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Questions 227

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Extract:

On the patient with pancreatitis


Question 1 of 5

On the patient with pancreatitis, which of the following is decreased in level?

Correct Answer: A

Rationale: Urine amylase is not typically decreased in pancreatitis; however, among the options, it's the most relevant as serum amylase is elevated, not urine.

Extract:


Question 2 of 5

The nurse is caring for a client who had a total hip replacement 4 days ago. Which assessment requires the nurse's immediate attention?

Correct Answer: B

Rationale: I just can't 'catch my breath' over the past few minutes and I think I am in grave danger.' Sudden onset of shortness of breath in a post-operative client, especially after a total hip replacement, may indicate a pulmonary embolism or other serious respiratory complication, requiring immediate assessment and intervention.

Extract:

Ms. Wilson has undergone total thyroidectomy.


Question 3 of 5

Following surgery, the patient should be observed for signs and symptoms of thyroid storm. Which of the following is consistent with thyroid storm?

Correct Answer: A

Rationale: Tachycardia, such as a heart rate of 180 bpm, is one of the manifestations of thyroid storm, a life-threatening condition.

Extract:


Question 4 of 5

An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?

Correct Answer: B

Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.

Question 5 of 5

The nurse is supervising an unlicensed person who is giving oral care to an unconscious client. Which observation indicates that the unlicensed person needs further instruction?

Correct Answer: B

Rationale: An upright position risks aspiration in an unconscious client; lateral positioning with head turned prevents this, indicating a need for instruction.

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