MED SURG Final Q&A Rated A+

While providing discharge teaching for a patient who had an adjustable gastric band placed, which statement if made by the patient would indicate the need for further teaching? A. "I'm glad that this surgery is reversible in case things don't work out." B. "I'm just so glad that I can lose weight without having to worry about what I eat." C. "I will start off with light meals and advance my diet slowly to avoid nausea and vomiting." D. "This surgery doesn't change how my food is absorbed, just the size of my stomach." - b. "I'm just so glad that I can lose weight without having to worry about what I eat." A patient is brought onto your unit following a motor vehicle accident in which they sustained a spinal cord injury. Which of the following findings could indicate that Neurogenic shock is suspected. (select all that apply) A. The doctor has ordered Atropine for the patient's heart rate. B. The patient is experiencing loss of reflex activity. C. The patient has severe tachycardia and tachypnea. D. The patient’s skin is flushed with angioedema present. E. The patient's family states that they are allergic to latex. - a. The doctor has ordered Atropine for the patient's heart rate. B. The patient is experiencing loss of reflex activity. A patient presents in the emergency department with vital signs of: blood pressure 150/90, respiratory rate of 18, pulse of 110, an oxygen saturation of 89%, and a temperature of 99.0 degrees Fahrenheit. The patient is nauseous and has been vomiting for the past 2 hours he states. He is also presenting with headache, muscle spasms, diarrhea, abdominal cramps, and has gained 5 pounds in the last week. The physician orders a complete blood count and a basic metabolic panel. Which results does the nurse expect to find in the basic metabolic panel? A. Sodium level of 140 meq/L B. Sodium level of 150 meq/L C. Sodium level of 130 meq/L with increased extracelluar fluid D. Sodium level of 130 meq/L with decreased extracellular fluid - C. Sodium level of 130 meq/L with increased extracelluar fluid A client of yours is scheduled for surgery for their primary hyperaldosteronism in two days. They have been started on spironolactone along with a calcium channel blocker. Appropriate nursing care for this client involves all of the following except: A) Monitor the client's blood pressure frequently before and after the surgery. B) Instruct them on how to monitor their own blood pressure and why frequent monitoring is so important. C) Explain the importance of maintaining a low sodium diet D) Monitor their potassium levels closely as well as their cardiovascular status E) Assure the client that they will be able to live a full life following the removal of only one of their kidneys. - e) Assure the client that they will be able to live a full life following the removal of only one of their kidneys. A student nurse is preparing blood for an A Positive patient who needs to receive a blood transfusion. The nurse intervenes after which statement? A. "Since you are A positive, you are considered a "universal recipient", therefore you can receive any type of blood. B. "A positive blood types can receive A+, A-, O+ and O-" C. "Testing your blood type helps us determine what type of blood you need. Not all blood types are the same and can cause a reaction" D. "Only certain people who meet a certain criteria can donate blood, but if you have any types of symptoms during transfusion, let a health care staff member know" - A. " Since you are A positive, you are considered a "universal recipient", therefore you can receive any type of blood.