NURSING Med SURG Practice EXAM Questions And Answers( Complete Solution Rated A)

Med SURG Practice EXAM Questions
The nurse is assessing a client's laboratory values following administration of chemotherapy. Which lab value leads the nurse to suspect that the client is expe riencing tumor lysis syndrome (TLS)? A Serum PTT of 10 seconds. B Serum calcium of 5 mg/dl. Correct C Oxygen saturation of 90%. D Hemoglobin of 10 g/dl.
TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an indicator of possible tumor lysis syndrome. (A, C, and D) are not particularly related to TLS. Awarded 0.0 points out of 1.0 possible points.
2.ID: 5A client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit? A Lower left quadrant pain and a low-grade fever. Correct B Severe pain at McBurney's point and nausea. C Abdominal pain and intermittent tenesmus. D Exacerbations of severe diarrhea.
Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for diverticula, and the inflammation of diverticula causes a lowgrade fever (A). (B) would be indicative of appendicitis. (C and D) are symptoms exhibited with ulcerative colitis. Awarded 0.0 points out of 1.0 possible points.
3.ID: 3During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving. What action should the nurse take first? A Use a laryngoscope to check for a foreign body lodged in the esophagus. B Reposition the head to validate that the head is in the proper position to open the airway. Correct C Turn the client to the side and administer three back blows. D Perform a finger sweep of the mouth to remove any vomitus.
The most frequent cause of inadequate aeration of the client's lungs during CPR is improper positioning of the head resulting in occlusion of the airway (B). A foreign body can occlude the airway, but this is not common unless choking preceded the cardiac emergency, and (A, C and D) should not be the nurse's first action. Awarded 0.0 points out of 1.0 possible points. Show Less