100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NUR 504 (Surgery) EXAM 3 MULTIPLE CHOICE QUIZBANK WITH EXPLANATIONS A+ GRADED. $16.99   Add to cart

Exam (elaborations)

NUR 504 (Surgery) EXAM 3 MULTIPLE CHOICE QUIZBANK WITH EXPLANATIONS A+ GRADED.

 8 views  0 purchase
  • Course
  • NUR 504
  • Institution
  • NUR 504

NUR 504 (Surgery) EXAM 3 MULTIPLE CHOICE QUIZBANK WITH EXPLANATIONS A+ GRADED.

Preview 4 out of 73  pages

  • November 1, 2024
  • 73
  • 2024/2025
  • Exam (elaborations)
  • Unknown
  • NUR 504
  • NUR 504
avatar-seller
saraciousstuvia
NUR 504 (Surgery) EXAM 3 MULTIPLE
CHOICE QUIZBANK WITH
EXPLANATIONS A+ GRADED.
The nurse is caring for a client who is diagnosed with diabetes insipidus (DI).
For what
common complication will the nurse monitor?
a. Hypertension
b. Bradycardia
c. Dehydration
d. Pulmonary embolus
ANS: C
The client who has DI has fluid loss through excessive urination. Decreased
fluid volume, or
dehydration, is manifested by tachycardia, hypotension, and possibly
elevated temperature.
Pulmonary embolism (PE) could possible as a clot in the lower extremity
(caused by
dehydration) could fragment and travel to the lungs.


A client is being treated for diabetes insipidus (DI) with synthetic
vasopressin (desmopressin).
What is the priority health teaching that the nurse provides regarding drug
therapy?
a. The need to check the client's urinary specific gravity.

,b. The need to take blood pressure at least twice a day.
c. The need to monitor blood glucose every day.
d. The need to weigh every day and report weight gain.
ANS: D
The client with DI who takes lifelong hormone replacement will need to
report significant
weight gain to monitor for water toxicity. Water toxicity causes headache,
vomiting, and acute
confusion.


A nurse is reviewing care for a client who has syndrome of inappropriate
antidiuretic hormone (SIADH) with assistive personnel. What statement by
the AP indicates understanding of this client's care?
a. "I will weigh the client carefully before breakfast and compare with
yesterday's weight."
b. "I will encourage plenty of fluids to promote urination and prevent
dehydration."
c. "I will teach the client not to select high-sodium or salty foods on the
menu."
d. "I will assess the client's mucous membranes and skin for signs of
dehydration."
ANS: A
The client with SIADH usually has a fluid restriction, not an increase in
fluids. It is the role of
the RN rather than AP to perform assessments and provide health teaching.
The AP needs to
weigh the client daily and report a significant weight changes.

,The nurse is preparing to give tolvaptan for a client who has syndrome of
inappropriate antidiuretic hormone (SIADH). For which potentially life-
threatening adverse effect would
the nurse monitor?
a. Increased intracranial pressure
b. Myocardial infarction
c. Rapid-onset hypernatremia
d. Bowel perforation
ANS: C
Tolvaptan has a black box warning that rapid increases in serum sodium
levels have been
associated with central nervous system demyelination that can lead to
serious complications
and death.


A client is admitted with a possible diagnosis of diabetes insipidus (DI).
What assessment findings would the nurse expect? (Select all that apply.)
a. Hypotension
b. Increased urinary output
c. Concentrated urine
d. Decreased thirst
e. Poor skin turgor
f. Bradycardia
ANS: A, B, E

, The client who has DI has excessive urination and dehydration. Clients who
are dehydrated
have decreased blood pressure, increased pulse (tachycardia), and poor
skin turgor. The urine
is dilute with a low specific gravity.


The nurse is planning health teaching for a client starting on levothyroxine.
What health
teaching about this drug would the nurse include?
a. The need to take the drug when the client feels fatigued and weak.
b. The need to report chest pain and dyspnea when starting the drug.
c. The need to check blood pressure and pulse every day.
d. The need to rotate injection sites when giving self the drug.
ANS: B
Levothyroxine is a replacement hormone for clients who have
hypothyroidism and is taken
orally for life. Vital signs do not have to be checked every day, but the client
should report
any chest pain and dyspnea when first starting the drug.


A nurse assesses a client who is recovering from a subtotal thyroidectomy
and observes the
development of stridor. What is the priority action for the nurse to take?
a. Apply oxygen via nasal cannula at 2 L/min.
b. Document the finding and assess the client hourly.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller saraciousstuvia. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $16.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$16.99
  • (0)
  Add to cart