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 :

🩸The most serious complication within the first 24 hours after a renal biopsy is bleeding, because the kidneys are highly vascular organs.

⚠️Signs of bleeding include flank pain, gross hematuria, hypotension, and tachycardia, which can lead to shock if not identified early.

🧩Infection, obstruction, and polyuria are possible complications later, but bleeding is the priority during the initial 24 hours.

📋Therefore, the nurse must monitor closely for hematuria, changes in vital signs, and flank pain to ensure early detection and intervention.

📌Core message

The nurse’s priority after a renal biopsy is to monitor for bleeding within the first 24 hours.

Answer 2

Correct Answers:

Democratic

Rationale :

👥A democratic leadership style involves seeking input from staff members before making decisions.

🧠This promotes team collaboration, shared responsibility, and higher staff satisfaction, while the leader maintains final decision-making authority.

🛑Autocratic leadership excludes staff from decision-making, laissez-faire provides no guidance, and coaching focuses more on individual growth rather than shared input.

📋Thus, the described behavior best aligns with democratic leadership.

📌Core message

The manager shows democratic leadership by involving staff input in decision-making.

Answer 3

Correct Answers:

Integrity vs despair

Rationale :

👵According to Erikson’s stages, adults age 65 and older face the psychosocial task of integrity vs despair.

🌱This stage focuses on reflecting back on one’s life, either with a sense of accomplishment (integrity) or regret (despair).

🧩Earlier stages like initiative vs guilt, intimacy vs isolation, and trust vs mistrust occur in younger age groups.

📋Therefore, the correct developmental task for older adults is integrity vs despair.

📌Core message

Adults 65+ years are in Erikson’s stage of integrity vs despair.

Answer 4

Correct Answers:

Teach the client to take the full course of prescribed antibiotics

Rationale :

🦠The client’s symptoms indicate a pelvic infection, and the priority is to prevent complications such as sepsis or infertility.

💊Teaching the client to complete the antibiotic course ensures eradication of the infection and reduces resistance.

🛑Scheduling a Pap smear, increasing fluids, or abstaining from sex are supportive but not the highest priority intervention.

📋Thus, completing prescribed antibiotics is the priority action.

📌Core message

The nurse should stress the importance of finishing antibiotics to prevent complications of pelvic infection.

Answer 5

Correct Answers:

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

Rationale :

🩸Anemia in chronic kidney disease occurs because erythropoietin production decreases, leading to reduced red blood cell formation.

🛑It is not caused by hypertension, urine blood loss, or acidosis as the main mechanism.

🧩This explains why patients with renal failure often require erythropoietin injections.

📋Thus, impaired secretion of erythropoietin is the best explanation for anemia.

📌Core message

In renal failure, anemia is due to reduced erythropoietin secretion.

Answer 6

Correct Answers:

Hydrocolioid dressing can be applied to the sacrum

Rationale :

🩹A hydrocolloid dressing protects the skin, maintains moisture, and promotes healing of early pressure injuries such as blanchable redness.

🛑Keeping the client prone or seated for long periods increases risk of injury.

📉Cleansing only every 24 hours is not adequate prevention.

📋Applying a protective dressing helps stop progression of skin breakdown.

📌Core message

Hydrocolloid dressings protect against worsening of early pressure injuries.

Answer 7

Correct Answers:

Generativity versus Stagnation

Rationale :

🧩In middle adulthood, Erikson’s task is generativity vs stagnation, which involves contributing to society or feeling unproductive.

🚗Buying a sports car and quitting a job reflect dissatisfaction and stagnation, signaling a struggle within this developmental stage.

🛑Identity vs role confusion, initiative vs guilt, and industry vs inferiority occur in earlier life stages.

📋Thus, the scenario demonstrates generativity vs stagnation.

📌Core message

The middle-aged client is struggling with generativity vs stagnation.

Answer 8

Correct Answers:

Balneotherapy is appropriate for clients with compromised skin integrity

Rationale :

🛁Balneotherapy involves therapeutic baths that soothe and heal irritated or damaged skin.

🧩It is especially beneficial for clients with eczema, psoriasis, or other skin conditions.

🛑Submersion for hours, cold water, or constrictive clothing are incorrect and unsafe practices.

📋Thus, balneotherapy is appropriate for clients with compromised skin integrity.

📌Core message

Balneotherapy is indicated for skin conditions with compromised integrity.

Answer 9

Correct Answers:

Debridement

Rationale :

🧩The infected ulcer with dead tissue requires debridement to remove necrotic tissue and allow healing.

🩺Other options such as biopsy, toe amputation, or dry gauze do not address the need for necrotic tissue removal.

⚠️Debridement is the standard intervention for infected pressure ulcers with necrosis.

📋Thus, debridement is the correct procedure.

📌Core message

Debridement removes dead tissue and promotes healing of infected ulcers.

Answer 10

Correct Answers:

IVF involves bringing ova and sperm together outside the bodies

Rationale :

🧬In vitro fertilization (IVF) is the process of combining eggs and sperm in a laboratory setting, with later transfer of the embryo into the uterus.

🛑It is not inexpensive, and it does not prevent sperm from reaching an egg.

📋Intrauterine insemination (IUI), not IVF, involves placing semen directly into the uterus.

✅Therefore, IVF is correctly described as fertilization outside the body.

📌Core message

IVF means combining sperm and egg outside the body before embryo transfer.

RN NUR Med Surg Exam-2

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 male client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The dient is daground with protest nursing intendention 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 their chef's mount.

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 developments?

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 fat 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-2

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 male client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The dient is daground with protest nursing intendention 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 their chef's mount.

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 developments?

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 fat 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 male client presents to the clinic with lower abdominal pain, vaginal discharge, and dysuria. The dient is daground with protest nursing intendention 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 their chef's mount.

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 developments?

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 fat The nurse should prepare this client for which procedure?

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