Med Surge Final Exam (2026/2027) (Verified Answers) (58pages)

1…. A nurse is reviewing the laboratory data of a client who has acute pancreatitis.

The nurse should expect to find an elevation of which of following values?

Amylase

Rational

Amylase is an enzyme that changes complex sugars into simple sugars that can be

used by the body. It is produced by the pancreas and salivary glands and released

into the mouth, stomach, and intestines to aid in digestion. The amylase level of a

client who has acute pancreatitis usually increases within 12 to 24 hr and can

remain elevated for 2 to 3 days.

2…. A nurse in a clinic is interviewing a client who has a possible diagnosis of

endometriosis. Which of the following findings in the client's history should the

nurse recognize as consistent with a diagnosis of endometriosis?

Dysmenorrhea that is unresponsive to NSAIDs.

Rational

Endometriosis is a condition in which the type of tissue that lines the uterus

implants in locations outside the uterus. This typically causes pelvic pain around

the time of the menstrual period but can cause pain at other times in the cycle.

The discomfort is often unrelieved by the use of NSAIDs.

3…. A rehabilitation nurse is caring for a client who has had a spinal cord injury

that resulted in paraplegia. After a week on the unit, the nurse notes that the

client is withdrawn and increasingly resistant to rehabilitative efforts by the staff.

Which of the following actions should the nurse take?

Establish a plan of care with the client that sets attainable goals.

Rational

The nurse should develop a plan of care for this client with mutually set goals. This

action invests the client in the rehabilitation process, which encourages feelings of

ownership for it, and sees the goals as more attainable