loss and potential complications.

Question 2 of 5

An adolescent is identified as having a collection of fluid in the tunica vaginalis of his testes. The nurse knows that this adolescent will receive what medical diagnosis?

A. Cryptorchidism B. Orchitis C. Hydrocele D. Prostatism

Correct Answer: C

Rationale: The correct answer is C: Hydrocele. A hydrocele is the collection of fluid in the tunica vaginalis of the testes. This condition is common in newborns and can also occur in adolescents. Cryptorchidism (A) is the absence of one or both testes from the scrotum. Orchitis (B) is inflammation of the testicles. Prostatism (D) is a non-specific term related to prostate issues, not relevant to the given scenario. Therefore, the correct diagnosis for an adolescent with fluid collection in the tunica vaginalis of his testes is hydrocele.

Question 3 of 5

A patient has returned to the floor after undergoing a transurethral resection of the prostate (TURP). The patient has a continuous bladder irrigation system in place. The patient tells you he is experiencing bladder spasms and asks what you can do to relieve his discomfort. What is the most appropriate nursing action to relieve the discomfort of the patient?

A. Apply a cold compress to the pubic area. B. Notify the urologist promptly. C. Irrigate the catheter with 30 to 50 mL of normal saline as ordered. D. Administer a smooth-muscle relaxant as ordered.

Correct Answer: D

Rationale: Rationale: Administering a smooth-muscle relaxant is the most appropriate nursing action to relieve bladder spasms post-TURP. The smooth-muscle relaxant helps relax the bladder muscles, reducing spasms and discomfort. Applying a cold compress (choice A) may provide temporary relief but won't address the underlying cause. Notifying the urologist (choice B) is important but not the immediate action for relieving spasms. Irrigating the catheter with normal saline (choice C) may not effectively address the spasms. Administering a smooth-muscle relaxant is the best choice for prompt relief.

Question 4 of 5

A nurse has provided care to a patient. Whichentry should the nurse document in the patient�s record?

A. Status unchanged, doing well B. Patient seems to be in pain and states, �I feel uncomfortable.� C. Left knee incision 1 inch in length without redness, drainage, or edema D. Patient is hard to care for and refuses all treatments and medications. Family is present.

Correct Answer: C

Rationale: The correct answer is C because it provides specific, objective information about the patient's left knee incision, including its size and absence of concerning signs. This entry is relevant, concise, and focuses on a specific aspect of the patient's condition, aiding in continuity of care and treatment planning. Choice A is vague and lacks detail, making it insufficient for accurate patient care documentation. Choice B focuses on the patient's subjective feelings and does not provide objective assessment data. Choice D is judgmental and includes unnecessary information about the patient's behavior and family presence, which is not directly related to the patient's condition.

Question 5 of 5

A patient has just returned to the surgical floor after undergoing a retinal detachment repair. The postoperative orders specify that the patient should be kept in a prone position until otherwise ordered. What should the nurse do?

A. Call the physician and ask for the order to be confirmed. B. Follow the order because this position will help keep the retinal repair intact. C. Instruct the patient to maintain this position to prevent bleeding. D. Reposition the patient after the first dressing change.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Prone position post retinal detachment repair helps the gas bubble or silicone oil stay against the retina to support healing. 2. This position prevents the bubble/oil from moving and causing further detachment. 3. Repositioning can jeopardize the surgical repair and lead to complications. 4. Calling the physician (A) is unnecessary as the order is clear. 5. Instructing the patient to prevent bleeding (C) is not related to the positioning after retinal detachment repair. 6. Repositioning after the first dressing change (D) contradicts the initial order and risks complications.

foundation of nursing questions and answers

Skildor

ATI RN

ATI RN

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