PACKAGE DEAL FOR NSG-322 2025
Comprehensive Questions And
Verified Answers/ Complete
Solutions With Rationales |Get It
100% Accurate!! Already Passed!!
Save
Terms in this set (37)
,1. The nurse is ANS: B
caring for a The blood pressure indicates that the
patient with a patient may be developing
massive burn hypovolemic shock as a result of
injury and intravascular fluid loss because of the
possible burn injury. This finding will require
hypovolemia. immediate intervention to prevent the
Which complications associated with
assessment data systemic hypoperfusion. The poor oral
will be of most intake, decreased urine output, and
concern to the skin tenting all indicate the need for
nurse? increasing the patient's fluid intake but
a. Urine output is not as urgently as the hypotension.
30 mL/hr.
b. Blood pressure DIF: Cognitive Level: Analyze
is 90/40 mm Hg. (analysis) REF: 276
c. Oral fluid TOP: Nursing Process: Assessment
intake is 100 mL MSC:
for the past 8
hours.
d. There is
prolonged skin
tenting over the
sternum.
,2. A patient who ANS: B
has a small cell Hyponatremia is the most important
carcinoma of the finding to report. SIADH causes water
lung develops retention and a decrease in serum
syndrome of sodium level. Hyponatremia can
inappropriate cause confusion and other central
antidiuretic nervous system effects. A critically
hormone low value likely needs to be treated.
(SIADH). The At least 30 mL/hr of urine output
nurse should indicates adequate kidney function.
notify the health The hematocrit level is normal. Weight
care provider gain is expected with SIADH because
about which of water retention.
assessment
finding? DIF: Cognitive Level: Apply
a. Serum (application) REF: 279
hematocrit of TOP: Nursing Process: Assessment
42% MSC:
b. Serum sodium
level of 120
mg/dL
c. Reported
weight gain of 2.2
lb (1 kg)
d. Urinary output
of 280 mL during
past 8 hours
, ANS: B
3. A patient with Daily weight is the most easily
multiple draining obtained and accurate means of
wounds is assessing volume status. Skin turgor
admitted for varies considerably with age.
hypovolemia. Considerable excess fluid volume
Which may be present before fluid moves
assessment into the interstitial space and causes
would be the edema. Urine outputs do not take
most accurate account of fluid intake or of fluid loss
way for the nurse through insensible loss, sweating, or
to evaluate fluid loss from the gastrointestinal tract or
balance? wounds.
a. Skin turgor c.
Urine output DIF: Cognitive Level: Analyze
b. Daily weight d. (analysis) REF: 277
Edema presence TOP: Nursing Process: Evaluation
MSC:
Comprehensive Questions And
Verified Answers/ Complete
Solutions With Rationales |Get It
100% Accurate!! Already Passed!!
Save
Terms in this set (37)
,1. The nurse is ANS: B
caring for a The blood pressure indicates that the
patient with a patient may be developing
massive burn hypovolemic shock as a result of
injury and intravascular fluid loss because of the
possible burn injury. This finding will require
hypovolemia. immediate intervention to prevent the
Which complications associated with
assessment data systemic hypoperfusion. The poor oral
will be of most intake, decreased urine output, and
concern to the skin tenting all indicate the need for
nurse? increasing the patient's fluid intake but
a. Urine output is not as urgently as the hypotension.
30 mL/hr.
b. Blood pressure DIF: Cognitive Level: Analyze
is 90/40 mm Hg. (analysis) REF: 276
c. Oral fluid TOP: Nursing Process: Assessment
intake is 100 mL MSC:
for the past 8
hours.
d. There is
prolonged skin
tenting over the
sternum.
,2. A patient who ANS: B
has a small cell Hyponatremia is the most important
carcinoma of the finding to report. SIADH causes water
lung develops retention and a decrease in serum
syndrome of sodium level. Hyponatremia can
inappropriate cause confusion and other central
antidiuretic nervous system effects. A critically
hormone low value likely needs to be treated.
(SIADH). The At least 30 mL/hr of urine output
nurse should indicates adequate kidney function.
notify the health The hematocrit level is normal. Weight
care provider gain is expected with SIADH because
about which of water retention.
assessment
finding? DIF: Cognitive Level: Apply
a. Serum (application) REF: 279
hematocrit of TOP: Nursing Process: Assessment
42% MSC:
b. Serum sodium
level of 120
mg/dL
c. Reported
weight gain of 2.2
lb (1 kg)
d. Urinary output
of 280 mL during
past 8 hours
, ANS: B
3. A patient with Daily weight is the most easily
multiple draining obtained and accurate means of
wounds is assessing volume status. Skin turgor
admitted for varies considerably with age.
hypovolemia. Considerable excess fluid volume
Which may be present before fluid moves
assessment into the interstitial space and causes
would be the edema. Urine outputs do not take
most accurate account of fluid intake or of fluid loss
way for the nurse through insensible loss, sweating, or
to evaluate fluid loss from the gastrointestinal tract or
balance? wounds.
a. Skin turgor c.
Urine output DIF: Cognitive Level: Analyze
b. Daily weight d. (analysis) REF: 277
Edema presence TOP: Nursing Process: Evaluation
MSC:
