HESI NURSING MED-SURGE EXIT
EXAM LATEST UPDATE 2023TESTBANK WITH VERIFIED QUESTIONS &
ANSWERS REAL EXAM (RATED A+)
Following discharge teaching, a
... [Show More] male client
with duodenal ulcer tells the nurse the he will
drink plenty of dairy products, such as milk,
to help coat and protect his ulcer. What is
the best follow-up action by the nurse?
(ANS- Review with the client the need to avoid foods that are rich in
milk andcream
A male client with hypertension, who received new antihypertensive
prescriptionsat his last visit returns to the clinic two weeks later to
evaluate his blood pressure (BP). His BP is 158/106 and he admits
that he has not been taking the prescribed medication because the
drugs make him "feel bad". In explaining the need for hypertension
control, the nurse should stress that an elevated BP places the client
at risk for which pathophysiological condition?
(ANS- Stroke secondary to hemorrhage
The nurse observes an unlicensed assistive personnel (UAP)
positioning a newly admitted client who has a seizure disorder. The
client is supine and the UAP is placing soft pillows along the side
rails. What action should the nurse implement? (ANS- Instruct the
UAP to obtain soft blankets to secure to the side rails instead of
pillows.
An adolescent with major depressive disorder has been taking
duloxetine (Cymbalta) for the past 12 days. Which assessment
finding requires immediatefollow-up?
(ANS- Describes life without purpose
A 60-year-old female client with a positive family history of ovarian
cancer has developed an abdominal mass and is being evaluated for
possible ovarian cancer.Her Papanicolau (Pap) smear results are
negative. What information should the nurse include in the client's
teaching plan?
(ANS- Further evaluation involving surgery may be needed
A client who recently underwear a tracheostomy is being prepared
for discharge tohome. Which instructions is most important for the
nurse to include in the discharge plan?
(ANS- Teach tracheal suctioning techniques
In assessing an adult client with a partial rebreather mask, the nurse
notes that the oxygen reservoir bag does not deflate completely
during inspiration and the client'srespiratory rate is 14 breaths /
minute. What action should the nurse implement? (ANS- Document
the assessment data
Rationale: reservoir bag should not deflate completely during
inspiration and theclient's respiratory rate is within normal limits.
During shift report, the central electrocardiogram (EKG) monitoring
systemalarms. Which client alarm should the nurse investigate firs?
(ANS- Respiratory apnea of 30 seconds
During a home visit, the nurse observed an elderly client with
diabetes slip andfall. What action should the nurse take first?
(ANS- Check the client for lacerations or fractures
At 0600 while admitting a woman for a schedule repeat cesarean
section (C- Section), the client tells the nurse that she drank a cup a
coffee at 0400 because shewanted to avoid getting a headache.
Which action should the nurse take first? (ANS- Inform the
anesthesia care provider
After placing a stethoscope as seen in the picture, the nurse
auscultates S1 and S2 heart sounds. To determine if an S3 heart
sound is present, what action should thenurse take first?
(ANS- Listen with the bell at the same location [Show Less]