Medical Surgical Hesi GRADED A EXAM
The nurse is teaching a female client who uses a contraceptive diaphragm about reducing the risk for toxic
... [Show More] shock syndrome (TSS). Which information should the nurse include? - CORRECT ANSWER===- do not leave the diaphragm in place longer than 8 hours after intercourse
- replace the old diaphragm every 3 months
Which findings should the nurse identify as most significant for a client diagnosed with polycystic kidney disease (PKD)? - CORRECT ANSWER===3+ bacteria in urine
A client taking a thiazide diuretic for the past 6 months has a serum potassium level of 3 (normal 3.5-5). The nurse anticipates which changes in prescription for the client? - CORRECT ANSWER===a potassium supplement will be prescribed
A client has been taking oral corticosteroids for the past 5 days because of seasonal allergies. Which assessment finding is of most concern to the nurse? - CORRECT ANSWER===purulent sputum (indication of infection)
A client is admitted to the medical ICU with a dx of myocardial infarction. The clients history indicates the infarction occurred ten hours ago. Which laboratory test result would the nurse expect this client to exhibit? - CORRECT ANSWER===Elevated CK-MB
(peaks within 12-20 hours post MI. Indicates myocardial damage)
Healthcare workers must protect themselves against becoming infected with HIV. The Center for Disease Control has issued guidelines for healthcare workers in relation to protection from HIV. These guidelines include which recommendation? - CORRECT ANSWER===Wear gloves when coming in contact with the blood or body fluids of any pt.
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which information would be most useful to the nurse when planning activities for the group? - CORRECT ANSWER===the usual activity patterns of each member of the group
A male client receives a local anesthetic during surgery. During the post-operative assessment, the nurse notices the client is slurring his speech. Which action should the nurse take? - CORRECT ANSWER===Evaluate his bp, pulse, and respiratory status
An adult client is admitted to the hospital burn unit with partial-thickness and full-thickness burns over 40% of the body surface area. In assessing the potential for skin regeneration, what should the nurse remember about full-thickness burns? - CORRECT ANSWER===Regenerative function of the skin is absent because the dermal layer has been destroyed
A client with a 16 year hx of DM is having renal function tests because of recent fatigue, weakness, elevated BUN, and serum creatinine levels. Which finding should the nurse conclude as an early symptom of renal insufficiency? - CORRECT ANSWER===Nocturia (in early stages polyuria is present from the inability of the kidneys to concentrate urine and contributes to nocturia)
A client is admitted to the hospital with a dx of severe acute diverticulitis. Which assessment finding should the nurse expect this client to exhibit? - CORRECT ANSWER===Lower left quadrant pain and a low grade fever (because the sigmoid colon is the most common area and inflammation causes the fever)
A client with DM is experiencing polyphagia. Which outcome statement is the priority for this client? - CORRECT ANSWER===adequate cellular nutrition
During a health fair, a 72-year-old male client tells the nurse that he is experiencing shortness of breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might have chronic bronchitis, which classic symptom should the n [Show Less]