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NEW QUESTION 38
Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?
- A. Urine output 22 mL/hr for 2 hours
- B. Serum potassium level of 3.7
- C. Small T wave of ECG
- D. Serum glucose level of 180
Answer: A
Explanation:
(A) Adequate renal flow of 30 mL/hr is a necessity with potassium infusions because potassium is excreted renally. (B) Because potassium level will decrease during correction of diabetic ketoacidosis, potassium will be infused even if plasma levels of potassium are normal. (C) A small T wave is normal and desired on the electrocardiogram. A tall, peaked T-wave could indicate overinfusion of potassium and hyperkalemia. (D) Glucose levels of <200 are desirable.
NEW QUESTION 39
A 49-year-old obese woman has been admitted to the general surgery unit with choledocholithiasis. As the nurse is admitting her to the unit, she states, “The doctor said I have stones that need to be removed; where are they?” The nurse knows that the best explanation for this is to tell her that:
- A. There are stones present in her common bile duct
- B. There are no stones, but her gallbladder is irritated and caused her nausea, vomiting, and pain
- C. There are stones present in her kidneys
- D. There are stones present in her gallbladder
Answer: A
Explanation:
Explanation
(A)Cholelithiasisis the correct term used to describe the presence of stones in the gallbladder.
(B)Nephrolithiasis,orrenal calculi,is the correct term used to describe the presence of stones in the kidney.
(C)Choledocholithiasisis the correct term used to describe the presence of stones in the common bile duct.
(D)Cholecystitisis the correct term used to describe inflammation of the gallbladder and can be associated with cystic duct obstructions from impacted stones.
NEW QUESTION 40
Following a vaginal delivery, the postpartum nurse should observe for:
- A. Hemorrhage and infection
- B. Fatigue, hemorrhoids
- C. Chadwick’s sign
- D. Dystocia, kraurosis
Answer: A
Explanation:
Section: Questions Set C
Explanation:
(A) Dystocia is difficult labor. The delivery has occurred. Kraurosis is atrophy and dryness of skin and any mucous membrane (vulva). (B) Chadwick’s sign is a bluish color of vaginal mucosa suggestive of pregnancy.
(C) Fatigue is a common symptom in the postpartal period. Hemorrhoids may occur with pregnancy. (D) Hemorrhage and infection are potential complications of vaginal delivery. Hemorrhage may result from retained placental fragments or soft uterus. Infection may occur from the introduction of organisms into the uterus during the delivery.
NEW QUESTION 41
Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
- A. Reinforce attempts to eat
- B. Increase his appetite
- C. Help the child gain weight
- D. Make mealtimes pleasant
Answer: A
Explanation:
Explanation
(A) Ignoring refusals to eat and rewarding eating attempts are the most successful means of increasing intake.
(B) This goal is not specific enough or related to the loss of appetite. (C) This goal is not possible at this time based on his illness. (D) This goal is helpful, but alone will not address his loss of appetite.
NEW QUESTION 42
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