Medical Surgical Nursing NCLEX Review and Answers

Medical Surgical Nursing NCLEX Review and Answers Abdominal Paracentesis Side Effects - CORRECT ANSWER-Hemorrhage Infection ABG Normal HCO3 - CORRECT ANSWER-24-26 mEq/L ABG Normal pCO2 - CORRECT ANSWER-35-45 mEq/L ABG Normal pO2 - CORRECT ANSWER-80-100% Abortion - CORRECT ANSWER-any interruption of a pregnancy before the fetus is viable (20 weeks gestation) Addison's Disease - CORRECT ANSWER-Insufficient production of cortisol primarily, as well as aldosterone s/s:fatigue, nausea, darkening go the skin, and dizziness upon standing Patient Education: Must wear a medical alert bracelet Notify physician of severe weakness and fatigue as these are symptoms of adrenocortical insufficiency Flu like symptoms should be reported because infections cause additional stress and increased steroid dosage may be needed Steroid Therapy is lifelong Strenuous Exercise should be avoided due to depletion of body cortisol Dental and other procedures cause additional stress and may require an increase in steroid therapy Adrenal Crisis - CORRECT ANSWER-May be caused by an abrupt withdrawal of Prednisone Albumin Reference Range and Interpretation Findings - CORRECT ANSWER-3.5-5g/dL Decrease can indicate hepatic disease Ammonia Reference Range and Interpretation of Findings - CORRECT ANSWER-10- 80mcg/dL Elevated in Liver disease Amylase Reference Range and interpretation of findings - CORRECT ANSWER-Normal 30- 220 units/L