Med Surg – Final 2023

Med Surg – Final 2023 During a morning assessment, the nurse observes that a patient displays bulging flanks when supine with the knees flexed. Which action should the nurse take next? a. Measure the patient's abdominal girth b. Auscultate each quadrant of the abdomen for 5 min c. Document the findings d. Notify the charge nurse - ANSWER a. Measure the patient's abdominal girth When a 90-year-old resident in a long-term care facility becomes progressively confused and irritable, after assessing a SaO2 of 94%, the nurse should: a. Request an order for a urinalysis b. Hold antihypertensive medications c. Assess for fecal impaction d. Decrease fluid intake - ANSWER a. Request an order for a urinalysis A patient is diagnosed with a thyroid disorder. The nurse anticipated that the patient is most likely to have problems with: a. Metabolic rate b. Water reabsorption c. Bone Fragility d. Increased blood glucose - ANSWER a. Metabolic rate The nurse is concerned about a coworker who exhibits a sign of amphetamine abuse, such as: a. Excited speech b. Depressed behavior c. Sluggish, slurred speech d. Eating sweets constantly - ANSWER a. Excited speech A nurse is caring for a patient suspected of having ketoacidosis. Which manifestation(s) is/are characteris with ketoacidosis? (select all that apply) a. Fruit breath b. Polyuria c. Nausea d. Thirst e. Edema - ANSWER a. Fruity breath b. Polyuria c. Nausea d. Thirst