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….A nurse is caring for an older adult client who has rheumatoid arthritis
(RA) and is taking aspirin 650 mg every 4 hours. Which of the following
diagnostic tests should the nurse monitor to evaluate the effectiveness of
this medication?
Erythrocyte sedimentation rate (ESR)
Rational
Rheumatoid arthritis is a chronic inflammatory disease. ESR is useful in
detecting and monitoring tissue inflammation in clients with RA. As the
disease improves the ESR decreases.
….A nurse is providing dietary teaching to a client who has a history of
recurring calcium oxalate kidney stones. Which of the following instructions
should the nurse include in the teaching?
Drink 3 L of fluid every day.
Rational
The nurse should instruct the client to drink at least 3 to 4 L of fluid every day
to dilute the urine and reduce the risk for stone formation.
NURSING 102 Med Surge Final Exam QUESTIONS
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,NURSING 102 Med Surge Final Exam QUESTIONS
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….A nurse is assessing a client who has disseminated intravascular
coagulation (DIC). Which of the following findings should the nurse expect?
Excessive thrombosis and bleeding
Rational
The nurse should expect excessive thrombosis and bleeding of mucous
membranes because both DIC impairs both coagulation and anticoagulation
pathways.
….A nurse is caring for a middle adult client who has just received the
diagnosis of endometrial cancer. In taking a nursing history, which of the
following manifestations is likely to be reported by this client?
Postmenopausal bleeding
Rational
Endometrial cancer involves cancerous growth of the endometrium (lining
of the uterus). The most common manifestation of endometrial cancer is
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abnormal uterine bleeding, including postmenopausal bleeding and
bleeding between normal periods in premenopausal women.
…A nurse is giving a presentation to a community group about preventing
atherosclerosis. Which of the following should the nurse include as a
modifiable risk factor for this disorder? (Select all that apply.)
Hypercholesterolem
ia Hypertension
Obesity
Smokin
g
…A nurse is admitting a client who has active tuberculosis to a room on a
medical-surgical unit. Which of the following room assignments should the
nurse make for the client?
A room with air exhaust directly to the outdoor environment
Rational
A room with air exhaust directly to the outside environment eliminates
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contamination of other client-care areas. This type of ventilation system is
referred to as an airborne infection isolation room.
…. A nurse is reviewing the laboratory data of a client who has acute
pancreatitis. The nurse should expect to find an elevation of which of
following values?
Amylase
Rational
Amylase is an enzyme that changes complex sugars into simple sugars that
can be used by the body. It is produced by the pancreas and salivary glands
and released into the mouth, stomach, and intestines to aid in digestion.
The amylase level of a client who has acute pancreatitis usually increases
within 12 to 24 hr and can remain elevated for 2 to 3 days.
…. A nurse in a clinic is interviewing a client who has a possible diagnosis of
endometriosis. Which of the following findings in the client's history should
NURSING 102 Med Surge Final Exam QUESTIONS
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