CHAPTER 17 QUESTIONS AND CORRECT ANSWERS
RATED A+ LEWIS MEDICAL SURGICAL NURSING
QUESTION:
The nurse obtains all of the following assessment data about a patient with deficient fluid
volume caused by a massive burn injury. Which assessment data will be of greatest concern?
a. The blood pressure is 90/40 mm Hg.
b. Urine output is 30 mL over the last hour.
c. Oral fluid intake is 100 mL for the last 8 hours.
d. There is prolonged skin tenting over the sternum.
CORRECT ANSWER:
a. The blood pressure is 90/40 mm Hg.
QUESTION:
A recently admitted patient has a small cell carcinoma of the lung causing syndrome of
inappropriate antidiuretic hormone (SIADH). What will the nurse monitor carefully for?
a. Increased total urinary output
b. Elevation of serum hematocrit
c. Decreased serum sodium level
d. Rapid and unexpected weight loss
CORRECT ANSWER:
c. Decreased serum sodium level
QUESTION:
When evaluating fluid balance for a patient admitted with hypervolemia associated with
multiple draining wounds, which assessment is most accurate?
a. Skin turgor
b. Daily weight
c. Presence of edema
d. Hourly urine output
, CORRECT ANSWER:
b. Daily weight
QUESTION:
When caring for an alert, oriented elderly patient with a history of dehydration, which
instruction should the nurse give to increase fluid intake?
a. In the late evening hours
b. If the oral mucosa feels dry
c. When the patient feels thirsty
d. As soon as changes in level of consciousness occur
CORRECT ANSWER:
b. If the oral mucosa feels dry
QUESTION:
A patient is taking a potassium-wasting diuretic. Which adverse effect should the nurse instruct
the patient to report?
a. Personality changes
b. Frequent loose stools
c. Facial muscle spasms
d. Generalized weakness
CORRECT ANSWER:
d. Generalized weakness
QUESTION:
Which statement by a patient prescribed spironolactone (Aldactone) indicates correct
understanding of medication teaching?
a. I will drink at least 8 glasses of water every day.
b. I will use a salt substitute.
c. I will increase potassium-rich foods.
d. I will drink apple juice instead of orange juice.
CORRECT ANSWER:
d. I will drink apple juice instead of orange juice.
RATED A+ LEWIS MEDICAL SURGICAL NURSING
QUESTION:
The nurse obtains all of the following assessment data about a patient with deficient fluid
volume caused by a massive burn injury. Which assessment data will be of greatest concern?
a. The blood pressure is 90/40 mm Hg.
b. Urine output is 30 mL over the last hour.
c. Oral fluid intake is 100 mL for the last 8 hours.
d. There is prolonged skin tenting over the sternum.
CORRECT ANSWER:
a. The blood pressure is 90/40 mm Hg.
QUESTION:
A recently admitted patient has a small cell carcinoma of the lung causing syndrome of
inappropriate antidiuretic hormone (SIADH). What will the nurse monitor carefully for?
a. Increased total urinary output
b. Elevation of serum hematocrit
c. Decreased serum sodium level
d. Rapid and unexpected weight loss
CORRECT ANSWER:
c. Decreased serum sodium level
QUESTION:
When evaluating fluid balance for a patient admitted with hypervolemia associated with
multiple draining wounds, which assessment is most accurate?
a. Skin turgor
b. Daily weight
c. Presence of edema
d. Hourly urine output
, CORRECT ANSWER:
b. Daily weight
QUESTION:
When caring for an alert, oriented elderly patient with a history of dehydration, which
instruction should the nurse give to increase fluid intake?
a. In the late evening hours
b. If the oral mucosa feels dry
c. When the patient feels thirsty
d. As soon as changes in level of consciousness occur
CORRECT ANSWER:
b. If the oral mucosa feels dry
QUESTION:
A patient is taking a potassium-wasting diuretic. Which adverse effect should the nurse instruct
the patient to report?
a. Personality changes
b. Frequent loose stools
c. Facial muscle spasms
d. Generalized weakness
CORRECT ANSWER:
d. Generalized weakness
QUESTION:
Which statement by a patient prescribed spironolactone (Aldactone) indicates correct
understanding of medication teaching?
a. I will drink at least 8 glasses of water every day.
b. I will use a salt substitute.
c. I will increase potassium-rich foods.
d. I will drink apple juice instead of orange juice.
CORRECT ANSWER:
d. I will drink apple juice instead of orange juice.
