Questions 65

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ATI Nur201 FA2 Med Surg 2 Exam Questions

Extract:


Question 1 of 5

In reviewing a 50-year-old client's medical record, which clinical manifestation should the nurse plan to assess for?

Correct Answer: C

Rationale: Severe eye pain is a significant manifestation of increased intraocular pressure, such as in acute angle-closure glaucoma, requiring immediate assessment.

Question 2 of 5

A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (GBS). Which of the following questions should the nurse ask the client?

Correct Answer: B

Rationale: Guillain-Barr syndrome often follows a recent infection, such as a respiratory or gastrointestinal infection. The immune response to the infection can trigger an autoimmune reaction that damages the peripheral nerves, leading to the symptoms of GBS. Asking about recent infections helps establish a potential cause.

Question 3 of 5

A client with myxedema reports experiencing fatigue, cold intolerance, and swelling around the eyes and face. The nurse plans care, understanding that these clinical manifestations are caused by a lack of or diminished production of which hormones? (Select all that apply)

Correct Answer: C,D

Rationale: Myxedema results from a deficiency in thyroid hormones (T4 and T3), causing symptoms like fatigue, cold intolerance, and swelling.

Question 4 of 5

A client seen in the clinic with shortness of breath and fatigue is being evaluated for a possible diagnosis of heart failure. Which laboratory result will be the most useful to monitor?

Correct Answer: A

Rationale: Brain natriuretic peptide (BNP) levels are elevated in heart failure, helping to assess the severity and treatment effectiveness.

Question 5 of 5

The nurse is caring for a client scheduled for a bilateral adrenalectomy for treatment of an adrenal tumor. What information should the nurse give the client about the post-surgical needs?

Correct Answer: D

Rationale: After a bilateral adrenalectomy, the client will need daily hormone replacement medications for life, as the adrenal glands produce essential hormones like cortisol and aldosterone.

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