MEDSURG FINAL QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS GRADED.
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Course
Med surg 1
Institution
Med Surg 1
MEDSURG FINAL QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS GRADED. MEDSURG FINAL QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS GRADED. MEDSURG FINAL QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSWERS GRADED.MEDSURG FINAL QUESTIONS AND GOLDEN TIPS ANSWERS 100- VERIFIED ANSW...
MEDSURG FINAL QUESTIONS AND
GOLDEN TIPS ANSWERS 100% VERIFIED
ANSWERS GRADED
1. The nurse is caring for a client admitted with a diagnosis of acute kidney
injury. When reviewing the client's most recent laboratory reports, the nurse
notes that the client's magnesium levels are high. The nurse should
prioritize assessment for what health problem?
Select one:
a. Tachycardia
b. Cool, clammy skin
c. Acute flank pain
d. Diminished deep tendon reflexes: D- diminished deep tendon reflexes
2. A nurse in the neurologic ICU has received a prescription to infuse a
hypertonic solution into a client with increased intracranial pressure. This
solution will increase the number of dissolved particles in the client's blood,
creating pressure for fluids in the tissues to shift into the capillaries and
increase the blood volume. This process is best described as which of the
following?
Select one:
a. Osmosis and osmolality
b. Hydrostatic pressure
c. Active transport
d. Diffusion: A - osmosis and osmolality
3. The surgical nurse is caring for a client who is postoperative day 1
following a thyroidectomy. The client reports tingling in her lips and fingers.
She states that she has an intermittent spasm in her wrist and hand and she
exhibits increased muscle tone. What electrolyte imbalance should the nurse
first suspect? Select one:
a. Hypermagnesemia
,b. Hypophosphatemia
c. Hypocalcemia
d. Hyperkalemia: C – hypocalcemia
4. One day after a client is admitted to the medical unit, the nurse
determines that the client is oliguric. The nurse notifies the acute-care nurse
practitioner who prescribes a fluid challenge of 200 mL of normal saline
solution over 15 minutes. This intervention will achieve what goal?
Select one:
a. Help evaluate pituitary gland function
b. Help provide an effective treatment for hypertension-induced oliguria
c. Help distinguish hyponatremia from hypernatremia
d. Help distinguish reduced renal blood flow from decreased renal function:
D
- help distinguish reduced renal blood flow from decreased renal function
5. The community health nurse is performing a home visit to an older client
recovering from hip surgery. The nurse notes that the client seems
uncharacteristically confused and has dry mucous membranes. When asked
about fluid intake, the client states, stop drinking water early in the day
because it is just too difficult to get up during the night to go to the
bathroom. What would be the nurse's best response?
Select one:
a. It is normal to be a little confused following surgery, and it is safe not
to urinate at night.
b. Limiting your fluids can create imbalances that can result in confusion.
Maybe we need to adjust the timing of your fluids.
c. If you build up too much urine in your bladder, it can cause you to get
confused, especially when your body is under stress.
d. I will need to have your medications adjusted so you will need to be
readmitted to the hospital for a complete workup.: B - limiting your fluids can
create imbalances that can result in confusion. Maybe we need to adjust the
timing of your fluids
, 6. A client with hypertension has been prescribed hydrochlorothiazide. What
nursing action will best reduce the client's risk for electrolyte disturbances?
Select one:
a. Encourage the use of over-the-counter calcium supplements
b. Encourage fluid intake
c. Maintain a low sodium diet
d. Ensure the client has sufficient potassium intake: D - ensure the client has
sufficient potassium intake
7. The nurse caring for a client post colon resection is assessing the client on
the second postoperative day. The nasogastric tube (NG) remains patent and
continues at low intermittent wall suction. What assessment finding would
suggest that the client's potassium levels are too low? Select one:
a. Joint pain
b. Diarrhea
c. Large amounts of dilute urine
d. Increased muscle tone: C - large amounts of dilute urine
8. A gerontologic nurse is teaching students about the high incidence and
prevalence of dehydration in older adults. What factors contribute to this
phenomenon? Select all that apply.
Select one or more:
a. Increased total body water
b. Decreased kidney mass
c. Increased conservation of sodium
d. Decreased renal blood flow
e. Decreased excretion of potassium: B - decreased kidney mass, D -
decreased renal blood flow, E - decreased excretion of potassium
9. The nurse is called to a client's room by a family member who voices
concern about the client's status. On assessment, the nurse finds the client
tachypneic, lethargic, weak, and exhibiting a diminished cognitive ability. The
nurse also identifies 3+ pitting edema. What electrolyte imbalance is the most
plausible cause of this client's signs and symptoms?
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