Questions 48

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ATI Med Surg Monroe College Questions

Extract:


Question 1 of 5

An older patient comes into the clinic complaining of watery diarrhea for several days with abdominal and muscle cramping. The nurse realizes that this patient is demonstrating which imbalance?

Correct Answer: B

Rationale: Watery diarrhea causes sodium loss, leading to hyponatremia, which manifests as abdominal and muscle cramping.

Question 2 of 5

A nurse is caring for a patient whose sodium level is 118 mEq/L. Which nursing diagnosis is a priority for this patient?

Correct Answer: B

Rationale: Severe hyponatremia (118 mEq/L) can cause cerebral edema, leading to disturbed sensory perception, a priority diagnosis.

Question 3 of 5

A nurse is reviewing the laboratory results of a client who takes furosemide. Which of the following results should the nurse identify as the priority finding?

Correct Answer: A

Rationale: Hypokalemia (2.9 mEq/L) is a life-threatening side effect of furosemide, requiring immediate attention due to risk of arrhythmias.

Question 4 of 5

A nurse is caring for four hospitalized clients. Which of the following clients should the nurse identify as being at risk for fluid volume deficit?

Correct Answer: A

Rationale: Gastroenteritis and fever cause fluid loss through vomiting, diarrhea, and sweating, increasing the risk of fluid volume deficit.

Question 5 of 5

A nurse is reviewing the laboratory results for four clients. The nurse should recognize which of the following clients has a manifestation of hypoparathyroidism?

Correct Answer: A

Rationale: Hyperphosphatemia (5.7 mg/dL) is a manifestation of hypoparathyroidism due to low parathyroid hormone levels.

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