Questions 48

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ATI Med Surg Monroe College Questions

Extract:


Question 1 of 5

A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which electrolyte imbalance?

Correct Answer: D

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, leading to ECG changes and muscle weakness.

Question 2 of 5

A nurse is reviewing the laboratory results of a client who has fluid volume deficit. The nurse would expect which of the following findings?

Correct Answer: C

Rationale: A high urine specific gravity (1.035) indicates concentrated urine, a common finding in fluid volume deficit due to decreased urine output.

Question 3 of 5

A postoperative patient is diagnosed with fluid volume overload. What should the nurse expect to assess in this patient?

Correct Answer: B

Rationale: Fluid volume overload causes increased central venous pressure, leading to distended neck veins.

Question 4 of 5

A nurse is caring for a client who has metabolic alkalosis. For which of the following clinical manifestations should the nurse monitor? (Select all that apply.)

Correct Answer: A,B,D

Rationale: Metabolic alkalosis causes bicarbonate excess, lethargy, and circumoral paresthesia due to hypocalcemia.

Question 5 of 5

A patient prescribed spironolactone is demonstrating ECG changes and complaining of muscle weakness. The nurse realizes this patient is exhibiting signs of which electrolyte imbalance?

Correct Answer: D

Rationale: Spironolactone, a potassium-sparing diuretic, can cause hyperkalemia, leading to ECG changes and muscle weakness.

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