Exam (elaborations)
Detailed Answer Key For Medical Surgical Exam, A+ Solutions correctly answerd • 1. AIA AInurse AIis AIreviewing AIthe AIcause AIof AIgout AIwith AIa AIgroup AIof AInurses. AIWhich AIof AIthe AIfollowing AIstatements AIshould AIthe AInurse AImake? A.
Institution
Medical Surgical
Detailed Answer Key For Medical Surgical Exam, A+ Solutions correctly answerd
•
1. AIA AInurse AIis AIreviewing AIthe AIcause AIof AIgout AIwith AIa AIgroup AIof AInurses. AIWhich AIof AIthe AIfollowing AIstatements AIshould AIthe AInurse AImake?
A. "Uric AIacid AIlevels AIdrop AIand...
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Detailed Answer Key For Medical Surgical
Exam, A+ Solutions correctly answerd
1. AIA AInurse AIis AIreviewing AIthe AIcause AIof AIgout AIwith AIa AIgroup AIof AInurses. AIWhich AIof AIthe AIfollowing
AIstatements AIshould AIthe AInurse AImake?
A. "Uric AIacid AIlevels AIdrop AIand AIcalcium AIforms AIprecipitate."
Rationale: AIW ith AIgout, AIclients AIhave AIhyperuricemia, AIrather AIthan AIa AIreduction AIin AIuric AIacid.
B. "Tophi AIform AIin AIthe AIkidneys AIand AIthey AIimpair AIthe AIexcretion AIof AIuric AIacid."
Rationale: AITophi, AIor AIdeposits AIin AItissues AInear AIa AIjoint, AIdevelop AIin AIchronic, AIlate-stage AIgout.
AIThey AIare AInot AIpart AIof AIthe AIprimary AIdisease AIprocess.
C. "The AIintra-articular AIdeposition AIof AIurate AIcrystals AIcauses AIinflammation."
Rationale: AIGout, AIor AIgouty AIarthritis, AIdevelops AIwhen AIurate AIcrystals AIdeposit AIin AIjoints AIand
AItissues AIand AIcause AIinflammation AIand AIpain.
D. "Articular AIcartilage AIthins, AIleading AIto AIsplitting AIand AIfragmentation."
Rationale: AIGout AIdoes AInot AIthin AIand AIfragment AIcartilage.
2. AIA AInurse AIis AIteaching AIa AIgroup AIof AIclients AIabout AIosteoarthritis. AIWhich AIof AIthe AIfollowing
AIrecommendations AIshould AIthe AInurse AIinclude AIin AIthe AIteaching?
A. Use AIEchinacea AIto AImanage AIjoint AIpain.
Rationale: AIThe AInurse AImay AIinclude AIthe AIuse AIof AIcomplementary AIand AIalternative AItherapies AIin
AIthe AIteaching.
However, AIEchinacea AIis AIused AIfor AIthe AItreatment AIof AIthe AIcommon AIcold, AInot
AIosteoarthritis. AIAlternative AItherapies AIthat AIare AIused AIfor AIosteoarthritis AIinclude
AIglucosamine, AIchondroitin, AIand AItopical AIcapsaicin.
B. Apply AIice AIto AIthe AIjoint AIbefore AIexercising.
Rationale: AIThe AInurse AIshould AIrecommend AIthat AIthe AIclients AIbegin AIexercising
AIimmediately AIfollowing AIthe AIapplication AIof AIheat. AIThis AIreduces AIpain AIand
AIimproves AImobility, AIallowing AIfor AIincreased AIrange-of-motion AIduring AIexercises.
AICold AIapplication AImay AIbe AIapplied AIfollowing AIexercise AIto AIdecrease
AIdiscomfort AIand AIinflammation.
C. Maintain AIa AIrecommended AIbody AIweight.
Rationale: AIObesity AIis AIa AIrisk AIfactor AIfor AIthe AIdevelopment AIof AIosteoarthritis. AIMaintenance AIof
AIan AIideal AIweight AIis AIone AIway AIa AIclient AIcan AIprevent AIadded AIwear AIand AItear AIon
AIjoints AIand AIpromote AIoverall AIjoint AIhealth.
Page AI1
, D. Reduce AIthe AIamount AIof AIpurine AIin AIthe AIdiet.
Rationale: AIThe AInurse AIshould AIrecognize AIthat AIlimiting AIpurine AIin AIthe AIdiet, AIwhich AIis AIoften
AIfound AIin AIorgan AImeats, AIis AIrecommended AIfor AIclients AIwho AIhave AIgout.
3. AIA AInurse AIis AIcaring AIfor AIa AIclient AIwho AIhas AIhad AIa AImyocardial AIinfarction. AIUpon AIhis AIfirst AIvisit AIto
AIcardiac AIrehabilitation, AIhe AItells AIthe AInurse AIthat AIhe AIdoesn't AIunderstand AIwhy AIhe AIneeds AIto AIbe
AIthere AIbecause AIthere AIis AInothing AImore AIto AIdo, AIas AIthe
Page AI2
, damage AIis AIdone. AIWhich AIof AIthe AIfollowing AIis AIthe AIcorrect AInursing AIresponse?
A. "Cardiac AIrehabilitation AIcannot AIundo AIthe AIdamage AIto AIyour AIheart AIbut AIit AIcan AIhelp AIyou AIget
AIback AIto AIyour AIprevious AIlevel AIof AIactivity AIsafely."
Rationale: AIWith AIthis AIresponse, AIthe AInurse AIuses AIthe AItherapeutic AIcommunication AItechnique AIof
AIpresenting AIreality AIby AIindicating AIher AIperception AIof AIthe AIsituation AIfor AIthe AIclient.
B. "It’s AInot AIunusual AIto AIfeel AIthat AIway AIat AIfirst, AIbut AIonce AIyou AIlearn AIthe AIroutine, AIyou’ll AIenjoy AIit."
Rationale: AIW ith AIthis AIresponse, AIthe AInurse AIillustrates AIthe AInontherapeutic AIcommunication
AItechnique AIof AIgiving AIreassurance, AIthus AIdiscouraging AIthe AIclient AIfrom AIfurther
AIcommunication.
C. "Exercise AIis AIgood AIfor AIyou AIand AIgood AIfor AIyour AIheart."
Rationale: AIW ith AIthis AIresponse, AIthe AInurse AIillustrates AIthe AInontherapeutic AIcommunication
AItechniques AIof AIdisagreeing AIand AIgiving AIadvice.
D. "Your AIdoctor AIis AIthe AIexpert AIhere, AIand AII’m AIsure AIhe AIwould AIonly AIrecommend AIwhat AIis AIbest AIfor
AIyou."
Rationale: AIW ith AIthis AIresponse, AIthe AInurse AIillustrates AIthe AInontherapeutic AIcommunication
AItechnique AIof AIdefending.
4. AIA AInurse AIis AIcaring AIfor AIa AIclient AIwho AIhas AIheart AIfailure AIand AIa AIpotassium AIlevel AIof AI2.4 AImEq/L.
AIThe AInurse AIshould AIidentify AIwhich AIof AIthe AIfollowing AImedications AIas AIthe AIcause AIof AIthe AIclient’s
AIlow AIpotassium AIlevel?
A. Furosemide
Rationale: AIFurosemide AIis AIa AIloop AI(high-ceiling) AIdiuretic AIthat AIinhibits AIthe AIreabsorption AIof
AIsodium AIand AIchloride AIand AIresults AIin AIdiuresis, AIwhich AIdecreases AIpotassium
AIthrough AIexcretion AIin AIthe AIdistal AInephrons.
Hypokalemia AIis AIan AIadverse AIeffect AIof AIfurosemide.
B. Nitroglycerin
Rationale: AIA AIpotassium AIlevel AIof AI2.4 AImEq/L AIis AInot AIan AIadverse AIeffect AIof AInitroglycerin.
AINitroglycerin AIis AIa AIvasodilator AImedication AIto AItreat AIangina.
C. Metoprolol
Rationale: AIA AIpotassium AIlevel AIof AI2.4 AImEq/L AIis AInot AIan AIadverse AIeffect AIof
AImetoprolol. AIMetoprolol AIis AIa AIbeta-blocker AIthat AIslows AIthe AIheart AIrate
AIand AIimproves AIcontractility AIof AIthe AIheart AImuscle.
D. Spironolactone
Rationale: AISpironolactone AIis AIa AIpotassium-sparing AIdiuretic AImedication; AItherefore, AIhyperkalemia
AIis AIan AIadverse AIeffect AIof AIthis AImedication.
5. AIA AInurse AIis AIcaring AIfor AIa AIclient AIwho AIis AIpostoperative AIfollowing AIan AIopen AIreduction AIinternal
AIfixation AI(ORIF) AIof AIa AIfemur AIfracture. AIWhich AIof AIthe AIfollowing AIparameters AIshould AIthe AInurse AIinclude
AIin AIthe AIevaluation AIof AIthe AIneurovascular AIstatus AIof AIthe AIclient's AIaffected AIextremity? AI(Select AIall AIthat
Page AI3
, AIapply.)
Page AI4