Detailed Answer Key For Medical Surgical Exam
EXAM, A+ SOLUTIONS (MULTIPLE CHOICES) (A+
GRADED 100% VERIFIED) LATEST VERSION 2025
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1. A client with diabetes D
mellitus is experiencing
polyphagia. Which Rationale
outcome statement is the Diabetes mellitus Type 1 is characterized by
priority for this client? hyperglycemia that precipitates glucosuria and
polyuria (frequent urination), polydipsia (excessive
a. Fluid and electrolyte thirst), and polyphagia (excessive hunger). Polyphagia
balance. is a consequence of cellular malnourishment when
b. Prevention of water insulin deficiency prevents utilization of glucose into
toxicity. the cell for energy, so the outcome statement should
c. Reduced glucose in the include stabilization of adequate cellular nutrition
urine. which is done by providing the insulin supplement the
d. Adequate cellular client needs.
nourishment.
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2. A client has taken C
steroids for 12 years to
help manage chronic Rationale
obstructive pulmonary It is very important to check the client's temperature.
disease (COPD). When Long term use of steroids use COPD clients is
making a home visit, which effective in suppressing inflammation in their airways
nursing function is of making it easier for them to breath, but at the same
greatest importance to time suppresses the immune system, placing the client
this client? Assess the at risk for infection.
client's
a. pulse rate, both apically
and radially.
b. blood pressure, both
standing and sitting.
c. temperature.
d. skin color and turgor.
3. Which intervention B
should the nurse plan to
implement when caring Rationale
for a client who has just
undergone a right above- A large tourniquet should be placed in plain sight at
the-knee amputation? the client's bedside, in the event severe bleeding
occurs. The purpose is to have the tourniquet
a. Maintain the residual available to applied to the residual limb to control
limb on three pillows at all bleeding if hemorrhaging was to occur. The residual
times. limb should not be placed on a pillow because a
b. Place a large tourniquet flexion contracture of the hip may result and the client
at the client's bedside. should be encouraged to lie in the prone position to
c. Apply constant, direct prevent flexion contracture of the hip.
pressure to the residual
limb.
d. Do not allow the client
to lie in the prone
position.
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4. The nurse knows that C
lab values sometimes vary
for the older client. Which Rationale
data would the nurse
expect to find when As older adults aged, the protein found in urine
reviewing laboratory slightly rises as a result of kidney changes and the
values of an 80-year-old serum glucose increases slightly, also due to changes
male? in the kidney. The specific gravity declines by age 80
from 1.032 to 1.024.
a. Increased WBC,
decreased RBC.
b. Increased serum
bilirubin, slightly increased
liver enzymes.
c. Increased protein in the
urine, slightly increased
serum glucose levels.
d. Decreased serum
sodium, an increased urine
specific gravity.
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5. In preparing to A, C, D, E, F
administer intravenous
albumin to a client Rationale
following surgery, what is Albumin should be infused within four hours because
the priority nursing it does not contain any preservatives. Any fluid
intervention? (Select all remaining after four hours should be discarded.
that apply.) Albumin administration does not require blood typing.
Vital signs should be monitored periodically to assess
a. Set the infusion pump to for fluid volume overload. A large gauge catheter
infuse the albumin within allows for fast infusion rate, which may be necessary.
four hours. Hemodilution may decrease hemoglobin (HgB) and
b. Compare the client's hematocrit (HCT) levels, so the HgB and HCT levels
blood type with the label should be monitored. While monitoring for bleeding
on the albumin. because of the increased blood volume and blood
c. Assign a UAP to monitor pressure.
blood pressure q15
minutes.
d. Administer through a
large gauge catheter.
e. Monitor hemoglobin
and hematocrit levels.
f. Assess for increased
bleeding after
administration.
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