MEDSURG REDUCTION OF RISK 2024 ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS CORRECTLY ANSWERED GRADED A++
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MEDSURG REDUCTION OF RISK
MEDSURG REDUCTION OF RISK 2024 ACTUAL EXAM QUESTIONS WITH VERIFIED ANSWERS CORRECTLY ANSWERED GRADED A++
A client who has been experiencing prolonged vomiting has the following ABG results: pH 7.48; pCO2 40 mm Hg; HCO3 34 mEq/L; pO2 85 mm Hg. The nurse determines that the client is experiencing ...
medsurg reduction of risk 2024 actual exam questio
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MEDSURG REDUCTION OF RISK 2024 ACTUAL EXAM
QUESTIONS WITH VERIFIED ANSWERS CORRECTLY ANSWERED
GRADED A++
A client who has been experiencing prolonged vomiting has the following ABG
results: pH 7.48; pCO2 40 mm Hg; HCO3 34 mEq/L; pO2 85 mm Hg. The nurse
determines that the client is experiencing which of the following imbalance?
Select one:
a. Respiratory Alkalosis
b. Metabolic Alkalosis
c. Respiratory Acidosis
d. Metabolic Acidosis
b. Metabolic Alkalosis
Alkalosis is reflected by an arterial pH greater than 7.45. Because this client has an
increase in the base component, HCO3, this is a metabolic alkalosis.
Metabolic alkalosis results from:
• Base excess
- Oral ingestion of bases (antacids)
- Venous administration of bases (blood transfusions, TPN, or sodium bicarbonate)
- Acid deficit
- Loss of gastric secretions (through prolonged vomiting, NG suction)
- Potassium depletion (due to thiazide diuretics, laxative abuse, Cushing's syndrome)
- Metabolic alkalosis results in:
- Increased HCO3
A client experiencing intermittent chest pain has been admitted to the hospital.
Which of the following laboratory values should the nurse report to the health
,care provider immediately?
Select one:
a. Creatine kinase (CK) 90 units/L
b. C-reactive protein (CRP) 0.2 mg/dL
c. Total myoglobin 60 mcg/L
d. Cardiac troponin T 1.2 ng/mL
d. Cardiac troponin T 1.2 ng/mL
Normal range for cardiac troponin T is < 0.20 ng/mL. The value listed in choice C is
significantly elevated and indicates myocardial injury or infarction and should be
reported to the provider immediately.
A client is having an exercise electrocardiography (stress test) performed. The
nurse recognizes the need to stop the test if which of the following occurs?
Select one:
a. The client begins to breathe harder
b. The client experiences an increase in heart rate.
c. QRS complexes begin to occur more frequently.
d. An ST segment depression or T wave inversion on the EKG.
d. An ST segment depression or T wave inversion on the EKG.
Significant ST segment depression or T wave inversion are indications of myocardial
ischemia and the stress test should be stopped
A client is discharged following a cardiac catheterization procedure. Which of the
following should the nurse include in the discharge teaching?
Select one:
a. Limit activity for several days after the procedure.
, b. Remove dressing the evening of the procedure.
c. Notify provider if bruising is noted at the site.
d. Tub baths the night following the procedure are acceptable.
a. Limit activity for several days after the procedure.
The client should limit activity for several days after the procedure (avoiding lifting and
exercise) to prevent bleeding of insertion site.
A nurse is caring for a client post aortofemoral bypass surgery. Which of the
following interventions would be contraindicated?
Select one:
a. Encouraging client to sit in high Fowler's position.
b. Monitoring client for changes in blood pressure.
c. Maintaining NPO status until first postoperative day.
d. Coughing and deep breathing every 1 to 2 hours.
a. Encouraging client to sit in high Fowler's position.
Following an aortofemoral bypass surgery, the nurse should instruct the client to limit
bending of the hip and knee to decrease the risk of clot formation.
A nurse is caring for a client at risk for atelectasis. Which of the following should
the nurse monitor for manifestations of atelectasis?
Select one:
a. Pulse oximetry
b. Daily weight
c. Intake and output
d. Lung sounds
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