Exam (elaborations) MEDSURG 2 NUR 265

1) A client is admitted to the ICU with diagnosis of a brain tumor complicated by transient diabetes insipidus. Which client data related to this complication should the nurse expect? Select all that apply. 1. Dark, amber urine with sediment 2. High serum osmolality 3. Low urine specific gravity 4. Recent weight gain 5. Reports of excessive thirst 2) A hospitalized patient is diagnosed with a pheochromocytoma, a tumor of the adrenal medulla. Which clinical manifestation should the nurse expect to observe? 1. Elevated H&H 2. Hypertension 3. Hypoglycemia 4. Weight gain. 3) The nurse is assessing a patient with hypoparathyroidism for electrolyte imbalances. The nurse notes a positive Chvostek’s sign, indicating: 1. Hypercalcemia 2. Hyperphosphatemia 3. Hypocalcemia 4. Hypophosphatemia 4) A patient is seen in the ER after abruptly discontinuing her thyroid medication. She is hypotensive ve, hypoglycemic, and is unresponsive. This clinical picture is most common with: 1. Hypertensive crisis 2. Myxedema coma 3. Thyroid cancer 4. Thyroid storm 5) The nurse is assessing a patient admitted with SIADH. Which assessment finding suggests this condition? 1. Hypotension 2. Increased urine output 3. Jugular vein distension (JVD) 4. Weight loss 6) The nurse is performing her routine physical assessment on a patient with Cushing’s syndrome. Which of the following assessment findings is the nurse most likely to discover? 1. Adipose deposits in the face and back 2. Cardiac arrhythmias from hyperkalemia 3. Dizziness from hypotension 4. Shakiness and sweating from hypoglycemia 7) The nurse reviews a patient’s lab results, noting a blood glucose level of 895 mg/dl. The patient is most likely experiencing which acid-base imbalance? 1. Metabolic acidosis 2. Metabolic alkalosis 3. Respiratory acidosis 4. Respiratory alkalosis 8) The nurse is caring for a patient scheduled for a radioactive iodine uptake test. Which of the following statements should be included in the patient instructions? 1. “A small dose of IV radioactive iodine will be administered after the test.” 2. “Minimize contact with others to avoid radioactive contamination.” 3. “Take special precautions when urinating, such as flushing the toilet at least twice.” 4. “The procedure tests the rate of iodine excretion.” 9) The nurse is treating a patient suffering from an Addisonian crisis. The nurse should avoid the administration of: 1. Dextrose 2. Hydrocortisone 3. Potassium Chloride 4. Vasopressor 10) The nurse caring for a critical patient with hypoparathyroidism. Which of the following complications should the nurse be alert for in a patient with severe hyposecretion of the parathyroid hormone? 1. Encephalopathy 2. Hypertensive crisis 3. Renal failure 4. Seizures 11) The nurse is assigned to care for a client who had a thyroidectomy 24 hours ago. On initial assessment which finding requires the most immediate action by the nurse? 1. Calcium 8.8 mg/dL 2. Heart rate 100/minute 3. Laryngeal stridor 4. Pain rated 8 out of 10. 12) The nurse in ICU cares for a client with adrenocortical insufficiency (Addison’s) disease. The client reports nausea and abdominal pain. The blood pressure suddenly drops from 120/74 to 88/48, HR increases from 80 to 100/min and the client appears confused. Which action should the nurse take first? 1. Administer as-needed dose of hydrocortisone IVP 2. Complete a head-to-toe assessment to identify any sources of infection. 3. Document the findings in the clients electronic medical record 4. Take blood pressure sitting and standing to assess orthostatic hypotension. ...............................CONTINUED...............................