TTT 67777MedSurg2 exam Q& As NEW BEST EXAM SOLUTION SATISFACTION GUARANTEED SUCCESS LATEST UPDATE 2022/2023 RATED A+

TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+
 The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to
discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia

b. Diarrhea

c. Constipation

d. Hypoglycemia- You taper it off to avoid this!!!

Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated.
An abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia



A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment
will give him an electric shock. Which of the following is an appropriate response by the nurse?
e. The machine only senses and records electrical currents coming from your heart – pg.170

➢ Electrocardiography uses an electrocardiograph to record the electrical activity of the
heart over time.
f. The lead wires and cables are insulated for your safety

g. The electrode pads will prevent the conduction of electricity to your skin

h. The machine voltage delivery is low enough that you won’t feel any discomfort




 A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse
should consult with the provider about which of the following medications in the client’s medication
administration record?
a. Potassium chloride

b. Levothyroxine

c. Acetaminophen



TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+

,TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+
d. Metformin



 A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which
of the following assessment findings indicates to the nurse that the medication is effective?
a. Elevation in blood pressure

b. Adventitious breath sounds

c. Weight loss of 1.8 kg (4 lb) in the past 24 hr

d. Respiratory rate of 24/min




 A nurse is caring for a client who has contusion of the brainstem and reports thirst. The client’s urinary
output was 4,000 mL over the past 24 hr. The nurse should anticipate a prescription for which of the
following IV medications?
a. Desmopressin – pg.500

➢ Desmopressin, which is a synthetic ADH, or aqueous vasopressin administered
intranasally, orally, or parenterally. Results in increased water absorption from kidneys
and decreased urine output.
b. Epinephrine

c. Furosemide

d. Nitroprusside




 A nurse is preparing to administer daily medications to a client who is undergoing a procedure at 1000
that requires IV contrast dye. Which of the following routine medications to give at 0800 should the
nurse withhold?
a. Valproic acid



TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+

, TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+
b. Metformin – pg.530

c. Metoprolol

d. Fluticasone

Stop Metformin for 48 hr before any type of elective radiographic test with iodinated contrast dye and restart 48
hr after (can cause lactic acidosis due to acute kidney injury).




TTT 67777MedSurg2 exam Q& As NEW BEST EXAM
SOLUTION SATISFACTION GUARANTEED SUCCESS
LATEST UPDATE 2022/2023 RATED A+