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NUR170 MedSurg Exam 1 – Questions/Solutions (100%)
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NUR170 MedSurg Exam 1 – Questions/Solutions (100%)
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NUR170 MedSurg Exam 1 – Questions/Solutions(100%)
A nurse assesses clients at a family practice clinic for risk factors that could
lead to dehydration. Which client is at greater risk for dehydration? Right
Ans - A 76 year old who is cognitively impaired
A patient with a 5 day history of nausea and vomiting presents to the
emergency department. What blood gas results would you expect? Right
Ans - An increased pH and increased HCO3
A patient presents to the emergency department with a fractured femur from
a motor vehicle accident. Their pain is rated as 9 out of 10 on a 0-10 pain
scale. The patient appears to be hysterical. What ABG do you expect for this
patient? Right Ans - pH 7.48, CO2 31, HCO3 23, PaO2 89
The nurse receives their patient's ABG results: pH 7.32, CO2 49, HCO3 23,
PaO2 90. What intervention will need to be implemented for this patient?
Right Ans - Incentive spirometry
The RN on the surgical unit receives a patient from the PACU. The RN plans to
take which action first upon arrival of the patient? Right Ans - Assess the
vital signs to compare with preoperative measurements
In preparation for surgery, a patient's labs were drawn and received. Which
lab result should be reported immediately to the surgeon? Right Ans -
Sodium, 145 mEq/L
The nurse assesses a patient's surgical incision for signs of infection. Which
finding would be interpreted as a normal finding Right Ans - Serous
drainage
A patient with lactose intolerance is being assessed for a diagnosis of
hypocalcemia. Which clinical manifestation would they expect to note?
Right Ans - Twitching
, Upon review of the patient's medical record, the nurse determines that which
patient is at risk for fluid volume excess? Right Ans - The client with kidney
disease and a 12-year history of diabetes mellitus
The nurse is caring for a patient on diuretics suspects that they are
experiencing fluid volume deficit. Which finding is expected? Right Ans -
Weight loss and poor skin turgor
The nurse is caring for a client with heart failure. On assessment, the nurse
notes that the client is dyspneic, and crackles are audible on auscultation.
What additional manifestations would the nurse expect to note in this client if
excess fluid volume is present? Right Ans - An increase in blood pressure
and increased respirations
The nurse is teaching a client about coughing and deep-breathing techniques
to prevent postoperative complications. Which statement is most appropriate
for the nurse to make to the client at this time as it relates to these
techniques? Right Ans - "Use of an incentive spirometer will help prevent
pneumonia."
The nurse in the outpatient surgery clinic is discussing an upcoming surgical
procedure with a client. Which information provided by the nurse is most
appropriate for the client's long-term outcome? Right Ans - "Discuss
acceptable pain control after your operation with the surgeon."
The registered nurse asks the nursing assistant why a cardiac client's morning
weight has not been done yet. The nursing assistant says, "I'll get to it, what's
the big deal?" When deciding how to respond, the nurse considers what
information about weight? Right Ans - Weight is the most accurate
noninvasive indicator of fluid status
A nurse on the postoperative unit receives hand-off report on four clients
using patientcontrolled analgesia (PCA) pumps. Which client would the nurse
see first? Right Ans - Client with a respiratory rate of 8 breaths/min
A nurse uses the checklist of nonverbal pain indicators to assess pain in a
nonverbal client with advanced dementia but no other medical history except
well-controlled hypertension and high cholesterol. The client scores a zero.
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