Med Surg Hesi

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Med Surg Hesi-The nurse is completing an admission interview for a client with Parkinson disease. Which question will provide additional information about manifestations the client is likely to experi... ence? - "Have you ever been 'frozen' in one spot, unable to move? A female client who received a nephrotoxic drug is admitted with acute renal failure and asks the nurse if she will need dialysis for the rest of her life. The nurse should explain which pathophysiologic consequence that supports the need for temporary dialysis until acute tubular necrosis subsides? - Oliguria In assessing a client for complications of total parenteral nutrition, it is most important for the nurse to monitor which lab value regularly? - Glucose An 81-year-old male client has emphysema. He lives at home with his cat and manages self-care with no difficulty. When making a home visit, the nurse notices that this client's tongue is somewhat cracked and his eyeballs appear sunken into his head. What nursing intervention is indicated? - Help the client to determine ways to increase his fluid intake. In caring for a client with acute diverticulitis, which assessment data warrant immediate nursing intervention? The client - has a rigid hard abdomen and elevated white blood cell count (WBC). A family member was taught to suction a client's tracheostomy prior to the client's discharge from the hospital. Which observation by the nurse indicates that the family member is capable of correctly performing the suctioning technique? - Inserts the catheter until resistance or coughing occurs After attending a class on reducing cancer risk factors, a client selects bran flakes with 2% milk and orange slices from a breakfast menu. In evaluating the client's learning, the nurse affirms that the client has made good choices, and makes what additional recommendation? - Switch to skim milk. An older female client with dementia is transferred from a long-term care unit to an acute care unit. The client's children express concern that their mother's confusion is worsening. How should the nurse respond? - "Confusion in an older person often follows relocation to new surroundings." The nurse observes ventricular fibrillation on telemetry and upon entering the client's bathroom finds the client unconscious on the floor. What intervention should the nurse implement first? - Start cardiopulmonary resuscitation The nurse plans to help an 18-year-old developmentally disabled female client ambulate on the first postoperative day. When the nurse tells her it is time to get out of bed, the client becomes angry and yells at the nurse, "Get out of here! I'll get up when I'm ready." Which response should the nurse provide? - "I'll be back in 30 minutes to help you get out of bed and walk around the room." During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV infusion containing insulin. Which assessment should the nurse complete first? - Monitor the client's serum potassium and blood glucose. Twelve hours after chest tube insertion for hemothorax, the nurse notes that the client's drainage has decreased from 50 ml/hr to 5 ml/hr. What is the best initial action for the nurse to take? - Assess for kinks or dependent loops in the tubing. A 55-year-old male client has been admitted to the hospital with a medical diagnosis of chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant in the development of this client's COPD? - The client smokes 1 to 2 packs of cigarettes per day. A client with alcohol-related liver disease is admitted to the unit. Which prescription should the nurse question as possibly inappropriate for this client? - Pentobarbital (Nembutal sodium) 50 mg at bedtime for rest Which instruction should the nurse teach a female client about the prevention of toxic shock syndrome? - "Change your tampon frequently." Which assessment finding in a client with an acute small bowel obstruction requires the most immediate intervention by the nurse? - Fever of 102° F The nurse is administering a nystatin suspension (Mycostatin) for stomatitis. Which instruction will the nurse provide to the client when administering this medication? - Hold the medication in the mouth for a few minutes before swallowing it. The nurse initiates neuro checks for a client who is at risk for neurologic compromise. Which manifestation typically provides the first indication of altered neuro function? - Change in level of consciousness Client census is often used to determine staffing needs. Which method of obtaining census determination for a particular unit provides the best formula for determining long-range staffing patterns? - Average daily census The nurse is providing care for a client who has had a cervical cord injury. Following reduction of the cervical fracture, a halo vest is placed to maintain realignment of the spinal canal. What intervention is needed to ensure client safety while the halo vest is in place? - Ensure that a set of wrenches are kept in close proximity A client in the emergency department is bleeding profusely from a gunshot wound to the abdomen. In what position should the nurse immediately place the client to promote maintenance of the client's blood pressure above a systolic pressure of 90 mm Hg? - Maintain the client in a supine position to reduce diaphragmatic pressure and visualize the wound [Show More]

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