2023 NURS 4183 _ MED SURG KAPLAN INTEGRATED TESTING NEW VERSION ALL SOLUTIONS VERIFIED TEST (GRADED A+)
• A patient is admitted to the emergency
... [Show More] department with an open stab wound to the left chest. What action should the nurse take?
a) Keep the head of the patient’s bed positioned flat.
b) Cover the wound tightly with an occlusive dressing.
c) Position the patient so that the left chest is dependent.
d) *Tape a nonporous dressing on three sides over the wound.
• Which primary manifestation results from the decreased filling of the cardiac ventricles associated with diastolic failure?
a) Decreased afterload
b) Decreased left ventricular ejection fraction
c) Decreased left ventricular end-diastolic pressure d) *Decreased stroke volume and cardiac output (CO)
• Which patient at a wellness clinic has the highest risk for developing primary hypertension?
a) A 65-year-old retired white patient with a BMI of 15
b) A 45-year-old patient who has chronic pain caused by cancer
c) *A 65-year-old black patient who has a body mass index (BMI) of 35
d) A 45-year-old factory worker who smokes one pack of cigarettes per day
• The nurse is caring for a patient who has a calcium level of 12.1 mg/dL. Which nursing action should the nurse include on the care plan?
a) Maintain the patient on bed rest.
b) Auscultate lung sounds every 4 hours.
c) Monitor for Trousseau’s and Chvostek’s signs.
d) *Encourage fluid intake up to 4000 mL every day.
• A 73-yr-old patient has been hospitalized for 4 days with acute kidney injury (AKI) caused by dehydration. Which information will be most important for the nurse to report to the nurse-in-charge?
a) The creatinine level is 2.9 mg/dL.
b) *Urine output over an 8-hour period is 2400 mL.
c) The blood urea nitrogen (BUN) level is 55 mg/dL.
d) The glomerular filtration rate is less than 30 mL/min/1.73 m
• The nurse is preparing to administer sodium polystyrene sulfonate rectally to a patient with an irregular pulse and weakness of the lower extremities. What laboratory finding does the nurse determine is the reason for this treatment?
a) Hypokalemia
b) Hypocalcemia c) *Hyperkalemia
d) Hypercalcemia [Show Less]