MedSurge Exam 3 Questions And Answers 100% Solved 2024

MedSurge Exam 3 Questions And Answers 100% Solved 2024 To confirm an acid-base imbalance, it is necessary to assess which findings from a client's arterial blood gas (ABG) results? Select all that apply. a)PaCO2 b)HCO3 c)K+ d)Glucose e)Na+ f)pH - answera,b,f A nurse caring for a patient who is receiving an IV solution via a central vein suspects the complication of an air embolism. Which of the following are signs and symptoms consistent with that diagnosis? Select all that apply. a)Cyanosis b)Hypertension c)Tachycardia d)Dyspnea e)Crackles on auscultation f)Shoulder pain - answera,c,d,f The calcium concentration in the blood is regulated by which mechanism? Parathyroid hormone (PTH) Thyroid hormone (TH) Androgens Adrenal gland - answerParathyroid hormone (PTH) A nurse is monitoring a client being evaluated who has a potassium level of 7 mEq/L (mmol/L). Which electrocardiogram changes will the client display? elevated ST segment peaked T waves prolonged T waves shortened PR interval - answerpeaked T waves A client presents with anorexia, nausea and vomiting, deep bone pain, and constipation. The following are the client's laboratory values. sodium 130 mEq/L (130 mmol/L)potassium 4.6 mEq/L (4.6 mmol/L)chloride 94 mEq/L (94 mmol/L)calcium 12.9 mg/dL (3.2 mmol/L) What laboratory value is consistent with the client's symptoms? calcium 12.9 mg/dL (3.2 mmol/L) chloride 94 mEq/L (94 mmol/L) potassium 4.6 mEq/L (4.6 mmol/L) sodium 137 mEq/L (137 mmol/L) - answercalcium 12.9 mg/dL (3.2 mmol/L) Which solution is hypotonic? 0.9% NaCl 0.45% NaCl Lactated Ringer solution 5% NaCl - answer0.45% NaCl A nurse is reviewing a report of a client's routine urinalysis. Which value requires further investigation? Absence of protein Absence of glucose Urine pH of 3.0 Specific gravity of 1.02 - answerUrine pH of 3.0 A client was admitted to the unit with a diagnosis of hypovolemia. When it is time to complete discharge teaching, which of the following will the nurse teach the client and family? Select all that apply. a)Respond to thirst b)Drink carbonated beverages to help balance fluid volume. c)Drink water as an inexpensive way to meet fluid needs. d)Drink caffeinated beverages to retain fluid. e)Drink at least eight glasses of fluid each day. - answera,c,e The nurse is caring for a client diagnosed with hyperchloremia. Which are signs and symptoms of hyperchloremia? Select all that apply. a)Tachypnea b)Hypotension c)Weakness d)Dehydration e)Lethargy - answera,c,e A nurse is providing client teaching about the body's plasma pH and the client asks the nurse what is the major chemical regulator of plasma pH. What is the best response by the nurse? renin-angiotensin-aldosterone system bicarbonate-carbonic acid buffer system sodium-potassium pump ADH-ANP buffer system - answerbicarbonate-carbonic acid buffer system The physician has prescribed 0.9% sodium chloride IV for a hospitalized client in metabolic alkalosis. Which nursing actions are required to manage this client? Select all that apply. a)Administer IV bicarbonate. b)Document presenting signs and symptoms. c)Maintain intake and output records. d)Compare ABG findings with previous results. e)Suction the client's airway. - answerb,c,d, The nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD) and experiencing respiratory acidosis. The client asks what is making the acidotic state. The nurse is most correct to identify which result of the disease process that causes the fall in pH? The lungs are not able to blow off carbon dioxide. The lungs are unable to breathe in sufficient oxygen. The lungs have ineffective cilia from years of smoking. The lungs are unable to exchange oxygen and carbon dioxide. - answerThe lungs are not able to blow off carbon dioxide.