Title RECALLS 10 - NP4 - SC ✅

2 | Page B. Cook with tallow. C. Increase amounts of brassica vegetables. D. Discourage broiled foods. 13. You auscultate Patient Mikay’s abdomen. Which sound would alert the doctor to a potential bowel obstruction? A. Borborygmus B. Tinkling sounds C. Low-pitched gurgling D. Clicking sounds 14. Mikay undergoes a colonoscopy, and a tumor is found in the transverse colon. Which symptom is most likely indicative of this? A. Hematochezia B. No disruption to bowel patterns C. Gas pains D. Anemia 15. Patient Mikay undergoes surgery for tumor removal and has a temporary colostomy. Which finding should be reported to the physician? A. Mucocutaneous separation B. Stoma protrudes about ¾ inch from the abdominal wall C. Stoma is slightly edematous D. The stoma has not functioned for 24 hours Situation: Elphie Aba, a 45-year-old female, arrives at the emergency room complaining of moderate to severe joint pain with morning stiffness lasting longer than 30 minutes. She sought emergency care due to worsening pain that has become unbearable. 16. Based on the given symptoms, you would suspect that Elphie is to be diagnosed with: A. Rheumatoid arthritis B. Osteoarthritis C. Gout D. Osteoporosis 17. Following her diagnosis, you check Elphie’s chart. Which finding is not indicative of her condition? A. Elevated ESR B. Presence of Heberden's nodes C. Rheumatoid Factor - 75 units/mL D. Inflammation of synovial tissue 18. Based on the history assessment, Elphie experienced heart failure five months ago. Which medication, if prescribed by the doctor, should be used with caution and require monitoring? A. Indomethacin B. Methotrexate C. Celecoxib D. Sulfasalazine 19. Elphie mentions she is worried for her Zumba buddy, Linda G, because she has similar symptoms. After their Zumba session, Linda’s joints, specifically her knees and hips, are painful. However, after some rest, she felt fine. What is Linda G most likely suffering from? A. Osteoarthritis B. Rheumatoid arthritis C. Gout D. Osteoporosis 20. In order to alleviate Linda G's pain and prevent worsening of symptoms, what must she NOT do during acute episodes? A. Use a large pillow under the head or knees B. Immobilize the affected joint with a splint C. Keep linen off of legs and feet D. Avoid flexion of knees and feet GENITOURINARY: UTI Situation: Urinary Tract Infections (UTIs) are becoming more prevalent due to various factors, with patients seeking care at the Emergency Department (ED). 21. There are different ways bacteria can reach the urinary tract. What is the most common route of infection? A. Direct extension B. Hematogenous C. Transurethral D. Transureteral 22. UTI is the most common cause of acute bacterial sepsis in nursing home patients. Among the following individuals, who is most susceptible to developing a UTI? A. A 62-year-old man with benign prostatic hyperplasia (BPH) B. A 55-year-old woman who prefers soda over water C. A fresh-grad nurse who urinates only once per shift D. A 66-year-old woman with an indwelling Foley catheter 23. In a nursing home, which symptom should you watch for in an elderly client suspected of having a UTI? A. Frequency of urination B. Altered sensorium C. Urgency of urination D. High-grade fever 24. One of the aides in the nursing home suspects they have a UTI. Which statement makes it most likely? A. "Ang daming lumalabas pag umiihi ako." B. "Matamis ang amoy ng ihi ko." C. "Masakit ang likod ko." D. "Parang umaapoy yung ihi ko pag lumalabas." 25. The aide was diagnosed with acute UTI and was prescribed sulfamethoxazole-trimethoprim for 7 days. What nursing education should you provide? A. Report the presence of dark brown or red urine. B. Safe for breastfeeding moms. C. Wear sunscreen before going out in the sun. D. May decrease the concentration of digoxin. Situation: Nurse Santol, a fresh graduate nurse, is confused between the different disorders of the Genitourinary system. She decides to review the key characteristics and causes of each condition to update her knowledge. 26. A 25-year-old male presents with symptoms of urethral discharge and dysuria. Upon assessment, urethritis is suspected. What is the most common cause of urethritis in men? A. Gonorrhea B. Herpes simplex virus C. Syphilis D. Human papillomavirus (HPV) 27. Nurse Santol is reviewing medications for treating Ureteritis. Which of the following medication-disease pairings is correctly matched? A. Metronidazole for yeast infections B. Clotrimazole for chlamydial infections C. Nystatin for trichomonas infections D. Doxycycline for chlamydial infections 28. A nurse is caring for a patient with pyelonephritis. Which nursing intervention is the most appropriate? A. Provide a high-calorie, high-protein diet. B. Ensure that urinary output is a minimum of 1500 mL/24 hours. C. Provide a cold compress to the flank area to relieve pain. D. Monitor weight weekly. GENITOURINARY: PROSTATITIS Situation: Nurse Ming has a patient scheduled for a transurethral resection of the prostate. To provide the best quality care, she takes time to read and review concepts related to the procedure. 29. Inflammation of the prostate gland is commonly caused by an infectious agent, may it be acute or chronic. What is the most common form of chronic prostatitis? A. Bacterial B. Viral C. Sexual D. Abacterial 30. The final diagnosis of the patient is Benign Prostatic Hyperplasia (BPH) and is scheduled for TURP. Which of the following clinical manifestations is not associated with BPH? A. The prostate is large, rubbery, and tender B. Hesitancy in starting urination