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Exam (elaborations)

Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TESTED (2026

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Preview 4 out of 61 pages

Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TESTED (2026

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7/25/26, 9:11 AM Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TEST…




Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest
Update 2026) UPDATE!! (Recent exam) Fully solved
& updated 2026 Most TESTED (2026

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Terms in this set (138)



The nurse is caring for a patient with a Answer A
massive burn injury and possible
hypovolemia. Which assessment data
will be of most concern to the nurse?
a. 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.




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,7/25/26, 9:11 AM Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TEST…



A patient who has a small cell Answer C
carcinoma of the lung develops
syndrome of inappropriate antidiuretic
hormone (SIADH). The nurse should
notify the health care provider about
which assessment finding?
a. Reported weight gain
b. Serum hematocrit of 42%
c. Serum sodium level of 120 mg/dL
d. Total urinary output of 280 mL
during past 8 hours


A patient is admitted for hypovolemia Answer B
associated with multiple draining
wounds. Which assessment would be
the most accurate way for the nurse to
evaluate fluid balance?
a. Skin turgor
b. Daily weight
c. Presence of edema
d. Hourly urine output




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,7/25/26, 9:11 AM Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TEST…



The home health nurse cares for an Answer A
alert and oriented older adult patient
with a history of dehydration. Which
instructions should the nurse give to
this patient related to fluid intake?
a. "Increase fluids if your mouth feels
dry.
b. "More fluids are needed if you feel
thirsty."
c. "Drink more fluids in the late evening
hours."
d. "If you feel lethargic or confused,
you need more to drink."


A patient who is taking a potassium- Answer D
wasting diuretic for treatment of
hypertension complains of generalized
weakness. It is most appropriate for
the nurse to take which action?
a. Assess for facial muscle spasms.
b. Ask the patient about loose stools.
c. Suggest that the patient avoid
orange juice with meals.
d. Ask the health care provider to
order a basic metabolic panel.




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, 7/25/26, 9:11 AM Med Surge (Lewis) Exam 1 - Evolve Q&A (Latest Update 2026) UPDATE!! (Recent exam) Fully solved & updated 2026 Most TEST…



Spironolactone (Aldactone), an Answer D
aldosterone antagonist, is prescribed
for a patient. Which statement by the
patient indicates that the teaching
about this medication has been
effective?
a. "I will try to drink at least 8 glasses of
water every day."
b. "I will use a salt substitute to
decrease my sodium intake."
c. "I will increase my intake of
potassium-containing foods."
d. "I will drink apple juice instead of
orange juice for breakfast."


A newly admitted patient is diagnosed Answer A
with hyponatremia. When making room
assignments, the charge nurse should
take which action?
a. Assign the patient to a room near
the nurse's station.
b. Place the patient in a room nearest
to the water fountain.
c. Place the patient on telemetry to
monitor for peaked T waves.
d. Assign the patient to a semi-private
room and place an order for a low-salt
diet.




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