Medical_Surgical_Nursing_10th_Edition_Lewis_Test_Bank.pdf (3) (1)-134

pdf

School

Chamberlain College of Nursing *

*We aren’t endorsed by this school

Course

NR325

Subject

Nursing

Date

Nov 24, 2024

Type

pdf

Pages

Uploaded by ColonelSharkMaster1013

The blood pressure indicates that the patient may be developing hypovolemic shock as a result of intravascular fluid loss because of the burn injury. This finding will require immediate intavention to prevent the complications associated with systemic hypopafusion. The poor oral intake, decreased urine output, and skin tenting all indicate the need for increasing the patient’s fluid intake but not as urgently as the hypotension. DIF: Cognitive Level: Analyze (analysis) REF: 276 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 2. A patient who has a small cell carcinoma of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should notify the health care provida about which assessment finding? a. Saum hematocrit of 42% b. Saum sodium level of 120 mg/dL c. Reported weight gain of 2.2 lb (1 kg) d. Urinary output of 280 mL during past 8 hours ANS: B Hyponatremia is the most important finding to report. SIADH causes wata retention and a decrease in saum sodium level. Hyponatremia can cause confusion and otha central navous system effects. A critically low value likely needs to be treated. At least 30 mL/hr of urine output indicates adequate kidney function. The hematocrit level is normal. Weight gain is expected with SIADH because of wata retention. DIF: Cognitive Level: Apply (application) REF: 279 TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity 3. A patient with multiple draining wounds is admitted for hypovolemia. Which assessment would be the most accurate way for the nurse to evaluate fluid balance? a. Skin turgor c. Urine output b. Daily weight d. Edema presence ANS: B Daily weight is the most easily obtained and accurate means of assessing volume status. Skin turgor varies considaably with age. Considaable excess fluid volume may be present before fluid moves into the intastitial space and causes edema. Urine outputs do not take account of fluid intake or of fluid loss through insensible loss, sweating, or loss from the gastrointestinal tract or wounds. DIF: Cognitive Level: Analyze (analysis) REF: 277 TOP: Nursing Process: Evaluation MSC: NCLEX: Physiological Integrity

Discover more documents: Sign up today!

Unlock a world of knowledge! Explore tailored content for a richer learning experience. Here's what you'll get:

Access to all documents
Unlimited textbook solutions
24/7 expert homework help

Related Documents

Untitled document.edited - 2023-11-28T071513.927.docx

Order ID 403679157.edited.docx

Topic 8 Responses.docx

nclex-63.pdf

Addressing the Opioid Crisis in Louisiana: Urgent Action Needed

Untitled document.edited (50).docx

TAREA 1.2.docx

Backup of Assessment Tools assignment.wbk

Screenshot 2024-01-01 at 11.43.42 AM.png

Untitled document.edited (2).docx

Safety Quality Issue in a Health Care Setting.edited.docx

Revised file on diabetic in elderly living in nursing home lack of change in life style and diet (3

Recommended textbooks for you

Human Physiology: From Cells to Systems (MindTap ...

Biology

ISBN:9781285866932

Author:Lauralee Sherwood

Publisher:Cengage Learning

Comprehensive Medical Assisting: Administrative a...

Nursing

ISBN:9781305964792

Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa

Publisher:Cengage Learning

3-2-1 Code It

Biology

ISBN:9781337660549

Author:GREEN

Publisher:Cengage

Biomedical Instrumentation Systems

Chemistry

ISBN:9781133478294

Author:Chatterjee

Publisher:Cengage

Curren'S Math For Meds: Dosages & Sol

Nursing

ISBN:9781305143531

Author:CURREN

Publisher:Cengage

Essentials of Pharmacology for Health Professions

Nursing

ISBN:9781305441620

Author:WOODROW

Publisher:Cengage

SEE MORE TEXTBOOKS

Recommended textbooks for you

Human Physiology: From Cells to Systems (MindTap ...
Biology
ISBN:9781285866932
Author:Lauralee Sherwood
Publisher:Cengage Learning
Comprehensive Medical Assisting: Administrative a...
Nursing
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Cengage Learning
3-2-1 Code It
Biology
ISBN:9781337660549
Author:GREEN
Publisher:Cengage
Biomedical Instrumentation Systems
Chemistry
ISBN:9781133478294
Author:Chatterjee
Publisher:Cengage
Curren'S Math For Meds: Dosages & Sol
Nursing
ISBN:9781305143531
Author:CURREN
Publisher:Cengage
Essentials of Pharmacology for Health Professions
Nursing
ISBN:9781305441620
Author:WOODROW
Publisher:Cengage