KAPLAN MED SURGE EXAM 2 LATEST 2024 WITH 170 QUESTIONS AND CORRECT ANSWERS 100% CORRECT VERIFIED ANSWERS KAPLAN MED SURG LATEST EXAM

KAPLAN MED SURGE EXAM 2 LATEST 2024
WITH 170 QUESTIONS AND CORRECT
ANSWERS 100% CORRECT VERIFIED
ANSWERS KAPLAN MED SURG LATEST EXAM


A patient is receiving peripheral parenteral nutrition. The parenteral nutrition solution is completed before the new solution arrives on the unit. The nurse gives

a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution. - b. 5% dextrose solution.

Which method is best to use when confirming initial placement of a blindly inserted small-bore NG feeding tube?

a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate. - a. x-ray.



A patient with anorexia nervosa shows signs of malnutrition. During initial refeeding, the nurse carefully assesses the patient for

a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia. - d. hypophosphatemia.

A patient was admitted with a fractured hip after being found on the floor of her home. She was extremely malnourished and started on parenteral nutrition (PN) 3 days ago. Which assessment finding would be of most concern to the nurse?

Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L - Serum phosphate level of 1.9 mg/dL

A patient is admitted with anorexia nervosa and a serum potassium level of 2.4 mEq/L.
What complication is most important for the nurse to observe for in this patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia - Cardiac dysrhythmias

A patient who has sustained severe burns in a motor vehicle accident is starting parenteral nutrition (PN). Which principle should guide the nurse's administration of PN?

Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse. - Central PN requires rapid dilution in a large volume of blood.

Which focused assessments would have priority in the care of a patient recently started on parenteral nutrition (PN)?

Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness - Electrolyte levels and daily weights

The patient has parenteral nutrition (PN) infusing with amino acids and dextrose. During shift change, the nurse reports the tubing, bag, and dressing were changed 20 hours ago. What care should the incoming nurse plan to deliver (select all that apply.)?

Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and ingredients - Ensuring that the next bag has been ordered

Checking amount of solution left in the bag

Verifying the accuracy of the new solution and ingredients

A 35-year-old female patient is admitted to the emergency department with acute abdominal pain. Which medical diagnoses should you consider as possible causes of her pain (select all that apply)?

a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease - a. Gastroenteritis
b. Ectopic pregnancy
c. Gastrointestinal bleeding
d. Irritable bowel syndrome
e. Inflammatory bowel disease

Assessment findings suggestive of peritonitis include (select all that apply)

a. rebound tenderness.
b. a soft, distended abdomen.
c. dull, intermittent abdominal pain.
d. shallow respirations with bradypnea.
e. observing that the patient is lying still. - a. rebound tenderness.
e. observing that the patient is lying still.

The nurse performs a detailed assessment of the abdomen of a patient with a possible bowel obstruction, knowing that manifestations of an obstruction in the large intestine are (select all that apply)

a. persistent abdominal