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Med Surg 2 - Exam 2 NCLEX Practice Questions & Answers, A+ Guide

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Med Surg 2 - Exam 2 NCLEX Practice Questions & Answers, A+ Guide-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 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. 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

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