Nurs 6560 final exam june

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NURS 6560 FINAL EXAM (JUNE 2020)Questions and Correct Answers1. Q ANSWER:The AGACNP is reviewing a chart of a head-injured patient. Which of the following would alert the AGACNP forthe possibility that the patient is over hydrated, thereby increasing the risk for increased intracranial pressure?A. BUN = 10B. Shift output = 800 ml, shift input = 825ml Unchanged weightC. Serum osmolality = 2602. Q ANSWER:A patient who has been in the intensive care unit for 17 days develops hyponatremic hyperosmolality. Thepatient weighs 132 lb (59.9 kg), is intubated, and is receiving mechanical ventilation. The serum osmolality is320 mOsm/L kg H2O. Clinical signs include tachycardia and hypotension. The adult-gerontology acute carenurse practitioner’s initial treatment is to:A. reduce serum osmolality by infusing a 5% dextrose in 0.2% sodium chloridesolutionB. reduce serum sodium concentration by infusing a 0.45% sodium chloridesolutionC. replenish volume by infusing a 0.9% sodium chloride solutionD. replenish volume by infusing a 5% dextrose in water solution.3. Q ANSWER:A 16-year-old male presents with fever and right lower quadrant discomfort. He complains of nausea and hashad one episode of vomiting, but he denies any diarrhea. His vital signs are as follows: temperature 101.9°F,pulse 100 bpm, respirations 16 breaths per minute, and blood pressure 110/70 mm Hg. A complete bloodcount reveals a WBC count of 19,100 cells/µL. The AGACNP expects that physical examinat … Purchase document to see full attachment

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