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NUR 355 MED SURG EXAM 4 QUESTIONS WITH CORRECT ANSWER

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NUR 355 MED SURG EXAM 4 QUESTIONS WITH CORRECT ANSWER

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What are the signs and symptoms of fluid volume excess?


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Increased weight, ascites, edema, increased urine output, hypertension,
tachycardia, jugular vein distention, bounding pulse, and respiratory
symptoms like cough, crackles, and orthopnea.




What happens when sodium (Na) levels are less than 120 mEq/L?


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seizures, ALOC, coma, and brain swelling and intracranial hypertension
(respiratory arrest)

,What is the primary factor preventing the backward movement of urine from the
bladder toward the kidney?


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The angling of the ureterovesical junction




What causes hypokalemia?


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excessive loss of potassium through vomiting, diarrhea, or use of diuretics,
inadequate dietary intake of potassium, certain medical conditions like
hyperaldosteronism, and prolonged use of corticosteroids.




What procedure has expected findings, including the urge to urinate with a catheter
in place, pink-tinged urine with continuous bladder irrigation, and elevated PSA levels
post-surgery?


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TURP (transurethral resection of the prostate)




What can cause low electrolytes?


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, vomiting, urination, defecation, sweating, and nasal gastric tube




What are isotonic fluids used for?


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replacement and maintenance fluids




What are the potential consequences of rapidly overcorrecting hypernatremia?


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cerebral edema and neurological complications such as seizures.




What is the most critical precaution to take when administering potassium?


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Never give it as an IV push or bolus; it should always be diluted and
administered slowly via infusion.




Which hormones regulate the menstrual cycle?


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, Estrogen and progesterone




What are the typical symptoms of menopause?


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hot flashes, night sweats, mood changes, vaginal dryness, and irregular
periods




What are the signs and symptoms of hypercalcemia, often remembered by the
acronym BACK ME?


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Bone pain
Arrhythmias
Cardiac arrest
Kidney stones
Muscle weakness
Excessive urination




What should an RN stress when instructing a female patient on obtaining a clean
catch urine specimen?


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