NU 185: Med-Surge II EXAM 4 Questions With Complete
Solutions
A client hospitalized with acute glomerulonephritis has a
positive ASO titer. The nurse understands that the client's
current illness is due to a... *Exam Cram Renal Correct Answer
Prior Bacterial Infection
A client is admitted for removal of a goiter. Which nursing
intervention should receive priority during the postoperative
period? *Exam Cram Endocrine Correct Answer Assessing the
Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based
on the client's diagnosis, the nurse would anticipate an order for?
*Exam Cram Endocrine Correct Answer Calcium
A client is admitted with a tentative diagnosis of bladder cancer.
Which finding most likely contributed to the development of
bladder cancer? *Exam Cram Renal Correct Answer Two PPD
cigarette use for 25 years
A client receiving Gentamicin (Garamycin) IVPB has a morning
peak level of 12 micrograms/mL. The nurse should...*Exam
Cram Renal Correct Answer Notify the physician because the
level is too high
A client w/ acromegaly will most likely experience which
symptom? *Exam Cram Endocrine Correct Answer Bone Pain
,A client w/ Cushing's Syndrome should be instructed to? *Exam
Cram Endocrine Correct Answer Limit the Sodium in her DIet
A client w/ diabetes experiences Somogyi's effect. To prevent
this complication, the nurse should instruct the client to? *Exam
Cram Endocrine Correct Answer Eat a protein and
carbohydrate snack at bedtime
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/
diabetes mellitus. The nurse would expect that these symptoms
are r/t? *Exam Cram Endocrine Correct Answer
Hyperglycemia
A client with acute glomerulonephritis requests a snack. Which
snack is suitable given the client's dietary restrictions? *Exam
Cram Renal Correct Answer Applesauce
A client with Addison's Disease will most likely exhibit which
symptom? *Exam Cram Endocrine Correct Answer Bronze
Pigmentation
A client with end stage renal disease has been managed by
peritoneal dialysis. Which finding should be reported to the
doctor immediately? *Exam Cram Renal Correct Answer The
client complains of abdominal pain and nausea
A diabetic client has been maintained on GLucophage
(Metformin) for regulation of his blood glucose levels. Which
teaching should be included in the plan of care? *Exam Cram
Endocrine Correct Answer Report changes in Urinary Pattern
, A diabetic client is taking Lantus Insulin for regulation of his
blood glucose levels. The nurse should know that this insulin
will most likely be administered? *Exam Cram Endocrine
Correct Answer At Night
Addison's Disease *Endocrine Correct Answer -Deficiency of
all 3 hormones produced by adrenals
-Major problems from mineralocorticoid and
glucocorticoid—fluid and electrolyte problems and
hypoglycemia and GI problems
-Lifelong hormone replacement
-Regular feedings throughout the day and energy conservation
(mornings better)
-Mnemonic: Needs 3 s- sugar, salt, and steroid Addison -Crisis:
Critical Care
Alcohol w/drawal Syndrome: 1st Stage *Renal Correct Answer
•First stage: early withdrawal
-After 6 to 12 hours abstinence
-Anxiety, agitation, and irritability
-Tremors
-Increase of BP, P,R, T
•Can progress to hallucinations, seizures
•Life threatening
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