Medical-surgical Nursing Demystified

(Sean Pound) #1

(^448) Medical-Surgical Nursing Demystified


Quiz



  1. Bernadette’s morning lab results have just come in. Her serum potassium
    level is currently 5.4 mEq/L. You recognize this as:
    (a) hypokalemia.
    (b) hyperkalemia.
    (c) hypocalcemia.
    (d) hypercalcemia.

  2. Rob has a history of using ectasy. He is exhibiting symptoms of hypoten-
    sion, nausea, diarrhea, personality change, diminished level of conscious-
    ness, and decreased deep tendon reflexes. Lab results confirm your suspicion
    of hyponatremia. Treatment would include:
    (a) water restriction.
    (b) 0.33 percent sodium chloride intravenously.
    (c) use of salt substitute.
    (d) calcium carbonate orally.

  3. Derek has recently converted his outdoor garage to a gym. He has been
    exercising frequently in his new gym due to the convenience, even in the
    extreme heat. He has started taking salt tablets. You think his current symp-
    toms may be due to hypernatremia. You recognize these as:
    (a) cardiac arrhythmias, palpitations, and sinus arrest.
    (b) weakness, dizziness, abdominal distention, nausea, vomiting, and
    diarrhea.
    (c) weight gain, irritability, muscle twitching, and decreased myocardial
    contractility.
    (d) muscle cramps, malaise, constipation, rhabdomyolysis, and pupilary
    constriction.

  4. Rocco was admitted to the hospital with a diagnosis of hypomagnesemia.
    He is complaining of painful paresthesia. Which of the following do you
    recognize as part of his treatment plan?
    (a) Dialysis and removal of legumes and whole grains from the diet.
    (b) Monitoring cardiac rhythm and checking deep tendon reflexes.
    (c) Monitoring urinary output and auscultating bowel sounds.
    (d) Palpating peripheral pulses and checking pupil reactions.

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