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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank Questions and Answers (2023/2024) (Verified Answers) £9.61   Add to cart

Exam (elaborations)

Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank Questions and Answers (2023/2024) (Verified Answers)

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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank Questions and Answers (2023/2024) (Verified Answers)

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  • November 10, 2023
  • 49
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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Lewis's Medical Surgical Nursing 11th Edition Harding Test Bank

1. After the insertion of an arteriovenous graft in the right forearm, a

patient reports pain and

coldness of the right fingers. Which action should the nurse take?

a. Remind the patient to take a daily low-dose aspirin tablet.

b. Report the patient's symptoms to the health care provider.

c. Elevate the patient's arm on pillows above the heart level.

d. Teach the patient about normal arteriovenous graft function.: ANS: B

The patient's problems suggest the development of distal ischemia

(steal syn- drome) and may

require revision of the AVG. Elevating the arm above the heart will

further decrease perfusion. Pain and coolness are not normal after AVG

insertion. Aspirin therapy is not used

to maintain grafts.

DIF: Cognitive Level: Apply (application)



TOP: Nursing Process: Implementation MSC: NCLEX: Physiological

Integrity

2. Which assessment finding should the nurse expect when a patient


,with acute kidney injury

(AKI) has an arterial blood pH of 7.30?

a. Persistent skin tenting

b. Rapid, deep respirations

c. Hot, flushed face and neck

d. Bounding peripheral pulses: ANS: B

Patients with metabolic acidosis caused by AKI may have Kussmaul

respirations to eliminate

carbon dioxide. Bounding pulses and vasodilation are not associated

with meta- bolic acidosis.

Because the patient is likely to have fluid retention, poor skin turgor

would not be a finding in

AKI.

DIF: Cognitive Level: Apply (application)

TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity

3. The nurse is planning care for a patient with severe heart failure who

has developed increased

blood urea nitrogen (BUN) and creatinine levels. What will be the primary

treatment goal in


,the plan?

a. Augmenting fluid volume






, b. Maintaining cardiac output

c. Diluting nephrotoxic substances

d. Preventing systemic hypertension: ANS: B

The primary goal of treatment for acute kidney injury (AKI) is to

eliminate the cause and

provide supportive care while the kidneys recover. Because this

patient's heart failure is

causing AKI, the care will be directed toward treatment of the heart

failure. For renal failure

caused by hypertension, hypovolemia, or nephrotoxins, the other

responses could be correct.

DIF: Cognitive Level: Apply (application) TOP: Nursing Process:

Planning MSC: NCLEX: Physiological Integrity

4. A patient who has acute glomerulonephritis is hospitalized with

hyper- kalemia. Which

information will the nurse monitor to evaluate the effectiveness of the pre-

scribed calcium

gluconate IV?

a. Urine volume

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