Med sur MCA 3 Exam 3
Exam is designed to assess a registered nurse’s knowledge and clinical judgment in managing adult patients with a variety of acute and chronic medical-surgical conditions.
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Q1: A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which initial laboratory result would the nurse expect?
Q2: RM, a 38-year-old woman who is attending graduate school and is very sedentary, comes to a community outpatient clinic. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather. The physician orders lab work. The lab results are as follows: WBC - WNL HGB - WNL Glucose - WNL Amylase - WNL Cholesterol - WNL T4 (thyroxine) -↓ T3 (triiodothyronine) -↓Thyroid-stimulating hormone (TSH) -↑ The physician diagnoses RM with an endocrine disorder. The assessment findings and lab work are consistent with which endocrine problem?
Q3: Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency (Addison's Disease)?
Q4: Which assessment findings are consistent with cirrhosis? Select all that apply
Q5: A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism, confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin) on the same day. The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?
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