GU
The nurse is caring for a patient receiving furosemide. The patient complains of muscle weakness and cramping. Which lab value should the nurse check?
What is potassium?
Rationale: Furosemide can cause hypokalemia, leading to symptoms like muscle weakness and cramping.
A 60-year-old patient reports involuntary leakage of urine when she sneezes, laughs, or exercises. Which type of urinary incontinence does the nurse suspect?
What is stress incontinence?
Rationale: Stress incontinence is characterized by involuntary leakage during activities that increase abdominal pressure.
This transdermal patch is commonly used to treat motion sickness
What is Scopolamine patch?
A nurse is reviewing the chart of a patient with a gastrointestinal bleed. Which lab result is most consistent with this issue?
What is Hemoglobin?
Rationale: A patient with blood loss will likely have low hemoglobin levels that require monitoring.
A nurse is caring for a patient receiving pantoprazole IV. The patient asks, “why am I receiving this medication if I do not have acid reflux?” What is the appropriate response by the nurse?
Rationale: Pantoprazole reduces gastric acid to protect the lining of the stomach from erosion.
The laboratory test to assist in the diagnosis of pylenophritis
What is Urinalysis with urine culture?
A male patient with BPH reports frequent dribbling of urine and being unable to fully empty his bladder. Which type of urinary incontinence is suspected?
What is Overflow Incontinence?
Rationale: Overflow incontinence occurs when the bladder is over distended and cannot fully empty.
This antiemetic can cause QT prolongation, putting the patient at risk for arrhythmias such as torsades de pointes
What is Ondansetron?
A nures is caring for a patient with a history of PUD. During assessment, the patient reports having a black, tarry stools recently. Which action should the nurse take first?j
What is notify the HCP?
Rationale: The findings indicate digested blood from an upper GI bleed and requires further evaluation.
A nurse is teaching a patient, that has just been diagnosed with celiac disease, about dietary choices. Which statement by the patient indicates a need for further teaching?
A-It is okay to eat whole grain bread as long as it is high in fiber
B-I will need to avoid foods containing wheat, barley, and rye
C-I can still eat foods made with gluten free rice and corn
D-I should check food labels for hidden sources of gluten
What is A-It is okay to eat whole grain bread as long as it is high in fiber?
Rationale:Celiac disease required a strict gluten free diet. Whole grain bread contains gluten.
Oxybutynin and tolterodine are used to treat
What is overactive bladder?
A patient reports freauqnet episodes of sudden urges to void and is unable to reach the bathroom before voiding. A diagnosis of urge inconintence is made. What is the expected treatment plan for the patient?
What is bladder training?
Rationale: Behavioral therapy, bladder training, is the first-line treatment.
A nurse is preparing to administer promethazine 25mg to a patient complaining of nausea. What considerations should the nurse take into account before administering the medication?
What is ensure a working large bore IV, dilute the medication, and educate?
Rationale: The medication should be administered through a large bore IV to reduce risk of extravasation. Dilute per protocol to reduce irritation. Inform about dizziness, dry mouth, and drowsiness.
The location of the GI bleed in a patient experiencing hematemesis
What is upper GI?
The nurse is caring for a patient with peptic ulcer disease that is prescribed sucralfate. Which instruction should the nurse provide?
What is take sucralfate on an empty stomach, separate from other medications?
Rationale: Sucralfate works by coating the ulcers. It must be taken without food and not with other medications to avoid binding and reduced absorption.
A 13-year-old patient presents with hematuria, edema, and hypertension. The parent reports the child recently had strep throat. What is the expected diagnosis?
What is Glomerulonephritis?
Rationale: The recent strep infection triggers an immune response by the body. The antigen antibody complexes deposit in the glomeruli of the kidneys, which causes inflammation.
A patient with stress urinary incontinence ask about self management strategies. Which exercise would the nurse include in the patient teaching?
What is pelvic floor exercises?
Rationale: Kegel exercises will strengthen the pelvic floor muscles, helping to control urinary leakage.
A patient is caring for a patient who is taking ondansetron and sertraline. The patient begins to exhibit muscle rigidity, agitation, and a fever. What potentially life-threatening complication is occuring?
What is serotonin syndrome?
Rationale: This can occur when serotonin 5-HT3 receptor antagonist are combined with SSRIs. The medications lead to an excess in serotonin in the central nervous system.
A 53-year-old patient is experiencing bright red blood in their stool. Which diagnostic test will the nurse anticipate preparing the patient for?
What is a colonoscopy?
What is diverticulitis?
The nurse is preparing to administer furosemide to a client with heart failure. The patient states that they have a sulfa allergy. What is the most appropriate action for the nurse to take?
What is hold the dose and contact the HCP.
Rationale: Furosemide is a loop diuretic that contains a sulfonamide component. This may result is a cross-sensitivity reaction in a patient that has a sulfa allergy.
The five types of urinary incontinence
What are Stress, Urge, Overflow, Reflex, and Functional?
A nures is caring for 4 post-operative patient. Which action should is appropriate for the nurse to delegate to the LPN?
A- Administer nitroglycerin to a patient who reports nausea and increase in chest pain.
B-Assess a patients response to metoclopramide that was given for nausea.
C-Administer promethazine IM to a stable patient with nausea.
D-Notify a patient of the side effects of scopolamine patches before they are discharged.
What is C- administer promethazine IM to a stable patient with nausea?
Rationale: LPNs may give IM medications.
A nurse is collecting a stool sample for a fecal occult blood test. Which of the following actions by the nurse requires intervention
A-Wearing sterile gloves while collecting the stool specimen
B-Instructing the client to be NPO for 24 hours prior to the test
C-Using a sample that is mixed with urine from the bedpan
D-Labeling it and having a UAP deliver it to the lab
What is C-using a sample that is mixed with urine from the bedpan?
Rationale: Urine can contaminate the sample leading to inaccurate results.
A colonoscopy of a client with this IBD reveals a cobblestone appearance due to the patchy ulcerations in the GI tract
What is Crohn’s Disease?