Acute Med/Surg Midterm Study
Guide / Med-Surg nursing
midterm study guide EXAM
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES VERIFIED
ANSWERS ALREADY GRADED A+
,A 45-year-old man with diabetic nephropathy has end-stage
renal disease and is starting dialysis. What should the nurse
teach the patient about hemodialysis? - CORRECT ANSWER-
a. "Hemodialysis is a treatment option that is usually
required three times a week."
Mr. John Oliver, with a history of HTM an DM presents with
"crushing" substernal chest pain, diaphoresis, hypotension,
tachycardia, and cool, clammy extremities. What type of
shock do you suspect? - CORRECT ANSWER-Cardiogenic
A client in the ICU has had an endotracheal tube in place for
3 weeks. The health care provider has ordered a
tracheostomy tube be placed. The client's family wants to
know why the endotracheal tube cannot be left in place.
What would be the nurse's best response? - CORRECT
ANSWER-a. "When an endotracheal tube is left in too long it
can damage the lining of the windpipe."
The nurse is caring for a client in the ICU admitted with ARDS
after exposure to toxic fumes from a hazardous spill at work.
The client has become hypotensive. What is the cause of
this complication to the ARDS treatment? - CORRECT
ANSWER-a. Hypovolemia secondary to leakage of fluid into
the interstitial spaces.
,A nurse educator is reviewing the indications for chest
drainage systems with a group of medical nurses. What
indications should the nurse identify? Select all the apply. -
CORRECT ANSWER-a. Spontaneous pneumothorax
b. Chest trauma resulting is pneumothorax
c. Post thoracotomy
A team of nurses are reviewing the similarities and
differences between the different classifications of shock.
Which sub-classifications of distributive shock should
nurses identify? - CORRECT ANSWER-a. Neurogenic
b. Anaphylactic
c. Septic
The nurse is caring for a patient admitted with cardiogenic
shock. The patient is experiencing chest pain and there is an
order for the administration of morphine. IN addition to pain
control, what is the main rationale for administering
morphine to this patient? - CORRECT ANSWER-It dilates
blood vessels
, A client is responding poorly to interventions aimed at
treating shock and appears to be transitioning to the
irreversible stage of shock. What action should the intensive
care nurse include during this phase of the client's care? -
CORRECT ANSWER-Communicate clearly and frequently
with the client's family
The acute care nurse is providing care for an adult patient
who is in hypovolemic shock. The nurse recognizes that
antidiuretic hormone plays a significant role in this health
problem. What assessment finding will the nurse most likely
observe related to the role of AD during hypovolemic shock?
- CORRECT ANSWER-Decreased Urinary Output
The nurse in the ICU is admitting a 57-year old man with a
diagnosis of possible septic shock. The nurse's assessment
reveals that the client has a normal blood pressure,
increased heart rate, decreased bowel sounds, and cold,
clammy skin. The nurse's analysis of these data should lead
to what preliminary conclusion? - CORRECT ANSWER-The
client is in the compensatory stage of shock
Which safety measures would me most important to
implement when caring for a client who is receiving 2 units
of packed red bloods cells (PRBCs)? Select ALL that apply -
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