Test Bank For Medical-
b b b
Surgical Nursing, 8th Edition (Linton, 2023), Chapter 1-
b b b b b b b
63 , 9780323826716 , All Chapters with Answers and Ratio
b b b b b b b b b
nals
Whenbdescribingbpatientbeducationbapproaches,bthebnursebeducatorbwouldbexplainbthat
binformalbteachingbisbanbapproachbthat
a.bfollowsbformalizedbplans
b.bhasbstandardizedbcontent
c.boftenboccursbone-to-one
d.baddressesbgroupbneedsb-
bbANSWERbbbbC.bInformalbteachingbisbindividualizedbonebonbonebteachingbwhichbreprese
ntsbthebmajoritybofbpatientbeducationbdonebbybnursesbthatboccursbwhenbanbinterventionbi
sbexplainedborbabquestionbisbanswered.bGroupbneedsbareboftenbthebfocusbofbformalbpatie
ntbeducationbcoursesborbclasses.bInformalbteachingbdoesbnotbnecessarilybfollowbabspeci
ficbformalizedbplan.bItbmaybbebplannedbwithbspecificbcontent,bbutbitbisbindividualizedbresp
onsesbtobpatientbneeds.bFormalbteachingbinvolvesbthebusebofbabcurriculum/coursebplanb
withbstandardizedbcontent.
Abpatientbexpressesbabstrongbinterestbinbreturningbtobtheirbwork,bfamily,bandbhobbiesbaft
erbhavingbabstroke.bWhichbtheorybtypebwouldbthebnursebusebtobdevelopbabplanbofbcarebfo
rbthebbestbresultsbofbthisbpatient'sbmotivationbstyle?
a.bfield
b.bbiological
c.bcognitive
d.bsociologicb-
bbANSWERbbbbC.bCognitivebtheoristsbbelievebthatbattention,brelevance,bconfidence,bandb
satisfactionb(ARCS)barebthebconditionsbthat,bwhenbintegrated,bmotivatebsomeonebtoblea
rn.bFieldbtheoristsbplacebsignificancebonbhowbachievement,bpower,bthebneedbforbaffiliatio
n,bandbavoidancebmotivesbinfluencebindividualbbehavior.bSociologicbtheoriesbarebnotbinv
olvedbinbmotivation.
Thebnursebisbassessingbabgroupbofbclients.bWhichbclientsbarebatbgreaterbriskbforbhypother
miaborbfrostbite?b(selectballbthatbapply)
a.banbolderbwomanbwithbhypertension
b.babyoungbmanbwithbabbodybmassbindexbofb42
c.babyoungbmanybwhobhasbjustbconsumedbsixbmartinis
d.banbolderbmanbwhobsmokesbabpackbofbcigarettesbabday
e.babyoungbwomanbwhobisbanorexic
,f.babyoungbwomanbwhobisbdiabeticb-bbANSWERbbbbC,bD,bE,bF
clientsbwithbpoorbnutrition,bfatigue,bandbmultiplebchronicbillnessesbarebatbgreaterbriskbforb
hypothermia.bClientsbwhobsmoke,bconsumebalcohol,borbhavebimpairedbperipheralbcircul
ationbhavebabhigherbincidencebofbfrostbite.
Whichbstatementbmadebbybabnursebrepresentsbthebneedbforbfurtherbeducationbregarding
bpainbmanagementbinbolderbadultbclients?
a.bolderbadultsbtendbtobreportbpainblessboftenbthanbyoungerbadults
b.bolderbclientsbusuallybhavebmorebexperiencebwithbpainbthanbyoungerbclients
c.bolderbadultsbarebatbgreatestbriskbforbunderbtreatedbpain
d.bolderbclientsbhavebabdifferentbpainbmechanismbandbdobnotbfeelbitbasbmuchb-
bbANSWERbbbbD
Therebisbnobevidencebtobsupportbthebideabthatbolderbadultbclientsbperceivebpainbanybdiffe
rentlybthanbyoungerbclients.bThebotherbstatementsbarebaccuratebregardingbolderbclientsb
andbpain.
Thebnursebisbworkingbatbabfirstbaidbboothbforbabspringbtrainingbgamebonbabhotbday.bAbspec
tatorbcomesbin,breportingbthatbhebisbnotbfeelingbwell.bVitalbsignsbarebtempb104.1bF,bpulseb
132bBPM,brespirsb26bbreaths/min,bandbbloodbpressureb106/66bmmbHg.bHebtripsboverbhi
sbfeetbasbthebnursebleadsbhimbtobabcot.bWhatbisbthebpriorybactionbofbthebnurse?
a.badminbtylenolb650bmgborally
b.bencouragebrest,bandbreassessbinb15bminutes
c.bspongebthebvictimbwithbcoolbwaterbandbremovebhisbshirt
d.bencouragebdrinkingbofbcoolbwaterborbsportsbdrinkb-bbANSWERbbbbC
Thebspectatorbshowsbsignsbofbheatbstroke,bwhichbisbabmedicalbemergency.bThebspectat
orbshouldbbebtransportedbtobthebEDbASAP.bThebnursbshouldbtakebactionsbtoblowerbhisbbo
dybtempbinbtehbmeantimebbybremovingbhisbshirtbandbspongingbhisbbodybwithbcoolbwater.b
Loweringbbodybtempbbybdrinkingbcoolbfluidsborbtakingbacetaminophenbisbnotbasbeffective
binbanbemergencybsituation.bThebclientbneedsbtobbebcooledbquicklybandbisbabprioritybforbtr
eatment
ThebclientbisbreceivingbanbIVbofb60bmEqbofbpotassiumbchloridebinab1000bmLbsolutionbofbd
extroseb5%binb0.45%bsaline.bThebclientbstatesbthatbthebareabaroundbthebIVbsitebburns.bW
hatbinterventionbdoesbthebnursebperformbfirst?
a.bassessbforbabbloodbreturn
b.bnotifybthebphysician
c.bdocumentbthebfinding
d.bstopbthebIVbinfusionb-bbANSWERbbbbD
Potassiumbisbabseverebtissuebirritant.bThebsafestbactionbisbtobdiscontinuebthebsolutionbth
atbcontainsbthebpotassiumbandbdiscontinuebthebIVbaltogether,binbwhichbcasebthebclientbw
ouldbneedbanotherbsitebstarted.bAssessingbforbabbloodbreturnbmayborbmaybnotbbebsucces
sful.bThebsolutionbcouldbbebdilutedb(lessbpotassium)bandbthebratebcouldbbebslowedbonceb
itbisbdeterminedbthatbthebneedlebisbinbthebvein.
,Abnursebisbcaringbforbanbolderbadultbclientbwhoblivesbalone.bWhichbeconomicbsituationbpr
esentsbthebmostbseriousbproblembforbthisbclient?
a.bcostsbofbcreatingbablivingbwill
b.bstockbmarketbfluctuations
c.bincreasedbproviderbbenefits
d.bsocialbsecuritybasbthebbasisbofbincomeb-bbANSWERbbbbD
Olderbadultsbonbfixedbincomesbarebunablebtobadjustbtheirbincomebtobmeetbrisingbcostsbas
sociatedbwithbmeetingbbasicbneeds
Controllingbpainbisbimportantbtobpromotingbwellness.bUnrelievedbpainbhasbbeenbassocia
tedbwithb
a.bprolongedbstressbresponsebandbabcascadebofbharmfulbeffectsbsystembwide.
b.bdecreasedbtumorbgrowthbandblongevity
c.blargebtidalbvolumesbandbdecreasedblungbcapacity
d.bdecreasedbcarbohydrate,bprotein,bandbfatbdestructionb-bbANSWERbbbbA
Painbtriggersbabnumberbofbphysiologicbstressbresponsesbinbthebhumanbbody.bUnrelieved
bpainbcanbprolongbthebstressbresponsebandbproducebabcascadebofbharmfulbeffectsbinballb
bodybsystems.bThebstressbresponsebcausesbthebendocrinebsystembtobreleasebexcessiv
ebamountsbofbhormones,bsuchbasbcortisol,bcatecholamines,bandbglucagon.bInsulinbandbt
estosteroneblevelsbdecrease.bIncreasedbendocrinebactivitybinbturnbinitiatesbabnumberbofb
metabolicbprocesses,binbparticular,bacceleratedbcarbohydrate,bprotein,bandbfatbdestructi
on,bwhcihbcanbresultbinbweightbloss,btachycardia,bincreasedbrespiratorybrate,bshock,band
bevenbdeath.bThebimmunebsystembisbalsobaffectedbbybpainbasbdemonstratedbbybresearc
hbshowingbablinkbbetweenbunrelievedbpainbandbabhigherbincidencebofbnosocomialbinfecti
onsbandbincreasedbtumorbgrowth.bLargebtidalbvolumesbarebnotbassociatedbwithbpainbwhil
ebdecreasedblungbcapacitybisbassociatedbwithbunrelievedbpain.bDecreasedbtumorbgrowt
hbandblongevitybarebnotbassociatedbwithbunrelievedbpain.bDecreasedbcarbs,bprotein,ban
dbfatbarebnotbassociatedbwithbpainborbstressbresponse.
Whichbinterventionbinbabclientbwithbdehydrationbinducedbconfusionbisbmostblikelybtobrelie
vebthebconfusion?
a.bincreasingbthebIVbflowbratebtob250bmL/hr
b.bapplyingboxygenbbybmaskborbnasalbcannula
c.bplacingbthebclientbinbabhighbFowler'sbposition
d.bMeasuringbintakebandboutputbeverybfourbhoursb-bbANSWERbbbbA
Dehydrationbmostbfrequentlybleadsbtobpoorbcerebrabperfusionbandbcerebralbhypoxia,bca
usingbconfusion.bApplyingboxygenbcanbreducebconfusion,bevenbifbperfusionbisbstillblessbt
hanboptimum.bIncreasingbthebIVbflowbratebwouldbincreasebperfusion.bHowever,bdependi
ngbonbthebdegreebofbdehydration,brehydratingbthebpersonbtoobrapidlybwithbIVbfluidsbcanbl
eadbtobcerebralbedema.
Whichbclientbisbatbgreatestbriskbforbdehydration?
a.byoungerbadultbclientbonbbedrest
b.bolderbadultbclientbreceivingbhypotonicbIVbfluid
, c.bolderbadultbclientbwithbcognitivebimpairment
d.byoungerbadultbclientbreceivingbhypertonicbIVbfluidb-bbANSWERbbbbC
Olderbadults,bbecausebtheybhaveblessbtotalbbodybwaterbthanbyoungerbadults,barebatbgrea
terbriskbforbdevelopmentbofbdehydration.bAnyonebwhobisbcognitivelybimpairedbandbcanno
tbobtainbfluidsbindependentlyborbcannotbmakebhisborbherbneedbforbfluidsbknownbisbatbhighb
riskbforbdehydration
Abnursebisbcaringbforbseveralbclients.bWhichbclientbdoesbthebnursebassessbmostbcarefully
bforbhyperkalemia?
a.bclientbwithbtypeb2bdiabetesbtakingbanboralbanti-diabeticbagent
b.bclientbwithbheartbfailurebusingbabsaltbsubstitute
c.bclientbtakingbabthiazidebdiureticbforbhypertension
d.bclientbtakingbnon-steroidalbanti-inflammatorybdrugsbdailyb-bbANSWERbbbbB
Manybsaltbsubstitutesbarebcomposedbofbpotassiumbchloride.bHeavybusebcnabcontributebt
obthebdevelopmentbofbhyperkalemia.bThebclientbshouldbbebtaughtbtobreadblabelsbandbtobc
hoosebabsaltbsubstitutebthatbdoesbnotbcontainbpotassium.bNSAIDsbpromotebthebretentio
nbofbsodiumbbutbnotbpotassium.
Anbolderbadultbclientbpresentsbwithbsignsbandbsymptomsbrelatedbtobdigbtoxicity.bWhichba
gebrelatedbchangebmaybhavebcontributedbtobthisbproblem?
a.bdecreasedbrenalbbloodbflow
b.bincreasedbgastrointestinalbmotility
c.bdecreasedbratiobofbadiposebtissuebtobleanbbodybmass
d.bincreasedbtotalbbodybwaterb-bbANSWERbbbbA
Decreasedbrenalbbloodbflowbandbreducedbglomerularbfiltrationbcanbresultbinbslowerbmedi
cationbexcretionbtime,bpotentiallybleadingbtobtoxicbdrugbaccumulation.bAgingbresultsbinbd
ecreasedbtotalbbodybwaterbandbgastrointestinalbmotilitybandbanbincreasebinbthebratiobofba
diposebtissuebtobleanbbodybmass,bbutbisbnotbrelatedbtobdigbtoxicity.
Abclientbisbbeingbtreatedbforbdehydration.bWhichbstatementbmadebbybthebclientbindicatesb
understandingbofbthisbcondition?
a.bIbwillbusebabsaltbsubstitutebwhenbmakingbandbeatingbmybmeals.
b.bIbmustbdrinkbabquartbofbwaterborbotherbliquidbeachbday.
c.bIbwillbnotbdrinkbliquidsbafterb6bPMbsobIbwon'tbhavebtobgetbupbatbnight.
d.bIbwillbweighbmyselfbeachbmorningbbeforebIbeatborbdrink.b-bbANSWERbbbbD
Becauseb1bLbofbwaterbweighsb1bkg,bchangebinbbodybweightbisbabgoodbmeasurebofbexces
sbfluidblossborbfluidbretention.bWeightblossbgreaterbthanb0.5blbbdailybisbindicativebofbexces
sivebfluidbloss.bThebotherbstatementsbarebnotbindicativebofbpracticesbthatbwillbpreventbde
hydration.
Thebnursebnotesbthatbthebhandgripbofbthebclientbwithbhypokalemiabhasbdiminishedbsinceb
thebpreviousbassessmentbonebhourbago.bWhichbinterventionbbybthebnursebisbthebpriority
?
b b b
Surgical Nursing, 8th Edition (Linton, 2023), Chapter 1-
b b b b b b b
63 , 9780323826716 , All Chapters with Answers and Ratio
b b b b b b b b b
nals
Whenbdescribingbpatientbeducationbapproaches,bthebnursebeducatorbwouldbexplainbthat
binformalbteachingbisbanbapproachbthat
a.bfollowsbformalizedbplans
b.bhasbstandardizedbcontent
c.boftenboccursbone-to-one
d.baddressesbgroupbneedsb-
bbANSWERbbbbC.bInformalbteachingbisbindividualizedbonebonbonebteachingbwhichbreprese
ntsbthebmajoritybofbpatientbeducationbdonebbybnursesbthatboccursbwhenbanbinterventionbi
sbexplainedborbabquestionbisbanswered.bGroupbneedsbareboftenbthebfocusbofbformalbpatie
ntbeducationbcoursesborbclasses.bInformalbteachingbdoesbnotbnecessarilybfollowbabspeci
ficbformalizedbplan.bItbmaybbebplannedbwithbspecificbcontent,bbutbitbisbindividualizedbresp
onsesbtobpatientbneeds.bFormalbteachingbinvolvesbthebusebofbabcurriculum/coursebplanb
withbstandardizedbcontent.
Abpatientbexpressesbabstrongbinterestbinbreturningbtobtheirbwork,bfamily,bandbhobbiesbaft
erbhavingbabstroke.bWhichbtheorybtypebwouldbthebnursebusebtobdevelopbabplanbofbcarebfo
rbthebbestbresultsbofbthisbpatient'sbmotivationbstyle?
a.bfield
b.bbiological
c.bcognitive
d.bsociologicb-
bbANSWERbbbbC.bCognitivebtheoristsbbelievebthatbattention,brelevance,bconfidence,bandb
satisfactionb(ARCS)barebthebconditionsbthat,bwhenbintegrated,bmotivatebsomeonebtoblea
rn.bFieldbtheoristsbplacebsignificancebonbhowbachievement,bpower,bthebneedbforbaffiliatio
n,bandbavoidancebmotivesbinfluencebindividualbbehavior.bSociologicbtheoriesbarebnotbinv
olvedbinbmotivation.
Thebnursebisbassessingbabgroupbofbclients.bWhichbclientsbarebatbgreaterbriskbforbhypother
miaborbfrostbite?b(selectballbthatbapply)
a.banbolderbwomanbwithbhypertension
b.babyoungbmanbwithbabbodybmassbindexbofb42
c.babyoungbmanybwhobhasbjustbconsumedbsixbmartinis
d.banbolderbmanbwhobsmokesbabpackbofbcigarettesbabday
e.babyoungbwomanbwhobisbanorexic
,f.babyoungbwomanbwhobisbdiabeticb-bbANSWERbbbbC,bD,bE,bF
clientsbwithbpoorbnutrition,bfatigue,bandbmultiplebchronicbillnessesbarebatbgreaterbriskbforb
hypothermia.bClientsbwhobsmoke,bconsumebalcohol,borbhavebimpairedbperipheralbcircul
ationbhavebabhigherbincidencebofbfrostbite.
Whichbstatementbmadebbybabnursebrepresentsbthebneedbforbfurtherbeducationbregarding
bpainbmanagementbinbolderbadultbclients?
a.bolderbadultsbtendbtobreportbpainblessboftenbthanbyoungerbadults
b.bolderbclientsbusuallybhavebmorebexperiencebwithbpainbthanbyoungerbclients
c.bolderbadultsbarebatbgreatestbriskbforbunderbtreatedbpain
d.bolderbclientsbhavebabdifferentbpainbmechanismbandbdobnotbfeelbitbasbmuchb-
bbANSWERbbbbD
Therebisbnobevidencebtobsupportbthebideabthatbolderbadultbclientsbperceivebpainbanybdiffe
rentlybthanbyoungerbclients.bThebotherbstatementsbarebaccuratebregardingbolderbclientsb
andbpain.
Thebnursebisbworkingbatbabfirstbaidbboothbforbabspringbtrainingbgamebonbabhotbday.bAbspec
tatorbcomesbin,breportingbthatbhebisbnotbfeelingbwell.bVitalbsignsbarebtempb104.1bF,bpulseb
132bBPM,brespirsb26bbreaths/min,bandbbloodbpressureb106/66bmmbHg.bHebtripsboverbhi
sbfeetbasbthebnursebleadsbhimbtobabcot.bWhatbisbthebpriorybactionbofbthebnurse?
a.badminbtylenolb650bmgborally
b.bencouragebrest,bandbreassessbinb15bminutes
c.bspongebthebvictimbwithbcoolbwaterbandbremovebhisbshirt
d.bencouragebdrinkingbofbcoolbwaterborbsportsbdrinkb-bbANSWERbbbbC
Thebspectatorbshowsbsignsbofbheatbstroke,bwhichbisbabmedicalbemergency.bThebspectat
orbshouldbbebtransportedbtobthebEDbASAP.bThebnursbshouldbtakebactionsbtoblowerbhisbbo
dybtempbinbtehbmeantimebbybremovingbhisbshirtbandbspongingbhisbbodybwithbcoolbwater.b
Loweringbbodybtempbbybdrinkingbcoolbfluidsborbtakingbacetaminophenbisbnotbasbeffective
binbanbemergencybsituation.bThebclientbneedsbtobbebcooledbquicklybandbisbabprioritybforbtr
eatment
ThebclientbisbreceivingbanbIVbofb60bmEqbofbpotassiumbchloridebinab1000bmLbsolutionbofbd
extroseb5%binb0.45%bsaline.bThebclientbstatesbthatbthebareabaroundbthebIVbsitebburns.bW
hatbinterventionbdoesbthebnursebperformbfirst?
a.bassessbforbabbloodbreturn
b.bnotifybthebphysician
c.bdocumentbthebfinding
d.bstopbthebIVbinfusionb-bbANSWERbbbbD
Potassiumbisbabseverebtissuebirritant.bThebsafestbactionbisbtobdiscontinuebthebsolutionbth
atbcontainsbthebpotassiumbandbdiscontinuebthebIVbaltogether,binbwhichbcasebthebclientbw
ouldbneedbanotherbsitebstarted.bAssessingbforbabbloodbreturnbmayborbmaybnotbbebsucces
sful.bThebsolutionbcouldbbebdilutedb(lessbpotassium)bandbthebratebcouldbbebslowedbonceb
itbisbdeterminedbthatbthebneedlebisbinbthebvein.
,Abnursebisbcaringbforbanbolderbadultbclientbwhoblivesbalone.bWhichbeconomicbsituationbpr
esentsbthebmostbseriousbproblembforbthisbclient?
a.bcostsbofbcreatingbablivingbwill
b.bstockbmarketbfluctuations
c.bincreasedbproviderbbenefits
d.bsocialbsecuritybasbthebbasisbofbincomeb-bbANSWERbbbbD
Olderbadultsbonbfixedbincomesbarebunablebtobadjustbtheirbincomebtobmeetbrisingbcostsbas
sociatedbwithbmeetingbbasicbneeds
Controllingbpainbisbimportantbtobpromotingbwellness.bUnrelievedbpainbhasbbeenbassocia
tedbwithb
a.bprolongedbstressbresponsebandbabcascadebofbharmfulbeffectsbsystembwide.
b.bdecreasedbtumorbgrowthbandblongevity
c.blargebtidalbvolumesbandbdecreasedblungbcapacity
d.bdecreasedbcarbohydrate,bprotein,bandbfatbdestructionb-bbANSWERbbbbA
Painbtriggersbabnumberbofbphysiologicbstressbresponsesbinbthebhumanbbody.bUnrelieved
bpainbcanbprolongbthebstressbresponsebandbproducebabcascadebofbharmfulbeffectsbinballb
bodybsystems.bThebstressbresponsebcausesbthebendocrinebsystembtobreleasebexcessiv
ebamountsbofbhormones,bsuchbasbcortisol,bcatecholamines,bandbglucagon.bInsulinbandbt
estosteroneblevelsbdecrease.bIncreasedbendocrinebactivitybinbturnbinitiatesbabnumberbofb
metabolicbprocesses,binbparticular,bacceleratedbcarbohydrate,bprotein,bandbfatbdestructi
on,bwhcihbcanbresultbinbweightbloss,btachycardia,bincreasedbrespiratorybrate,bshock,band
bevenbdeath.bThebimmunebsystembisbalsobaffectedbbybpainbasbdemonstratedbbybresearc
hbshowingbablinkbbetweenbunrelievedbpainbandbabhigherbincidencebofbnosocomialbinfecti
onsbandbincreasedbtumorbgrowth.bLargebtidalbvolumesbarebnotbassociatedbwithbpainbwhil
ebdecreasedblungbcapacitybisbassociatedbwithbunrelievedbpain.bDecreasedbtumorbgrowt
hbandblongevitybarebnotbassociatedbwithbunrelievedbpain.bDecreasedbcarbs,bprotein,ban
dbfatbarebnotbassociatedbwithbpainborbstressbresponse.
Whichbinterventionbinbabclientbwithbdehydrationbinducedbconfusionbisbmostblikelybtobrelie
vebthebconfusion?
a.bincreasingbthebIVbflowbratebtob250bmL/hr
b.bapplyingboxygenbbybmaskborbnasalbcannula
c.bplacingbthebclientbinbabhighbFowler'sbposition
d.bMeasuringbintakebandboutputbeverybfourbhoursb-bbANSWERbbbbA
Dehydrationbmostbfrequentlybleadsbtobpoorbcerebrabperfusionbandbcerebralbhypoxia,bca
usingbconfusion.bApplyingboxygenbcanbreducebconfusion,bevenbifbperfusionbisbstillblessbt
hanboptimum.bIncreasingbthebIVbflowbratebwouldbincreasebperfusion.bHowever,bdependi
ngbonbthebdegreebofbdehydration,brehydratingbthebpersonbtoobrapidlybwithbIVbfluidsbcanbl
eadbtobcerebralbedema.
Whichbclientbisbatbgreatestbriskbforbdehydration?
a.byoungerbadultbclientbonbbedrest
b.bolderbadultbclientbreceivingbhypotonicbIVbfluid
, c.bolderbadultbclientbwithbcognitivebimpairment
d.byoungerbadultbclientbreceivingbhypertonicbIVbfluidb-bbANSWERbbbbC
Olderbadults,bbecausebtheybhaveblessbtotalbbodybwaterbthanbyoungerbadults,barebatbgrea
terbriskbforbdevelopmentbofbdehydration.bAnyonebwhobisbcognitivelybimpairedbandbcanno
tbobtainbfluidsbindependentlyborbcannotbmakebhisborbherbneedbforbfluidsbknownbisbatbhighb
riskbforbdehydration
Abnursebisbcaringbforbseveralbclients.bWhichbclientbdoesbthebnursebassessbmostbcarefully
bforbhyperkalemia?
a.bclientbwithbtypeb2bdiabetesbtakingbanboralbanti-diabeticbagent
b.bclientbwithbheartbfailurebusingbabsaltbsubstitute
c.bclientbtakingbabthiazidebdiureticbforbhypertension
d.bclientbtakingbnon-steroidalbanti-inflammatorybdrugsbdailyb-bbANSWERbbbbB
Manybsaltbsubstitutesbarebcomposedbofbpotassiumbchloride.bHeavybusebcnabcontributebt
obthebdevelopmentbofbhyperkalemia.bThebclientbshouldbbebtaughtbtobreadblabelsbandbtobc
hoosebabsaltbsubstitutebthatbdoesbnotbcontainbpotassium.bNSAIDsbpromotebthebretentio
nbofbsodiumbbutbnotbpotassium.
Anbolderbadultbclientbpresentsbwithbsignsbandbsymptomsbrelatedbtobdigbtoxicity.bWhichba
gebrelatedbchangebmaybhavebcontributedbtobthisbproblem?
a.bdecreasedbrenalbbloodbflow
b.bincreasedbgastrointestinalbmotility
c.bdecreasedbratiobofbadiposebtissuebtobleanbbodybmass
d.bincreasedbtotalbbodybwaterb-bbANSWERbbbbA
Decreasedbrenalbbloodbflowbandbreducedbglomerularbfiltrationbcanbresultbinbslowerbmedi
cationbexcretionbtime,bpotentiallybleadingbtobtoxicbdrugbaccumulation.bAgingbresultsbinbd
ecreasedbtotalbbodybwaterbandbgastrointestinalbmotilitybandbanbincreasebinbthebratiobofba
diposebtissuebtobleanbbodybmass,bbutbisbnotbrelatedbtobdigbtoxicity.
Abclientbisbbeingbtreatedbforbdehydration.bWhichbstatementbmadebbybthebclientbindicatesb
understandingbofbthisbcondition?
a.bIbwillbusebabsaltbsubstitutebwhenbmakingbandbeatingbmybmeals.
b.bIbmustbdrinkbabquartbofbwaterborbotherbliquidbeachbday.
c.bIbwillbnotbdrinkbliquidsbafterb6bPMbsobIbwon'tbhavebtobgetbupbatbnight.
d.bIbwillbweighbmyselfbeachbmorningbbeforebIbeatborbdrink.b-bbANSWERbbbbD
Becauseb1bLbofbwaterbweighsb1bkg,bchangebinbbodybweightbisbabgoodbmeasurebofbexces
sbfluidblossborbfluidbretention.bWeightblossbgreaterbthanb0.5blbbdailybisbindicativebofbexces
sivebfluidbloss.bThebotherbstatementsbarebnotbindicativebofbpracticesbthatbwillbpreventbde
hydration.
Thebnursebnotesbthatbthebhandgripbofbthebclientbwithbhypokalemiabhasbdiminishedbsinceb
thebpreviousbassessmentbonebhourbago.bWhichbinterventionbbybthebnursebisbthebpriority
?
