Exam 2: NUR201 NUR 201 Latest Update Medical-

Exam 2: NUR201 / NUR 201 (Latest

2024 / 2025 Update) Medical- Surgical Nursing I | Questions and Verified Answers 100% Correct | Grade A - Fortis

Question:

A patient who is taking a potassium-wasting diuretic for treatment of hypertension complains of generalized weakness. It is most appropriate for the nurse to take which action?

• Assess for facial muscle spasms.
• Ask the patient about loose stools.
• Suggest that the patient avoid orange juice with meals.
• Ask the health care provider to order a basic metabolic panel.

Answer:

:answer d

Generalized weakness is a manifestation of hypokalemia. After the health care provider orders the metabolic panel, the nurse should check the potassium level. Facial muscle spasms might occur with hypocalcemia.Orange juice is high in potassium and would be advisable to drink if the patient was hypokalemic. Loose stools are associated with hyperkalemia.

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Question:

A patient who has been receiving diuretic therapy is admitted to the emergency department with a serum potassium level of 3.0 mEq/L. The nurse should alert the health care provider immediately that the patient is on which medication?

• Oral digoxin (Lanoxin) 0.25 mg daily
• Ibuprofen (Motrin) 400 mg every 6 hours
• Metoprolol (Lopressor) 12.5 mg orally daily
• Lantus insulin 24 U subcutaneously every evening

Answer:

Hypokalemia increases the risk for digoxin toxicity, which can cause serious dysrhythmias. The nurse will also need to do more assessment regarding the other medications, but they are not of as much concern with the potassium level.

Question:

After receiving change-of-shift report, which patient should the nurse assess first?

• Patient with serum potassium level of 5.0 mEq/L who is complaining of

abdominal cramping

• Patient with serum sodium level of 145 mEq/L who has a dry mouth and is

asking for a glass of water

• Patient with serum magnesium level of 1.1 mEq/L who has tremors and

hyperactive deep tendon reflexes 2 / 3

• Patient with serum phosphorus level of 4.5 mg/dL who has multiple soft

tissue calcium-phosphate precipitates

Answer:

ANS: C

The low magnesium level and neuromuscular irritability suggest that the patient may be at risk for seizures. The other patients have mild electrolyte disturbances and/or symptoms that require action, but they are not at risk for life-threatening complications.

Question:

A nurse in the outpatient clinic is caring for a patient who has a magnesium level of 1.3 mg/dL. Which assessment would be most important for the nurse to make?

• Daily alcohol intake
• Intake of dietary protein
• Multivitamin/mineral use
• Use of over-the-counter (OTC) laxatives

Answer:

ANS: A

Hypomagnesemia is associated with alcoholism. Protein intake would not have a significant effect on magnesium level. OTC laxatives (such as milk of magnesia) and use of multivitamin/mineral supplements would tend to increase magnesium levels.

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