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TEST BANK FOR MEDICAL SURGICAL QUESTIONS WITH DETAILED ANSWERS GRADED A+
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TEST BANK FOR MEDICAL SURGICAL QUESTIONS WITH DETAILED ANSWERS GRADED A+
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TEST BANK FOR MEDICALSURGICAL QUESTIONS WITH
DETAILED ANSWERS GRADED A+
. A 58-year-old male patient who is diagnosed with nephrotic
syndrome has ascites and 4+ leg edema. Which nursing diagnosis is
a priority for the patient?
a.
Activity intolerance related to rapidly increased weight
b.
Excess fluid volume related to low serum protein levels
c.
Disturbed body image related to peripheral edema and ascites
,d.
Altered nutrition: less than required related to protein restriction -
answer ✅✅Excess fluid volume related to low serum protein levels
. During acute exacerbations of IBD, the patient should avoid what
types of foods? - answer ✅✅high-fiber foods such as whole grains.
High-fat foods also may cause diarrhea in some patients.
1. The nurse obtains all of the following assessment data about a
patient with deficient fluid volume caused by a massive burn injury.
Which of the following assessment data will be of greatest concern?
a.
The blood pressure is 90/40 mm Hg.
b.
Urine output is 30 ml over the last hour.
c.
Oral fluid intake is 100 ml for the last 8 hours.
d.
,There is prolonged skin tenting over the sternum. - answer ✅✅The
blood pressure is 90/40 mm Hg.
Rationale: The blood pressure indicates that the patient may be
developing hypovolemic shock as a result of fluid loss. This will
require immediate intervention to prevent the complications
associated with systemic hypoperfusion. The poor oral intake,
decreased urine output, and skin tenting all indicate the need for
increasing the patients fluid intake but not as urgently as the
hypotension.
10. A patient who has required prolonged mechanical ventilation
has the following arterial blood gas results: pH 7.48, PaO2 85 mm
Hg, PaCO2 32 mm Hg, and HCO3 25 mEq/L. The nurse interprets
these results as
a.
metabolic acidosis.
b.
metabolic alkalosis.
c.
respiratory acidosis.
, d.
respiratory alkalosis. - answer ✅✅respiratory alkalosis
Rationale: The pH indicates that the patient has alkalosis and the
low PaCO2 indicates a respiratory cause. The other responses are
incorrect based on the pH and the normal HCO3.
10. The nurse would expect a patient with respiratory acidosis to
have an excessive amount of
a.
Carbon dioxide.
b.
Bicarbonate.
c.
Oxygen.
d.
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