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ADULT MEDICAL SURGICAL PRATICE A ASSESSMENT 90 CORRECT QUESTIONS AND ANSWERS

ADULT MEDICAL SURGICAL PRATICE A ASSESSMENT 90 CORRECT QUESTIONS AND ANSWERS

1. A nurse is caring for a client who has diabetic ketoacidosis. Which of the following laboratory findings should the nurse expect?
a. Answer: BUN 32 mg/dL
b. Why?: Client will have an elevated BUN, creatinine, and specific gravity levels resulting from the excess glucose present in the urine.
c. Ketones in urine and blood, Kussmaul respirations (deep and rapid respirations that compensate for decreased pH)
d. pH level less than 7.35 due to the increased production of ketones, which results in metabolic acidosis. Sodium bicarbonate is given for sever acidosis when the client’s pH is less than 7
e. HCO3 less than 15 mEq/L because of an increase production of ketones, resulting in metabolic acidosis.
2. A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions?
a. Answer: Wear a mask
b. Why?: Requires droplet precautions until the client has begun antibiotic therapy
c. Keep the room dim and avoid bright lights from windows to promote comfort and rest and avoid photophobia.
d. Keep the head of bed at a 30 degree elevation.
3. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching?
a. Answer: “I should take this medication with a meal”
b. Why?: Take with or immediately following meals to improve absorption and minimize GI distress.

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