EAQ 10- med surg- WEEK 4
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Questions and Answers

which complication of decreased mobility in older patients affects circulation?

  • Muscle atrophy
  • Disuse osteoporosis
  • Urinary system calculi
  • Venous thromboembolism (VTE) (correct)
  • If the nurse finds that the patient's arterial blood pH is greater than 7.45, what term does the nurse use in the patient's electronic health record?

  • Acidosis
  • Alkalosis (correct)
  • Negative anion gap
  • Positive base excess
  • If the nurse finds that the patient's arterial blood pH is below 7.35, what term does the nurse document in the patient's electronic health record?

  • Alkalosis
  • Acidosis (correct)
  • Negative anion gap
  • Positive base excess
  • What assessment used by the nurse can be graded types I to IV?

    <p>hypersensitivity reactions</p> Signup and view all the answers

    What assessment used by the nurse can be measured on a scale of 0 to 5?

    <p>Range of motion</p> Signup and view all the answers

    which physiologic process causes retention of carbon dioxide?

    <p>Gas exchange</p> Signup and view all the answers

    which physiologic process causes inadequate transportation of oxygen to body cells and organs?

    <p>Gas exchange</p> Signup and view all the answers

    What body part loses elasticity as adults age, leading to a decrease in gas exchange?

    <p>Alveoli</p> Signup and view all the answers

    What is the primary collaborative intervention for patients with fluid deficits?

    <p>Fluid replacement</p> Signup and view all the answers

    Which potential physiologic consequence would the nurse associate with a patient experiencing an electolyte deficit?

    <p>Cardiac dysrhythmias</p> Signup and view all the answers

    What lifestyle intervention does the nurse suggest to the patient to stimulate peristalsis?

    <p>Exercising frequently</p> Signup and view all the answers

    when planning care for a patient receiving anticoagulant therapy because of atrial fibrillation, the nurse understands that which finding would indicate the patients blood level of the medication is too high?

    <p>Hematuria</p> Signup and view all the answers

    WHich component combines with water to produce the carbonic acid responsible for an acid-base imbalance in a patient with pneumonia and a decreased blood pH?

    <p>Carbon dioxide</p> Signup and view all the answers

    Which action is an example of secondary prevention to promote cellular regulation and prevent impaired cellular regulation?

    <p>Screening to identify early risks</p> Signup and view all the answers

    For a patient with acid-base imbalance, what method should the nurse use to determine the type of acid-base imbalance the patient is experiencing?

    <p>Arterial blood gas monitoring</p> Signup and view all the answers

    For the patient with an acid-base imbalance, which method would the nurse use to assess renal function related to the actions of excretion and reabsorption?

    <p>Measure bicarbonate level.</p> Signup and view all the answers

    The nurse would use the Confusion Assessment Method (CAM) for which assessment area when screening the patient for potential impairment?

    <p>Cognition</p> Signup and view all the answers

    Which complication can result from continued bleeding in a patient with diminished clotting ability?

    <p>Anemia</p> Signup and view all the answers

    To prevent bone loss, the nurse would teach the patient who is immobile to select foods high in which mineral?

    <p>Calcium</p> Signup and view all the answers

    Which complication of decreased mobility affects the bones of older patients?

    <p>Disuse osteoporosis</p> Signup and view all the answers

    which laboratory tests are most useful in detecting autoimmune disease? Select all that apply.

    <p>Antinuclear antibody</p> Signup and view all the answers

    Which clinical manifestation would be evident in a patient with an excessive immune response? SATA

    <p>Allergies</p> Signup and view all the answers

    To prevent hypokalemia, what foods should the nurse recommend to the patient with prolonged diarrhea? Select all that apply.

    <p>Bananas</p> Signup and view all the answers

    which type of medication would the nurse recommend to a patient experiencing constipation? SATA

    <p>Mild laxative</p> Signup and view all the answers

    When providing care for a patient with damage to cranial nerve II, the nurse would monitor for the potential development of which sensory change?

    <p>Vision</p> Signup and view all the answers

    The nurse understands that signs of decreased peripheral perfusion most often occur at which location?

    <p>Lower extremities</p> Signup and view all the answers

    Which serum laboratory test would the nurse associate as a common test to assess for generalized malnutrition?

    <p>Prealbumin</p> Signup and view all the answers

    Following surgery, a patient has limited mobility. The nurse observes the patient for localized redness, swelling, and warmth to assess for which complication?

    <p>Excessive clotting</p> Signup and view all the answers

    when a patient has urinary and bowel incontinence, the nurse monitors for the potential development of which problem?

    <p>Skin irritation or infection</p> Signup and view all the answers

    The nurse identifies a palpable, the nurse would anticipate the health care porvider prescribing which sort of test to determine the type of abnormal cell?

    <p>Tissue biopsy</p> Signup and view all the answers

    The nurse working in the neurology department sees a patient who has a meningioma. The patient asks the nurse why surgery is necessary if the mass is benign. What is the nurse's best response?

    <p>&quot;While the cells from a benign mass cannot spread to other organs, there is a risk of increased intracranial pressure, which can be very dangerous.&quot;</p> Signup and view all the answers

    Which factor would the nurse include when assessing a patient's sexuality? SATA

    <p>Sexual activity</p> Signup and view all the answers

    Which adult population would the nurse associate with a higher risk for decreased immunity? SATA

    <p>Adults with obesity</p> Signup and view all the answers

    What psychosocial complications does the nurse monitor for in a patient who is confined to bed? Select all that apply.

    <p>Sensory deprivation</p> Signup and view all the answers

    The nurse should educate patients at risk for clotting to use what measures to decrease the risk of complications? Select all that apply.

    <p>Avoid smoking.</p> Signup and view all the answers

    When caring for a patient receiving chemotherapeutic medications, which condition would the nurse associate with excessive bruising notes on the patients arm that was not the result of an injury?

    <p>Diminished clotting</p> Signup and view all the answers

    When an older adult patient is taking an opioid medication for pain and experiencing limited mobility, the patient would be at the highest risk for which change in normal elimination?

    <p>Constipation</p> Signup and view all the answers

    The nurse enters the room of an older patient and finds the patient in bed completing crossword puzzles. What is the nurse's most appropriate response?

    <p>&quot;It's great that you enjoy crossword puzzles. They can help maintain brain functions like memory.&quot;</p> Signup and view all the answers

    What exercise should the nurse teach the patient to prevent venous thromboembolism (VTE)?

    <p>Heel pumps</p> Signup and view all the answers

    Which body part would the nurse monitor for development of decreased gas exchange secondary to damage to the cervical spinal cord?

    <p>Diaphragm</p> Signup and view all the answers

    Which physiological consequences would the nurse associate with a patient experiencing fluid deficit? Select all that apply.

    <p>Fever</p> Signup and view all the answers

    What lifestyle interventions does the nurse teach the patient in order to decrease the risk? Select all that apply.

    <p>Quit smoking</p> Signup and view all the answers

    For the patient healing from extensive wounds, which nutrients would the dietician and nurse emphasize in the patient's diet?

    <p>Protein</p> Signup and view all the answers

    Which potentially life-threatening condition would the nurse suspect in a patient with prolonged diarrhea, chest palpitations, shortness of breath, and fatigue?

    <p>Cardiac dysrhythmia</p> Signup and view all the answers

    When a patient presents with cool, pale legs and deceased peripheral hair distribution, which priority assessment would the nurse implement?

    <p>Distal peripheral pulses</p> Signup and view all the answers

    A patient with edema reports following a strict vegetarian diet. Which factor would the nurse associate with the cause of the patient's edema?

    <p>Low serum protein</p> Signup and view all the answers

    Which patient has the highest risk for decreased perfusion?

    <p>older adult with obesity and diabetes mellitus</p> Signup and view all the answers

    Which condition would the nurse identify as a common risk factor for developing an acid-base imbalance and initiate close monitoring of the patient's arterial blood pH? SATA

    <p>Diarrhea</p> Signup and view all the answers

    Which factor may increase a patients risk for decreased nutrition?

    <p>Thyroid disorder</p> Signup and view all the answers

    The nurse is treating a patient who has had prolonged diarrhea. What secondary concern is a priority for the nurse to monitor?

    <p>Fluid and electrolyte imbalances</p> Signup and view all the answers

    Which clinical manifestation would the nurse anticipate identifying in a patient with end-stage chronic kidney disease?

    <p>Oliguria</p> Signup and view all the answers

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