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EXAM 2 - EXAM 2 FOR MED SURG 3
EXAM 2 FOR MED SURG 3
Course
Advanced Medical-Surgical Nursing (NUR2212)
251 Documents
Students shared 251 documents in this course
University
Miami Dade College
Academic year: 2023/2024
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EXAM 2
The nurse is admitting a client who has prerenal acute kidney injury,
following an abdominal aortic aneurysm repair. The nurse notes that the
client's urinary output is 40 mL in the past two hours, and blood pressure is
90/50 mm Hg. Which intervention should the nurse implement?
Prepare the client for a CT scan with a contrast dye.
, Not Selected
Plan to administer an NSAID.
, Not Selected
Correct answer:
Prepare to administer a fluid challenge.
Plan to position the client in Trendelenburg position.
, Not Selected
The nurse is reviewing laboratory data on a client with Stage 4 chronic
kidney disease. Which laboratory data should the nurse anticipate for this
client?
Blood urea nitrogen 15 mg/dL, phosphorus 2 mg/dL.
, Not Selected
Correct answer:
Glomerular filtration rate 20 L/min, creatinine 3 mg/dL.
Blood urea nitrogen 9 mg/dL, creatinine 1 mg/dL.
, Not Selected
Serum potassium 5 mEq/L, serum calcium 10 mg/dL.
The nurse is assessing a client who has prerenal acute kidney injury. Which
clinical data should the nurse anticipate? Select all that apply.
Answer,
Reduced Blood urea nitrogen.
Answer,
Elevated cardiac enzymes.
Correct answer:
Reduced urine output.
Correct answer:
Elevated creatinine
Answer,
Elevated serum calcium.
The nurse educator is developing a teaching plan for nursing students about
clients who are beginning hemodialysis. Which statement by a student
indicates a correct understanding of the hemodialysis?
Hemodialysis restores normal function to the kidneys with no adverse effect.
, Not Selected
Hemodialysis replaces the hormonal function of the kidneys.
, Not Selected
Hemodialysis clients can eat a regular diet.
, Not Selected
Correct answer:
Hemodialysis returns a balance to the client's serum electrolytes
The nurse is caring for a client recovering from an Acute Kidney Injury. The
client asks the nurse, "Do I have to eat a special diet"? Which response by
the nurse is most appropriate?
"You should eat a diet high in potassium and low in calcium".
, Not Selected
"You should eat a low-fat, low in cholesterol diet".
, Not Selected
Correct answer:
"You should eat a high-carbohydrate, protein-restricted diet".
"You should eat a regular diet with six small meals a daily".
The nurse educator is providing in-service to the nursing staff about
peritoneal dialysis. Which information should the educator include in this
presentation?
"The peritoneum is more permeable because of the presence of excess
metabolites."
, Not Selected
"The metabolites will diffuse from the interstitial space to the bloodstream
mainly through diffusion and ultrafiltration."
, Not Selected
Correct answer:
"The peritoneum acts as a semipermeable membrane through which wastes
move by diffusion and osmosis."
"The solutes in the dialysate will enter the bloodstream through the
peritoneum."
The dialysis nurse is administering peritoneal dialysis to a client with acute
kidney injury. The nurse notes the presence of cloudy dialysate return. Which
prescription should the nurse anticipate from the healthcare provider?
Administer loop diuretic orally.
, Not Selected
Incorrect answer:
Discontinue dialysis immediately.
Culture the dialysate return.
, Not Selected
The elevated amylase report on a client diagnosed with acute
pancreatitis.
, Not Selected
The elevated conjugated bilirubin on a client diagnosed with
cirrhosis.
, Not Selected
The elevated gamma glutamyl transferase report on a client with
hepatitis.
, Not Selected
Incorrect answer:
The elevated liver enzymes reported on a client diagnosed with
Cholecystitis.
0 / 2 points
The nurse is reviewing the laboratory on a client with advanced
cirrhosis. Which result(s) should the nurse correlate with the
condition? Select All That Apply.
Correct answer:
Serum albumin 3 mg/dL.
Answer,
Serum magnesium 1 mg/dL.
Answer,
Serum creatinine 1 mg/dL.
Incorrect answer:
Serum potassium 5 mEq/L.
Selected Answer - Incorrect
Correct answer:
Serum sodium 130 mEq/L.
2 / 2 points
The nurse is assessing a client with cirrhosis. Which clinical data
should indicate to the nurse that the client may have decreased
clotting factors?
Correct answer:
Epistaxis.
Yellow skin.
, Not Selected
Clay-colored stool.
, Not Selected
Peripheral edema.
The nurse is caring for a client with hepatic encephalopathy who develops
metabolic alkalosis. Which symptoms should the nurse anticipate that can be
potential causes of metabolic alkalosis? Select all that apply.
Correct answer:
Diarrhea.
Answer,
Hyperventilation.
Answer,
Diuretic therapy.
Answer,
Hypoalbuminemia.
Correct answer:
Vomiting.
2 / 2 points
The nurse is reviewing the treatment plan for the client with ascites,
which Healthcare provider's prescription should the nurse question?
Furosemide.
, Not Selected
Spironolactone.
, Not Selected
Placement of a shunt.
, Not Selected
Correct answer:
A 3 g/day sodium diet.
The nurse received a prescription to administer lactulose to a client with
hepatic encephalopathy. Which outcome of this drug should the nurse
anticipate?
Increases absorption of protein.
, Not Selected
Correct answer:
Decreases production of ammonia.
Destroys bacteria in the gastrointestinal tract.
, Not Selected
Decreases the body's protein breakdown.
2 / 2 points
The nurse is caring for a client with ascites. How should the nurse
assess for the presence of ascites?
Observe the client for signs of respiratory distress.
, Not Selected
Correct answer:
Percuss the client's abdomen and listen for dull sounds.
Palpate the lower extremities over the tibia and observe for edema.
, Not Selected
Listen for decreased or absent bowel sounds while auscultating the
abdomen.
24
0 / 2 points
The nurse is assessing a client's response to ongoing serum albumin
therapy for cirrhosis. What action should the nurse implement for
this client?
Monitor the client's vital signs.
, Not Selected
Measure the client's urine output every half hour.
, Not Selected
Obtain the client's weight at least once every day.
, Not Selected
Incorrect answer:
Determine the client's urine albumin level each shift.
0 / 2 points
A client is admitted to the hospital with acute pancreatitis. The
health care provider's prescriptions include nothing by mouth and
total parenteral nutrition. Which benefit of total parenteral nutrition
should the nurse anticipate?
Is the easiest method for administering needed nutrition.
, Not Selected
Incorrect answer:
Is the safest method for meeting the client's nutritional
requirements.
Will satisfy and appease the client's hunger without the discomfort
associated with eating.
, Not Selected
Will meet the client's nutritional needs without causing the
discomfort precipitated by eating.
0 / 2 points
The nurse is providing discharge teaching for a client with chronic
pancreatitis. Which statement by the client indicates to the nurse
that the client needs more teaching?
Incorrect answer:
"I must eat foods high in calories and high in fats."
"I should avoid alcoholic beverages."
, Not Selected
"I will eat more often but in smaller amounts throughout the day."
, Not Selected
"I can eat foods high in fat now that the acute stage is over."
2 / 2 points
The nurse is caring for a client with an acute attack of cholecystitis who has
a cholecystectomy with a choledochostomy. The client returns from surgery
with a T-tube connected to a drainage bag. What should the nurse
understand is the purpose of the T-tube?
To decrease edema.
, Not Selected
Correct answer:
To permit drainage of bile.
To insert antibiotic medication.
, Not Selected
To provide for irrigation of the gallbladder.
, Not Selected
Results for question 28.
28
0 / 2 points
The nurse is providing preoperative teaching to a client who has a
history of recurrent cholecystitis, who is scheduled for an abdominal
cholecystectomy. What information should the nurse emphasize
when teaching the client?
Possible complications.
, Not Selected
Incorrect answer:
Correct answer:
Steatorrhea.
Answer,
Weight gain.
2 / 2 points
The nurse is performing an assessment on a client with
Cholecystitis. While assessing the abdomen, the nurse places fingers
gently on the right upper quadrant and presses down while asking
the patient to take a deep breath. The client states that this causes
pain upon deep inspiration. The nurse recognizes this as which sign?
Cullen's Sign.
, Not Selected
Correct answer:
Murphy's Sign.
Grey's Sign.
, Not Selected
McCarthy Sign.
2 / 2 points
The nurse is educating nursing students on the usage of pain
medications for clients with Cholecystitis. Which medication is
contraindicated for clients with this condition?
Naproxen sodium.
, Not Selected
Correct answer:
Morphine.
Acetaminophen.
, Not Selected
Ibuprofen.
2 / 2 points
The nurse is performing an admission on a client who reports
drinking a "ton of beer". The client states that their pain is often
constant, prevents them from normal daily activities, and is often
described as recurring epigastric and Left lower quadrant pain. The
nurse knows that this complaint is consistent with which disease
process?
Hepatitis.
, Not Selected
Cholecystitis.
, Not Selected
Acute pancreatitis.
, Not Selected
Correct answer:
Chronic pancreatitis.
The nurse is providing discharge teaching to a client with Chronic
Pancreatitis. Which of the following is the most appropriate teaching
for the nurse to relay to the client?
Limit alcohol intake.
, Not Selected
Avoid stressful environments.
, Not Selected
Correct answer:
Do not chew pancreatic enzymes.
Refrain from extreme cold and hot environments.
, Not Selected
The nurse is ordered to give medication to a client with chronic
pancreatitis. The treatment is used to treat malnutrition,
malabsorption. Which of the following is the appropriate therapy for
clients with chronic pancreatitis?
Hormone replacement therapy.
, Not Selected
Correct answer:
Pancreatic enzyme replacement therapy.
Estrogen receptor antagonists.
, Not Selected
Aromatase inhibitors.
, Not Selected
“It means you are getting up frequently at night to urinate.”
“It means you are unable to completely empty your bladder.”
The nurse correlates which disorder to the development of intrarenal
renal failure?
Prolonged hypotension
, Not Selected
Correct answer:
Glomerulonephritis
Renal calculi
, Not Selected
Hypovolemia
, Not Selected
The medical-surgical nurse is providing patient care. Which circumstance
would necessitate the nurse verifying the patient’s identification using at
least two sources?
Before delivering a meal tray
, Not Selected
Before passive range of motion
, Not Selected
Correct answer:
Before medication administration
Before documenting in the medical record
What term does the nurse use to document a patient’s complaints of
blood in the urine?
Anuria
, Not Selected
Dysuria
, Not Selected
Enuresis
, Not Selected
Correct answer:
Hematuria
The nurse is planning care for the patient with acute kidney injury.
Which assessment data best supports the nursing diagnosis Excess
Fluid Volume?
Correct answer:
Pitting edema in the lower extremities
Bowel sounds positive in four quadrants
, Not Selected
Wheezing in the lungs
, Not Selected
Fatigue
, Not Selected
Which statement by the patient diagnosed with hepatitis indicates the need
for further teaching?
“After I take a walk, I will rest for about an hour.”
, Not Selected
“The prescribed antiemetic medication will decrease my nausea.”
, Not Selected
Correct answer:
“A vaccine would not have helped me because I have hepatitis A.”
“I will use a nutritional supplement to ensure I get enough calories each
day.”
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EXAM 2 - EXAM 2 FOR MED SURG 3
Course: Advanced Medical-Surgical Nursing (NUR2212)
251 Documents
Students shared 251 documents in this course
University: Miami Dade College
Was this document helpful?
EXAM 2
The nurse is admitting a client who has prerenal acute kidney injury,
following an abdominal aortic aneurysm repair. The nurse notes that the
client's urinary output is 40 mL in the past two hours, and blood pressure is
90/50 mm Hg. Which intervention should the nurse implement?
Prepare the client for a CT scan with a contrast dye.
, Not Selected
Plan to administer an NSAID.
, Not Selected
Correct answer:
Prepare to administer a fluid challenge.
Plan to position the client in Trendelenburg position.
, Not Selected
The nurse is reviewing laboratory data on a client with Stage 4 chronic
kidney disease. Which laboratory data should the nurse anticipate for this
client?
Blood urea nitrogen 15 mg/dL, phosphorus 2.1 mg/dL.
, Not Selected
Correct answer:
Glomerular filtration rate 20 L/min, creatinine 3.0 mg/dL.
Blood urea nitrogen 9 mg/dL, creatinine 1.4 mg/dL.
, Not Selected
Serum potassium 5.0 mEq/L, serum calcium 10.5 mg/dL.
The nurse is assessing a client who has prerenal acute kidney injury. Which
clinical data should the nurse anticipate? Select all that apply.
Answer,
Reduced Blood urea nitrogen.
Answer,
Elevated cardiac enzymes.
Correct answer:
Reduced urine output.
Correct answer:
Elevated creatinine
Answer,
Elevated serum calcium.
The nurse educator is developing a teaching plan for nursing students about
clients who are beginning hemodialysis. Which statement by a student
indicates a correct understanding of the hemodialysis?
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