MED-SURG HESI Practice Exam ; Questions & Answers; Guaranteed A+ Guide;Latest Updated

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When providing care for a client following a bronchoscopy, which assessment finding should the nurse immediately report to the HCP? a) slight blood-tinged sputum b) dyspnea and dysphagia c) sore th... roat and hoarseness d) no gag reflex after thirty minutes (Ans- b) dyspnea and dysphagia To reduce the risk for pulmonary complication for a client with amyotrophic lateral sclerosis (ALS), what interventions should the nurse implement? a. initiate passive range of motion b. establish a regular routine c. teach the client breathing exercises d. perform chest physiotherapy e. encourage use of incentive spirometer (Ans- C, E A male client who reports feeling chronically fatigued has a Hgb of 11.0 grams/dl, hematocrit of 34%, and microcytic and hypochromic red blood cells. Based on these findings, which dinner selection should the nurse suggest to the client? a) cheese pasta and a lettuce and tomato salad b) beef steak with steamed broccoli and orange slices c) broiled white fish with a baked sweet potato d) grilled shrimp and seasoned rice with asparagus salad (Ans- b) beef steak with steamed broccoli and orange slices Two days following abdominal surgery a client c/o of cramping abdominal pain, and the nurse's inspection of the abdomen indicates slight distention. Which action should the nurse implement first? a) encourage pt to ambulate b) offer ice chips or warm liquids c) auscultate abdomen d) assess temperature (Ans- c) Auscultate the client's abdomen A client with a liver abscess undergoes surgical evacuation and drainage of the abscess. Which lab value is most important for the nurse to monitor following the procedure? a. Serum creatinine b. Blood urea nitrogen (BUN) c. White blood cell count d. Serum glucose (Ans- c. White blood cell count A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is experiencing worsens at night. What client teaching should the nurse provide? a. Elevate the hands on two pillows at night b. Notify the healthcare provider as soon as possible c. Wear braces as both wriSts during the night d. Apply cold compresses for 30 min before bedtime (Ans- c. Wear braces as both wriSts during the night A client returns to the unit following a suprapubic prostatectomy. He has a three-way catheter in place with a continuous bladder irrigation infusing. Which assessment finding warrants immediate intervention by the nurse a. True urinary output of 50ml/hr b. Lower abdominal tenderness c. Blood urine output with clots d. Urine leaking around the meatus (Ans- d. Urine leaking around the meatus An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should the nurse monitor? a. Serum electrolytes b. Neutrophils and eosinophils c. Serum iron and ferritin d. Platelet count and hematocrit (Ans- c. Serum iron and ferritin A client uses triamcinolone (Kenalog), a corticosteroid ointment, to manage pruritus caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. Which action should the nurse implement? a. Schedule an appointment or the client to see the healthcare provider b. Advise the client to apply plastic wrap over the ointment to promote healing c. Instruct the client to continue the ointment until all erythema is relieved d. Explain the client need to complete all prescribed dose of the medication (Ans- a. Schedule an appointment or the client to see the healthcare provider During preoperative teaching for a male client schedule for repair of an inguinal hernia, the client tells the nurse that he has had several surgeries and understand the need to perform coughing and deep breathing exercise after surgery. How should the nurse respond? a. Ask for a demonstration of these exercises b. Explain that coughing should be avoided c. Review the client previous surgical history d. Document the clients understanding of teaching (Ans- a. Ask for a demonstration of these exercises A client with ulcerative colitis is admitted to the medical unit during an acute exacerbation. The nurse should instruct the unlicensed assistive personnel (UAP) to report which finding related to the client's bowel movements? a. Hard pellets of stool b. Clay-colored stool c. Stool with fatty streaks d. Blood in the stool (Ans- c. Stool with fatty streaks The nurse is evaluating a male client understanding of diet teaching about the DASH (Dietary Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan? a. Uses only lactose-free dairy products. b. Enjoys fat free yogurt as an occasional snack food c. No longer includes grains in [Show More]

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