Question

The nurse is caring for a client who had a renal biopsy. For which complication should the nurse monitor the client during the first 24 hours after the procedure?

Answer 1

Correct Answers:

Bleeding

Rationale :

💉A renal biopsy involves inserting a needle into the kidney to obtain a tissue sample, which places the organ at risk for vascular injury.

🩸The most serious and common complication within the first 24 hours is bleeding, as the kidney is a highly vascular organ.

🚑Signs of bleeding may include flank pain, hematuria, hypotension, or tachycardia, which require prompt intervention.

👩‍⚕️Early recognition and monitoring for hemorrhage are crucial to prevent life-threatening complications in the immediate post-biopsy period.

📌Core Message

After a renal biopsy, the nurse must closely monitor for bleeding, the most common and dangerous complication due to the kidney’s high vascularity.

Answer 2

Correct Answers:

Democratic

Rationale :

👥A democratic leadership style values input and participation from team members before the leader makes the final decision.

📝This approach encourages collaboration, motivation, and shared responsibility among staff.

🤝It enhances job satisfaction and teamwork, which are essential in nursing units for safe and effective care.

⚖️Although the manager retains the final authority, the inclusion of staff input creates a balance between leadership and group involvement.

📌Core Message

The democratic leadership style promotes team collaboration by encouraging staff participation while the leader makes the final decision.

Answer 3

Correct Answers:

Integrity vs despair

Rationale :

👵For adults aged 65 and older, the psychosocial task is integrity vs despair.

🧩This stage focuses on reflecting on life accomplishments and accepting one’s life as meaningful or experiencing regret and despair.

🌅Successful resolution results in wisdom, acceptance, and peace, while failure leads to hopelessness.

💡It is a critical stage where older adults evaluate their life purpose and come to terms with aging and mortality.

📌Core Message

In older adulthood, Erikson’s stage of integrity vs despair emphasizes life reflection and acceptance, leading to wisdom or regret.

Answer 4

Correct Answers:

Teach the client to take the full course of prescribed antibiotics

Rationale :

💊For prostatitis, the cornerstone of treatment is antibiotic therapy to eliminate infection and prevent complications.

🚫Failure to complete the prescribed regimen can lead to recurrence, chronic infection, or antibiotic resistance.

🧑‍⚕️Teaching the client ensures adherence and understanding of treatment importance.

📉This intervention directly prevents complications such as sepsis or chronic prostatitis.

📌Core Message

In prostatitis, the priority intervention is teaching the client to complete the full antibiotic course to prevent recurrence and complications.

Answer 5

Correct Answers:

Secretion of erythropoietin by the diseased kidney is reduced or non-existent

Rationale :

🩸The kidneys normally produce erythropoietin, a hormone that stimulates red blood cell production in the bone marrow.

⚠️In chronic kidney disease (CKD), the diseased kidneys cannot produce enough erythropoietin.

📉This results in anemia of chronic disease, with decreased hemoglobin and hematocrit.

💉Treatment often involves erythropoiesis-stimulating agents (ESAs) and iron supplementation to restore levels.

📌Core Message

In chronic kidney disease, anemia occurs due to decreased erythropoietin secretion, leading to impaired red blood cell production.

Answer 6

Correct Answers:

A hydrocolloid dressing can be applied to the sacrum

Rationale :

🛏️A blanchable redness indicates a stage 1 pressure injury, which requires early intervention to prevent breakdown.

🩹A hydrocolloid dressing provides a moist environment that protects tissue and promotes healing.

🚑It also reduces friction and shear forces while shielding against external contaminants.

👩‍⚕️This intervention is proactive in preventing progression of pressure injury to more severe stages.

📌Core Message

For stage 1 pressure injury, applying a hydrocolloid dressing protects the skin, reduces friction, and promotes healing.

Answer 7

Correct Answers:

Generativity versus Stagnation

Rationale :

👨‍👩‍👧‍👦Middle adulthood is characterized by generativity vs stagnation, focusing on contributing to society and guiding the next generation.

🚗When individuals feel unfulfilled, they may experience stagnation and attempt compensatory actions like impulsive lifestyle changes.

💡This stage represents a struggle between productivity and self-absorption.

🔑Successful resolution results in a sense of purpose and legacy, while failure leads to dissatisfaction and self-centeredness.

📌Core Message

In middle adulthood, the stage of generativity vs stagnation reflects balancing productivity with self-focus, where dissatisfaction may cause impulsive behaviors.

Answer 8

Correct Answers:

Balneotherapy is appropriate for clients with compromised skin integrity

Rationale :

🛁Balneotherapy is a therapeutic bath often used for clients with skin disorders, wounds, or inflammation.

🌿The warm, medicated water promotes healing, comfort, and circulation.

🩹It is especially beneficial for conditions involving compromised skin integrity, such as burns or ulcers.

⚕️The nurse’s role is to ensure correct temperature and safety during therapy.

📌Core Message

Balneotherapy is beneficial for clients with compromised skin integrity, promoting healing, circulation, and comfort.

Answer 9

Correct Answers:

Debridement

Rationale :

🦠Debridement is the removal of necrotic and infected tissue from a wound to promote healing.

🩺It reduces the bacterial load and prevents infection spread.

🧑‍⚕️This procedure creates a clean wound bed, allowing new tissue to grow.

⚕️It is an essential step in managing infected pressure ulcers.

📌Core Message

Debridement is essential in wound care as it removes necrotic tissue, reduces infection, and promotes healing.

Answer 10

Correct Answers:

IVF involves bringing ova and sperm together outside the bodies

Rationale :

🧬IVF is an assisted reproductive technology where sperm and egg are combined in a laboratory setting.

👶The fertilized embryo is then transferred into the uterus for implantation.

⚕️This procedure helps couples with infertility issues such as blocked fallopian tubes or male factor infertility.

🔬It is distinct from other methods like intrauterine insemination (IUI), where sperm is directly placed into the uterus.

📌Core Message

IVF involves combining egg and sperm outside the body, with the embryo later implanted into the uterus to aid conception.

RN NUR Med-Surg Exam-5 ID_1285638

No.

1 :
The nurse is caring for a client who had a renal biopsy. For which complication should the nurse monitor the client during the first 24 hours after the procedure?

2 :
A nurse manager has to make a decision about scheduling. The manager involves the nurses on the unit and considers their input before making a decision. This is an example of which style of leadership?

3 :
According to Erikson's Stages of Psychosocial Development, which development task must be achieved for adults 65 and older?

4 :
The female client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The client is diagnosed with prostatitis. Which nursing intervention is the highest priority to prevent complications?

5 :
The nurse is caring for a client who has chronic kidney disease and is very weak due to low hemoglobin. What does the nurse understand is the best explanation for the anemia in the renal failure client?

6 :
The nurse is caring for a client with blanchable redness to the sacrum. Which intervention should help protect the client's skin?

7 :
The middle-aged client is unsatisfied with their accomplishments and realizes that they have not reached many life goals. The client decides to purchase a red sports car and quit their corporate job. The client is exhibiting which of Erik Erikson's stages of psychosocial development?

8 :
The nurse has received orders for the client to receive balneotherapy, a therapeutic bath. Which of the following statements is appropriate for this treatment?

9 :
The client is hospitalized with an infected decubitus ulcer in the sacral area. The healthcare provider plans to remove the dead and damaged tissue. The nurse should prepare this client for which procedure?

10 :
Which of the following is correct regarding in vitro fertilization (IVF)?

RN NUR Med-Surg Exam-5 ID_1285638

No.

1 : The nurse is caring for a client who had a renal biopsy. For which complication should the nurse monitor the client during the first 24 hours after the procedure?

2 : A nurse manager has to make a decision about scheduling. The manager involves the nurses on the unit and considers their input before making a decision. This is an example of which style of leadership?

3 : According to Erikson's Stages of Psychosocial Development, which development task must be achieved for adults 65 and older?

4 : The female client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The client is diagnosed with prostatitis. Which nursing intervention is the highest priority to prevent complications?

5 : The nurse is caring for a client who has chronic kidney disease and is very weak due to low hemoglobin. What does the nurse understand is the best explanation for the anemia in the renal failure client?

6 : The nurse is caring for a client with blanchable redness to the sacrum. Which intervention should help protect the client's skin?

7 : The middle-aged client is unsatisfied with their accomplishments and realizes that they have not reached many life goals. The client decides to purchase a red sports car and quit their corporate job. The client is exhibiting which of Erik Erikson's stages of psychosocial development?

8 : The nurse has received orders for the client to receive balneotherapy, a therapeutic bath. Which of the following statements is appropriate for this treatment?

9 : The client is hospitalized with an infected decubitus ulcer in the sacral area. The healthcare provider plans to remove the dead and damaged tissue. The nurse should prepare this client for which procedure?

10 : Which of the following is correct regarding in vitro fertilization (IVF)?

1 :
The nurse is caring for a client who had a renal biopsy. For which complication should the nurse monitor the client during the first 24 hours after the procedure?

2 :
A nurse manager has to make a decision about scheduling. The manager involves the nurses on the unit and considers their input before making a decision. This is an example of which style of leadership?

3 :
According to Erikson's Stages of Psychosocial Development, which development task must be achieved for adults 65 and older?

4 :
The female client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The client is diagnosed with prostatitis. Which nursing intervention is the highest priority to prevent complications?

5 :
The nurse is caring for a client who has chronic kidney disease and is very weak due to low hemoglobin. What does the nurse understand is the best explanation for the anemia in the renal failure client?

6 :
The nurse is caring for a client with blanchable redness to the sacrum. Which intervention should help protect the client's skin?

7 :
The middle-aged client is unsatisfied with their accomplishments and realizes that they have not reached many life goals. The client decides to purchase a red sports car and quit their corporate job. The client is exhibiting which of Erik Erikson's stages of psychosocial development?

8 :
The nurse has received orders for the client to receive balneotherapy, a therapeutic bath. Which of the following statements is appropriate for this treatment?

9 :
The client is hospitalized with an infected decubitus ulcer in the sacral area. The healthcare provider plans to remove the dead and damaged tissue. The nurse should prepare this client for which procedure?

10 :
Which of the following is correct regarding in vitro fertilization (IVF)?