Medical Studies > QUESTIONS & ANSWERS > Med surg Comprehensive Adaptive Exam 1, Questions and Answers with Explanations, 100% Correct, Downl (All)

Med surg Comprehensive Adaptive Exam 1, Questions and Answers with Explanations, 100% Correct, Download to Score A

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Question 1 See full question The health care provider (HCP) orders an amniocentesis for a primigravid client at 37 weeks' gestation to determine fetal lung maturity. Which is an indicator of fetal l... ung maturity? You Selected:  lecithin-sphingomyelin (L/S ratio) Correct response:  lecithin-sphingomyelin (L/S ratio) Explanation: To determine fetal lung maturity, the sample of amniotic fluid will be tested for the L/S ratio. When fetal lungs are mature, the ratio should be 2:1. Bilirubin indicates hemolysis and, if present in the fluid, suggests Rh disease. Red blood cells should not appear in the amniotic fluid because their presence suggests fetal bleeding. Barr body determination is a chromosome analysis of the sex chromosomes that is sometimes used when a child is born with ambiguous genitalia. Remediation: Question 2 See full question A client with stress incontinence asks the nurse what kind of diet she should follow at home. The nurse should recommend that the client: You Selected:  avoid alcohol and caffeine. Correct response:  avoid alcohol and caffeine. Explanation: Clients with stress incontinence should be encouraged to avoid alcohol and caffeine products because both are bladder stimulants. The client should not decrease fluid intake. Increasing the intake of fruit juice may be desirable but will not affect the episodes of incontinence. There is no need to avoid milk products. Remediation: Question 3 See full question A child requires IV fluids to infuse at 27 ml/hr. The tubing delivers 60 gtts/ml. How many gtts/min should the nurse count to ensure that the fluid is safely infusing? You Selected:  27 gtts/min Correct response:  27 gtts/min Explanation: The nurse should count 27 gtts/min. 27 ml/h x 60 gtts/ml ÷ 60 min/h = 27 gtts/min Remediation: Question 4 See full question A client is receiving furosemide for therapeutic diuresis. When administering furosemide, which level will require monitoring, and possible replacement, due to this diuresis? You Selected:  Potassium Correct response:  Potassium Explanation: Supplemental potassium may be administered with furosemide due to potassium loss that often occurs as a result of this diuretic. Neither chloride, magnesium nor sodium are lost during diuresis. Remediation: [Show More]

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