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3 | Page 28. As his nurse, you plan to control urinary retention and incontinence through which of the following strategies? 1. Avoid alcohol 2. Encourage fluid intake 3. Follow a timed voiding schedule 4. Administer antihistamines, as prescribed. A. 1 and 2 B. 1, 2 and 3 C. 1,2,3 and 4 D. All except 2 29. While reviewing his records, you remember the procedure “transurethral resection of the prostate.” Which of the following is true about TURP? A. Uses scope into the ureter to excise prostatic tissue. B. Bleeding is common following TURP C. A and B D. None of the above 30. You understand that urinary tract infection can occur due to retention of urine in the bladder and subsequent backup or reflux into the ureters and kidneys. Thus, you plan to teach Ferdinand and his family signs and symptoms of urinary tract infection which include the following EXCEPT. A. Hematuria B. Cloudy urine C. Sweet smelling urine D. Fever Situation: Alex Karev, a 30-year-old computer engineer, went to the emergency department with complaints of gnawing pain and burning sensation in the midepigastrium. The physician’s initial diagnosis is peptic ulcer disease. 31. As a nurse, you know that there are few things that differentiate gastric ulcers from duodenal ulcers. Which among the choices correctly differentiates the two? A. Pain in gastric ulcer is aggravated by eating, while pain in duodenal ulcer is relieved by eating. B. Gastric ulcer is known as the executive ulcer. C. Pain in gastric ulcer usually radiates in the right side of the abdomen. D. Melena is more common in gastric ulcers. 32. Which among the following can detect H. pylori infection? 1. Biopsy 2. Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 33. Which among the following can detect H. pylori infection? 1.Biopsy 2.Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 34. Alex tested positive for H. pylori infection. The physician prescribed Metronidazole. What is the most important health teaching that the nurse can provide Alex? A. Administer with meals. B. Administer before meals. C. Avoid drinking alcohol. D. Drink adequate amount of fluids to avoid constipation. 35. The most life-threatening complication of PUD is: A. Hemorrhage B. Severe weight loss C. Septic shock D. Heart attack Situation: Fatima, reports to the infectious unit of a hospital during the morning shift. Five clients were assigned to her. 36. A 12 year old male was admitted to the unit during the previous shift because of dengue hemorrhagic fever graded 2 by the attending physician. History of epistaxis few hours prior to admission was noted. When Fatima received endorsement form the outgoing nurse, if was specified in the diet to avoid dark colored foods. Fatima would relate this prescription to which of the following? A. History of allergies of the client B. Food choices of the client C. Monitoring melena D. Effects of food on the gastric mucosa 37. Fatima admits a 24 year old female with manifestation of Hepatitis A. Which of the following data will the nurse obtain from the client to support the physician’s diagnosis? A. History of intake of narcotic drugs B. Incidence of needlestick injury during the past two months C. Contact with contaminated water and food D. Direct contact with friends positive hepatitis A 38. To prevent transmission of virus, the client diagnosed with varicella was isolated in single room. Fatima explains to the nurse working with her that the period of communicability of varicella A. Is variable depending upon the age of the client B. Extends up to the time crusts have formed C. Is 14 days from the time lesions appeared D. Is indefinite 39. A client diagnosed with pertussis is closely observed. Which of the following interventions will Fatima implement? A. Institute airborne, droplet, and contact precautions. B. Limit fluid intake. C. Administer antiviral therapy, as prescribed. D. Isolate child during the incubation period. 40. Fatima admitted an 80 year old male foe evaluation and treatment of skin lesions on his right upper arm. Physician confirmed diagnosis of herpes Zoster. Valaciclovir (Valtrex) 500 mg 2 tablets PO TID was prescribed an started. Which of the following is the action of this drug? A. Destruction of bacteria B. Suppression of allergic reaction C. Antifungal D. Prevents replication of the virus Situation: Nurse Jasmine is assigned at the TB-DOTS Clinic of Comembo, Makati. A couple of patients went to the clinic one Friday morning. 41. How would Nurse Jasmine understand Patient Lara's statement "I experience numbness and tingling in my arms and legs" given that she has been taking Isoniazid (INH) for the past two months already? A. Raynaud’s disease B. Hypercalcemia C. Peripheral neuritis D. Impaired peripheral circulation 42. Nurse Jasmine should educate the patient who will be taking Isoniazid all of the following EXCEPT: A. Avoid taking alcohol. B. Report immediately to the physician any signs of jaundice C. Increase intake of Swiss cheese for good absorption of Isoniazid D. Increase intake of pyridoxine. 43. Nurse Jasmine should intervene when the student nurse tells the patient taking rifampin (Rifadin) that: A. It can cause orange discoloration of secretions B. Antacids can be taken at least 1 hour before medication, if prescribed. C. The medication can be administered on an empty stomach. D. The patient can double dose if one dose is forgotten. 44. Nurse Jasmine knows that all of the listed patients below, except for one, have characteristics that increase their risk of noncompliance with the TB medication regimen: A. Patient A, 25-year-old male, who is diagnosed with schizophrenia B. Patient B, 50-year-old female, a government employee

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