Exam (elaborations)

Medical Surgical Final Practice 2

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Medical Surgical Final Practice 2 A 65-year-old client with newly-diagnosed hypothyroidism (Hashimoto's) asks why her daily dose of levothyroxine, has been changed by her physician too slowly every several months. The nurse's best response would be that the small dose changes is related to which reason? To prevent serious cardiovascular side effects To decrease drug-related addiction or tolerance To cure the client's hypothyroidism To change the diet and activity level The nurse is teaching a client who is taking colchicine for the treatment of gout. Which instruction is most important for the nurse to include in the teaching session? "Be alert for nausea and rash while taking this drug." It "does not alter serum or urine levels of uric acid." "Gout is one of the hardest diseases to diagnose and treat." "Fluids should be restricted while on colchicine therapy." Which action will the nurse take when evaluating a client who is taking phenytoin for dose-related side effects of the medication? Count the heart rate for 1 minute. Inspect the oral mucosa. Check pupil reaction to light. Listen to the lung sounds. A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The nurse should anticipate an elevation of which of the following laboratory values? Free T4 Serum T4 Serum T3 Thyroid stimulating hormone (TSH) The order reads, "Give 1500 mL of normal saline over 12 hours. The tubing drop factor is 15 gtt/mL." The nurse will set the gravity drip infusion at how many drops per minute (gtt/min)? A. 31 B. 1875 C. 7500 D. 375 Which finding by the nurse on a client with a chest tube attached to a dry suction drainage system would require intervention? The client is in a semi-Fowler position. Tidaling of the level of water in the water seal chamber during inhalation. Increase in the level of drainage by 30 ml in 8 hours. Constant bubbling in the water seal chamber.

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Institution

Medical Surgical

Course

Medical Surgical

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Institution: Medical Surgical
Course: Medical Surgical

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medical surgical final practice 2
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