NSG 3800 MedSurge 2 Exam 1 – Questions With
Definite Solutions
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Terms in this set (153)
The nurse is caring for a client who D. Fluid volume status
has a diagnosis of syndrome of
inappropriate antidiuretic hormone
secretion. The plan of care includes
assessment of specific gravity every
four hours. The results of this test will
allow the nurse to assess which aspect
of the client's health?
A. Nutritional status
B. Potassium balance
C. Calcium balance
D. Fluid volume status
The nurse is caring for a client A. Diminished deep tendon reflexes
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?
A. Diminished deep tendon reflexes
B. Tachycardia
C. Cool, clammy skin
D. Acute flank pain
,The nurse is working on a burn unit D. Hypovolemia
and an acutely ill client is exhibiting
signs and symptoms of third spacing.
Based on this change in status, the
nurse should expect the client to
exhibit signs and symptoms of which
imbalance?
A. Metabolic alkalosis
B. Hypermagnesemia
C. Hypercalcemia
D. Hypovolemia
A client with a longstanding diagnosis B. Respiratory alkalosis
of generalized anxiety disorder
presents to the emergency room. The
triage nurse notes upon assessment
that the client is hyperventilating. The
triage nurse is aware that
hyperventilation is the most common
cause of which acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Increased PaCO2
D. Metabolic acidosis
,The emergency-room nurse is caring D) Metabolic acidosis with a compensatory
for a trauma client who has the respiratory alkalosis
following arterial blood gas results:
pH 7.26, PaCO2 28, HCO3 11 mEq/L.
How should the nurse interpret these
results?
A. Respiratory acidosis with no
compensation
B. Metabolic alkalosis with
compensatory alkalosis
C. Metabolic acidosis with no
compensation
D. Metabolic acidosis with
compensatory respiratory alkalosis
While assessing a client's peripheral IV C. Infiltration
site, the nurse observes edema and
coolness around the insertion site.
How should the nurse document this
observation?
A. Air embolism
B. Phlebitis
C. Infiltration
D. Fluid overload
, The nurse is performing an admission C. Inelastic skin turgor is a normal part of aging.
assessment on a 79-year-old client
newly admitted for end-stage liver
disease. What principle should guide
the nurse's assessment of the client's
skin turgor?
A. Overhydration is common among
healthy older adults.
B. Dehydration causes the skin to
appear spongy.
C. Inelastic skin turgor is a normal part
of aging.
D. Skin turgor cannot be assessed in
clients over the age of 70.
A client with hypokalemia is to receive B. Assess blood urea nitrogen (BUN) and serum
intravenous (IV) potassium creatinine prior to potassium administration.
replacement. Which action should the D. Follow the facility policy for infusion of potassium.
nurse take when administering E. Report a reduced urinary output to the health care
potassium intravenously? Select all provider.
that apply.
A. Administer potassium by IV push.
B. Assess blood urea nitrogen (BUN)
and serum creatinine prior to
potassium administration.
C. Monitor complete blood count
during potassium infusion.
D. Follow the facility policy for
infusion of potassium.
E. Report a reduced urinary output to
the health care provider.
Definite Solutions
Save
Terms in this set (153)
The nurse is caring for a client who D. Fluid volume status
has a diagnosis of syndrome of
inappropriate antidiuretic hormone
secretion. The plan of care includes
assessment of specific gravity every
four hours. The results of this test will
allow the nurse to assess which aspect
of the client's health?
A. Nutritional status
B. Potassium balance
C. Calcium balance
D. Fluid volume status
The nurse is caring for a client A. Diminished deep tendon reflexes
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?
A. Diminished deep tendon reflexes
B. Tachycardia
C. Cool, clammy skin
D. Acute flank pain
,The nurse is working on a burn unit D. Hypovolemia
and an acutely ill client is exhibiting
signs and symptoms of third spacing.
Based on this change in status, the
nurse should expect the client to
exhibit signs and symptoms of which
imbalance?
A. Metabolic alkalosis
B. Hypermagnesemia
C. Hypercalcemia
D. Hypovolemia
A client with a longstanding diagnosis B. Respiratory alkalosis
of generalized anxiety disorder
presents to the emergency room. The
triage nurse notes upon assessment
that the client is hyperventilating. The
triage nurse is aware that
hyperventilation is the most common
cause of which acid-base imbalance?
A. Respiratory acidosis
B. Respiratory alkalosis
C. Increased PaCO2
D. Metabolic acidosis
,The emergency-room nurse is caring D) Metabolic acidosis with a compensatory
for a trauma client who has the respiratory alkalosis
following arterial blood gas results:
pH 7.26, PaCO2 28, HCO3 11 mEq/L.
How should the nurse interpret these
results?
A. Respiratory acidosis with no
compensation
B. Metabolic alkalosis with
compensatory alkalosis
C. Metabolic acidosis with no
compensation
D. Metabolic acidosis with
compensatory respiratory alkalosis
While assessing a client's peripheral IV C. Infiltration
site, the nurse observes edema and
coolness around the insertion site.
How should the nurse document this
observation?
A. Air embolism
B. Phlebitis
C. Infiltration
D. Fluid overload
, The nurse is performing an admission C. Inelastic skin turgor is a normal part of aging.
assessment on a 79-year-old client
newly admitted for end-stage liver
disease. What principle should guide
the nurse's assessment of the client's
skin turgor?
A. Overhydration is common among
healthy older adults.
B. Dehydration causes the skin to
appear spongy.
C. Inelastic skin turgor is a normal part
of aging.
D. Skin turgor cannot be assessed in
clients over the age of 70.
A client with hypokalemia is to receive B. Assess blood urea nitrogen (BUN) and serum
intravenous (IV) potassium creatinine prior to potassium administration.
replacement. Which action should the D. Follow the facility policy for infusion of potassium.
nurse take when administering E. Report a reduced urinary output to the health care
potassium intravenously? Select all provider.
that apply.
A. Administer potassium by IV push.
B. Assess blood urea nitrogen (BUN)
and serum creatinine prior to
potassium administration.
C. Monitor complete blood count
during potassium infusion.
D. Follow the facility policy for
infusion of potassium.
E. Report a reduced urinary output to
the health care provider.
