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Questions 227

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Extract:

The physician orders high protein, high calorie and high salt diet on Valerie.


Question 1 of 5

When ask by the patient, the nurse would explain that

Correct Answer: D

Rationale: Lack of mineralcorticoids (aldosterone) leads to a loss of sodium ions in the urine and subsequent hyponatremia, necessitating a high salt diet.

Extract:


Question 2 of 5

Following a small-bowel resection, a client develops fever and anemia. The surface surrounding the surgical wound is warm to the touch and necrotizing fasciitis is suspected. Another manifestation that would most suggest necrotizing fasciitis is:

Correct Answer: C

Rationale: Severe pressurelike pain out of proportion to visible signs distinguishes necrotizing fasciitis from cellulitis. Erythema, leukocytosis, and swelling are present in both cellulitis and necrotizing fasciitis.

Question 3 of 5

For which of the following conditions might blood be drawn for uric acid level?

Correct Answer: B

Rationale: Gout is characterized by elevated uric acid levels, which are measured to confirm diagnosis and monitor treatment. The other conditions do not typically involve uric acid testing. Reduction of Risk Potential

Extract:

A patient has been receiving a cardiac glycoside, a diuretic, and a vasodilator and is on bedrest. The patient's apical pulse rate is 44.


Question 4 of 5

The nurse concludes that this pulse rate is most likely a result of the:

Correct Answer: D

Rationale: Cardiac glycosides like digoxin can cause bradycardia, especially at a pulse of 44.

Extract:

Additional assessment on Antoinette include


Question 5 of 5

dehydration and menorrhagia.

Correct Answer: B

Rationale: Cushing's syndrome results from excess adrenocortical activity. Signs include slow wound healing, buffalo hump, hirsutism, weight gain, hypertension, acne, moon face, thin arms and legs, and behavioral changes.

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