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MEDSURG EXAM 1 MCPHS QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATED $9.49   Add to cart

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MEDSURG EXAM 1 MCPHS QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATED

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MEDSURG EXAM 1 MCPHS QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED UPDATED labs/ S/S of hypovolemia (dehydration) high BUN, creatinine, H&H high NA, K, Ca, Mg high glucose urine specific gravity >1.030 hypovolemia (dehydration) assessment findings: mental status changes high t...

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  • November 2, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
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MEDSURG EXAM 1 MCPHS QUESTIONS AND ANSWERS

WITH COMPLETE SOLUTIONS VERIFIED UPDATED


labs/ S/S of hypovolemia (dehydration)


high BUN, creatinine, H&H

high NA, K, Ca, Mg

high glucose

urine specific gravity >1.030


hypovolemia (dehydration) assessment findings:


mental status changes

high temp, high rr, high hr, low bp

poor PO intake, high salt intake, fluid loss

poor skin turgor

dry mucous membranes

dark, concentrated urine with strong odor

weak peripheral pulses

high laxative use

MONITOR WEIGHT


treatments for hypovolemia (dehydration):


fluids orally or IV route

,medications to treat hypovolemia diarrhea:


anti-diarrheal


medications to treat hypovolemia bacterial diarrhea:


antimicrobials


medications to treat hypovolemia fever:


anti-pyretic


medications to treat hypovolemia vomiting:


anti-nausea


fluid overload assessment findings:


edema, pitting edema

high HR, high RR, high BP

weight gain

crackles in lungs

skin is pale, cool to touch

mental status changes

distended neck & hand veins: engorged veins

headache visual disturbances, skeletal muscle weakness, paresthesia

increased GI motility

enlarged liver


treatment for fluid overload:

, restore normal fluid balance

diuretics at times


what influences electrolyte balance?


normal cell function

diet

acid base balance

hormone secretion


responsibilities of sodium:


regulate fluid CF & ECF

activates nerve and muscle cells

sodium-potassium pump


regulation of sodium:


ADH, aldosterone


what are dietary sources high in sodium?


canned products, cheese, condiments, processed meats, table salts, seasonings, snack foods, seafood,

pickled foods, frozen prepared foods


hyponatremia (low sodium) contributing causes:


prolonged/overuse of diuretics, dietary intake of sodium, impaired kidney function, insensible fluid loss,

pituitary adenoma, hypotonic IV solutions


hyponatremia clinical manifestations:


SEIZURES, fatigue, headache, confusion, nausea, vomiting

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