Med SURG Practice EXAM
Questions
□ The nurse is assessing a client's laboratory values following administration of chemotherapy. Which lab value
... [Show More] leads the nurse to suspect that the client is experiencing tumor lysis syndrome (TLS)?
A Serum PTT of 10 seconds.
B Serum calcium of 5 mg/dl. Correct
C Oxygen saturation of 90%.
D Hemoglobin of 10 g/dl.
□ TLS results in hyperkalemia, hypocalcemia, hyperuricemia, and hyperphosphatemia. A serum calcium level of 5 (B), which is low, is an indicator of possible tumor lysis syndrome. (A, C, and D) are not particularly related to TLS. Awarded 0.0 points out of 1.0 possible points.
□ 2.ID: 6974889585A client is admitted to the hospital with a diagnosis of severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit?
A Lower left quadrant pain and a low-grade fever. Correct
B Severe pain at McBurney's point and nausea. C Abdominal pain and intermittent tenesmus.
D Exacerbations of severe diarrhea.
□ Left lower quadrant pain occurs with diverticulitis because the sigmoid colon is the most common area for diverticula, and the inflammation of diverticula causes a low- grade fever (A). (B) would be indicative of appendicitis. (C and D) are symptoms exhibited with ulcerative colitis.
Awarded 0.0 points out of 1.0 possible points.
□ 3.ID: 6974891763During CPR, when attempting to ventilate a client's lungs, the nurse notes that the chest is not moving. What action should the nurse take first?
A Use a laryngoscope to check for a foreign body lodged in the esophagus.
B Reposition the head to validate that the head is in the proper position to open the airway. Correct
C Turn the client to the side and administer three back blows. D Perform a finger sweep of the mouth to remove any vomitus.
□ The most frequent cause of inadequate aeration of the
client's lungs during CPR is improper positioning of the head resulting in occlusion of the airway (B). A foreign body can occlu [Show Less]