EXAM
Exam Solution vc
MED SURG RN Form B 2026 A+ GRADE ASSURED COMPL
vc vc vc vc vc vc vc vc vc
ETE SOLUTIONS AND VERIFIED ANSWERS (7E811)
vc vc vc vc vc
QUESTION 1 vc
Heart failure and pulmonary edema: monitoring the effects of beta blockers
vc vc vc vc vc vc vc vc vc vc
ANSWER
Beta-adrenergic blockers (beta- vc vc
blockers) ■ Medications such as carvedilol (Coreg) and metoprolol (Lopressor) may be used to improve
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the condition of the client who has sustained increased levels of sympathetic stimulation and catechola
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mines. This would include clients who have chronic heart failure. ■ Nursing considerations ☐ Monitor B
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
P, pulse, activity tolerance and orthopnea. ☐ Check orthostatic blood pressure readings. ■ Client Educati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on ☐ Instruct the client to weigh daily. ☐ Advise the client to regularly check BP. ☐ Tell the client to follo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
w the provider's instructions on increasing medication dosage.
vc vc vc vc vc vc vc
QUESTION 2 vc
Gastrointestinal Therapeutic Procedures: Calculating Infusion Volume of TPN vc vc vc vc vc vc vc
ANSWER
TPN contains complete nutrition, including calories (in a high concentration [20% to 50%] of dextrose),
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lipids/essential fatty acids, protein, electrolytes, vitamins, and trace elements. Standard IV bolus therapy
vc vc vc vc vc vc vc vc vc vc vc vc
is typically less than or equal to 700 calories/day. Basic guidelines regarding when to initiate TPN ☐ A
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
weight loss of 7% body weight and NPO for 5 days or more ☐ A hypermetabolic state The flow rate is gr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
adually increased and gradually decreased to allow body adjustment (usually no more than a 10% hourl
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y increase in rate).
vc vc vc
QUESTION 3 vc
Valvular Heart Disease: Priority Assessment for a Heart Murmur
vc vc vc vc vc vc vc vc
ANSWER
A murmur is heard with turbulent blood flow. The location of the murmur and timing (diastolic versus s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ystolic) help determine the valve involved. Murmurs are graded on a scale of I (very faint) to VI (extrem
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ely loud). vc
Exam Solution vc
MED SURG RN Form B 2026 A+ GRADE ASSURED COMPL
vc vc vc vc vc vc vc vc vc
ETE SOLUTIONS AND VERIFIED ANSWERS (7E811)
vc vc vc vc vc
QUESTION 1 vc
Heart failure and pulmonary edema: monitoring the effects of beta blockers
vc vc vc vc vc vc vc vc vc vc
ANSWER
Beta-adrenergic blockers (beta- vc vc
blockers) ■ Medications such as carvedilol (Coreg) and metoprolol (Lopressor) may be used to improve
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
the condition of the client who has sustained increased levels of sympathetic stimulation and catechola
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
mines. This would include clients who have chronic heart failure. ■ Nursing considerations ☐ Monitor B
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
P, pulse, activity tolerance and orthopnea. ☐ Check orthostatic blood pressure readings. ■ Client Educati
vc vc vc vc vc vc vc vc vc vc vc vc vc vc
on ☐ Instruct the client to weigh daily. ☐ Advise the client to regularly check BP. ☐ Tell the client to follo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
w the provider's instructions on increasing medication dosage.
vc vc vc vc vc vc vc
QUESTION 2 vc
Gastrointestinal Therapeutic Procedures: Calculating Infusion Volume of TPN vc vc vc vc vc vc vc
ANSWER
TPN contains complete nutrition, including calories (in a high concentration [20% to 50%] of dextrose),
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
lipids/essential fatty acids, protein, electrolytes, vitamins, and trace elements. Standard IV bolus therapy
vc vc vc vc vc vc vc vc vc vc vc vc
is typically less than or equal to 700 calories/day. Basic guidelines regarding when to initiate TPN ☐ A
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
weight loss of 7% body weight and NPO for 5 days or more ☐ A hypermetabolic state The flow rate is gr
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
adually increased and gradually decreased to allow body adjustment (usually no more than a 10% hourl
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
y increase in rate).
vc vc vc
QUESTION 3 vc
Valvular Heart Disease: Priority Assessment for a Heart Murmur
vc vc vc vc vc vc vc vc
ANSWER
A murmur is heard with turbulent blood flow. The location of the murmur and timing (diastolic versus s
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ystolic) help determine the valve involved. Murmurs are graded on a scale of I (very faint) to VI (extrem
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc
ely loud). vc
