Nursing Review for Exam

A comprehensive set of flashcards covering key concepts and assessments related to nursing care and clinical scenarios for exam preparation.

What is the first priority when assessing a patient after a TURP procedure who is experiencing bladder spasms?

Ensure catheter patency to prevent retention and complications.

What causes urinary hesitancy in patients with benign prostatic hypertrophy (BPH)?

Prostate enlargement that obstructs the urethra.

What is an absent cremasteric reflex indicative of in a male patient?

Testicular torsion, a surgical emergency.

What should a nurse include in teaching about testicular self-examination (TSE)?

Gently roll each testicle between the thumb and fingers to check for lumps or swelling.

Which statement indicates understanding for treatment of gonorrhea?

I need to treat this infection so it doesn't spread into my pelvis because I want to have children someday.

What is the recommended contraceptive method to prevent the spread of gonorrhea?

Always use a barrier method of contraception.

Why must patients take all prescribed antibiotics for gonorrhea?

To prevent antibiotic resistance and recurrence.

How can a nurse inquire about the symptoms of testicular torsion?

Look for symptoms like scrotal enlargement.

What symptom is associated with epididymitis?

It is often treated with antibiotics.

What type of discharge is typically seen in a candidiasis infection?

Cottage cheese-like discharge.

What does yellow-green discharge suggest in a patient?

It suggests trichomoniasis or gonorrhea.

What should be monitored in a patient with a TURP and CBI?

Calculate urine output accurately.

When is the best time to perform breast self-exams (BSE)?

1 week after the menstrual cycle.

What is the priority assessment for a patient reporting pain and numbness after a wrist injury?

Check for signs of compartment syndrome.

What dietary recommendation should be made for a client intolerant to dairy?

Increase intake of alternative calcium sources, such as leafy greens.

What is a critical finding in a patient with a hip fracture?

Pain, swelling, and warmth in the affected extremity.

What medication is commonly prescribed for patients with Meniere’s disease?

Meclizine.

What does the presence of nuchal rigidity indicate?

Potential meningitis.

What should a nurse avoid when caring for a client with compromised swallowing after a stroke?

Aspiration precautions should be implemented.

Which assessment finding is characteristic of viral meningitis?

Positive photophobia.

What action should be taken first when a patient seizes?

Ensure a patent airway.

Which statement reflects understanding of dietary needs for stroke prevention?

I should limit my salt intake to reduce fluid retention.

What finding suggests left-sided weakness in a patient with a stroke?

Use of peripheral vision due to loss of central vision.

What should a nurse do if a new stroke patient reports difficulty speaking?

Assess the client’s ability to comprehend and produce language.

What does the Glasgow Coma Scale assess?

The level of consciousness in a patient.

What is a sign of testicular torsion?

Pain and absence of cremasteric reflex.

What should the nurse check for in patients with a history of myopia?

Risk of retinal detachment.

How often should eye drops be administered for a client with conjunctivitis?

As prescribed, ensuring proper positioning.

What are common signs of dehydration in elderly patients?

Increased heart rate and confusion.

What is the primary treatment for herpes simplex virus infections?

Acyclovir.

What indicates effective teaching about diabetes management?

I will monitor my blood glucose regularly.

What should a nurse do for a client with severe pain in skeletal traction?

Assess body alignment.

How do you define the cremasteric reflex?

Elevation of the testicle when the inner thigh is stroked.

What vital sign change could indicate infection or sepsis?

Fever and increased heart rate.

What is the expected finding in a patient diagnosed with gastritis?

Abdominal pain.

What dietary adjustment is recommended for a patient with gout?

Reduce intake of purine-rich foods.

What should the nurse consider when administering medications to a patient with pneumonia?

Ensure medications do not have interactions with respiratory function.

What indicates respiratory distress following a fracture?

Shortness of breath and decreased oxygen saturation.

What does a positive Chvostek's sign indicate?

Hypocalcemia.

What intervention is crucial for a client with a stroke?

Encourage speech therapy referrals.

What client statement indicates understanding of discharge instructions after a seizure episode?

I will avoid potential seizure triggers.

What could indicate a late sign of increased intracranial pressure?

Changes in pupil response.

What is a common symptom of multiple sclerosis?

Fatigue and muscle weakness.

What advice should be given regarding home safety for a client with a history of falls?

Keep pathways clear of clutter.

What should a nurse monitor in a patient with a lumbar puncture?

Observe for signs of headache or infection.

What behavior suggests a change in neurological status in a stroke patient?

Confusion or difficulty following commands.

What is indicated by a patient's complaint of flashes of light and zigzag lines?

Possible impending migraine or aura.