MED SURG NUR 440 Final Comp Exam – Questions With
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Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
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You have a patient who was admitted from Answer: B, C, D
the ER, which labs should you notify the Normal range of sodium is 135 to 145
doctor about
a. Sodium 142
b. BUN 23
c. Creatinine 1.5
d. Potassium 4.0
BUN WNL Value? Generally - 7 to 20 mg / dl is within normal limits
Creatinine WHN Value? Males 0.6 mg/dl to 1.2 mg/ld Females 0.5 mg/dl to 1.1 mg/dl
Magnesium WNL blood serum 5 to 6 meq/L
concentration?
Symptoms and Signs of A, B, C, D
HYPERmagnesemia? SATA Seizures are not commonly associated with
A - hypotension hypermagnesemia.
B - Bradycardia
C - Respiratory Depression
D - Cardiac arrest
E - Seizures
Mrs. Floyd, and 85 year old woman, is Answer: D. Hypocalcemia can be caused by loss of body
brought into the E.R. complaining of severe fluids and is characterized by muscle cramping, numbness
muscle cramping, numbness, and tingling. and tingling
She states that she had been sick a few days
ago with severe diarrhea and vomiting.
Which of the following electrolyte
deficiencies is Mrs. Floyd experiencing?
A.Hypercalcemia
B.Hypomagnesia
C. Hypermagnesia
D. Hypocalcemia
, A patient is showing a positive Chvostek Hypocalcemia
sign. What is this a sign of?
A. hyerpkalemia
B. hypocalcemia
C. hypercalcemia
D. hypokalemia
What test do you use to test for Chvostek sign -tap the side of neck gently and observe for
hypocalcemia? facial twitching. Tests for hypocalcemia and tetany.
Chvostek = Cheek
What other test can you use to test for Trousseau's Sign
hypocalcemia?
Upon assessment, you notice your patient Isotonic - the patient's assessment infers they are dehydrated -
has a decreased urinary output, skin tneting isotonic solutinos would be used to rehydrate the patient.
and bounding pulses. What type of fluids do
you anticipate the doctor will order?
Which are potential omplications of IV A, B, D
Therapy (select all that apply)
A. Thrombosis
B. Vancomycin
C. Amoxicillin
D. Phlebitis
When a patient is on TPN, what do you need A, B, D
to monitor (select all that apply)
a. Blood sugar
b. Potassium
c. Creatinine
d. Sodium
If your patient begins to experience B - Dantrium
malignant hyperthermia, which medication
would you give?
a. Diprivan
b. Dantrium
c. Demerol
d. Danazol
Per the SCIP protocol, when do you give D
the preoperative antibiotic and how long
after surgery are they usually discontinued?
a. Two hours before and within 48-hours
after
b. One hour before and within 48-hours
after
c. 30 minutes before and within 24-hours
after
d. One hour before and within 24-hours
after
Accurate Answers
Save
Students also studied
Sherpath: Diabetes Mellitus Chapter 21 Test Case Study 4 (Short
30 terms 24 terms 22 terms
jesssbee Preview kenanderson2017 Preview Brittany182
Terms in this set (89)
You have a patient who was admitted from Answer: B, C, D
the ER, which labs should you notify the Normal range of sodium is 135 to 145
doctor about
a. Sodium 142
b. BUN 23
c. Creatinine 1.5
d. Potassium 4.0
BUN WNL Value? Generally - 7 to 20 mg / dl is within normal limits
Creatinine WHN Value? Males 0.6 mg/dl to 1.2 mg/ld Females 0.5 mg/dl to 1.1 mg/dl
Magnesium WNL blood serum 5 to 6 meq/L
concentration?
Symptoms and Signs of A, B, C, D
HYPERmagnesemia? SATA Seizures are not commonly associated with
A - hypotension hypermagnesemia.
B - Bradycardia
C - Respiratory Depression
D - Cardiac arrest
E - Seizures
Mrs. Floyd, and 85 year old woman, is Answer: D. Hypocalcemia can be caused by loss of body
brought into the E.R. complaining of severe fluids and is characterized by muscle cramping, numbness
muscle cramping, numbness, and tingling. and tingling
She states that she had been sick a few days
ago with severe diarrhea and vomiting.
Which of the following electrolyte
deficiencies is Mrs. Floyd experiencing?
A.Hypercalcemia
B.Hypomagnesia
C. Hypermagnesia
D. Hypocalcemia
, A patient is showing a positive Chvostek Hypocalcemia
sign. What is this a sign of?
A. hyerpkalemia
B. hypocalcemia
C. hypercalcemia
D. hypokalemia
What test do you use to test for Chvostek sign -tap the side of neck gently and observe for
hypocalcemia? facial twitching. Tests for hypocalcemia and tetany.
Chvostek = Cheek
What other test can you use to test for Trousseau's Sign
hypocalcemia?
Upon assessment, you notice your patient Isotonic - the patient's assessment infers they are dehydrated -
has a decreased urinary output, skin tneting isotonic solutinos would be used to rehydrate the patient.
and bounding pulses. What type of fluids do
you anticipate the doctor will order?
Which are potential omplications of IV A, B, D
Therapy (select all that apply)
A. Thrombosis
B. Vancomycin
C. Amoxicillin
D. Phlebitis
When a patient is on TPN, what do you need A, B, D
to monitor (select all that apply)
a. Blood sugar
b. Potassium
c. Creatinine
d. Sodium
If your patient begins to experience B - Dantrium
malignant hyperthermia, which medication
would you give?
a. Diprivan
b. Dantrium
c. Demerol
d. Danazol
Per the SCIP protocol, when do you give D
the preoperative antibiotic and how long
after surgery are they usually discontinued?
a. Two hours before and within 48-hours
after
b. One hour before and within 48-hours
after
c. 30 minutes before and within 24-hours
after
d. One hour before and within 24-hours
after
