Questions 49

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ATI nur 242 Med Surg Exam Questions

Extract:


Question 1 of 5

A patient has been admitted with tumor lysis syndrome (TLS). Which intervention would be incorporated into the plan of care to prevent the metabolic imbalances associated with this disorder?

Correct Answer: A

Rationale: Restricting potassium foods prevents hyperkalemia in TLS. Sodium polystyrene sulfonate treats hyperkalemia, not hypokalemia. Urine pH should be above 7.0 to prevent uric acid crystallization. Hydration, not fluid restriction , is needed.

Question 2 of 5

Which of the following findings indicate that the client may be experiencing transplant rejection?

Correct Answer: B

Rationale: Elevated creatinine suggests kidney transplant rejection. Normal sodium , blood pressure , and no edema do not indicate rejection.

Question 3 of 5

A nurse is preparing a client for a radiation treatment who is postoperative following a mastectomy. The nurse should inform the client to expect which of the following adverse effects from the radiation treatment?

Correct Answer: D

Rationale: Fatigue is a common radiation effect. Diarrhea is less likely with breast radiation. Anorexia is less common. Alopecia is more associated with chemotherapy.

Question 4 of 5

A nurse is reviewing a client's CBC findings and discovers that the client's platelet count is 9,000/mm³. The nurse should monitor the client for which of the following conditions?

Correct Answer: B

Rationale: A platelet count of 9,000/mm³ increases spontaneous bleeding risk due to impaired clotting. Reflexes , oliguria , and infection are not directly related.

Question 5 of 5

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Hyperpigmentation is common in Addison's due to ACTH increase. Striations and hirsutism relate to Cushing's. Tremors are neurological.

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