While completing a health assessment for a young adult female with acute appendicitis, the
client informs the nurse that there is a chance that she may be pregnant. The operating team is
preparing to take the client to surgery. Which intervention should the nurse implement
immediately? Perfor...
HESI Med Surg (2022/2023) Already Passed While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should th e nurse implement immediately? ✔✔Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider? ✔✔Hematuria The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information provided by the client indicates understanding? ✔✔Include no more than 1 -2 alcoholic beverages in diet per day A client i s recovering from a transurethral prostatectomy. Which activity should we limited until the first postoperative visit with his health care provider? ✔✔Driving in a car. The home health nurse provides teaching about insulin self injection to a client who w as recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video which instruction should the nurse provide? ✔✔Continue with the insulin injection The fami ly suspects that acquired immune deficiency syndrome (AIDS) dementia is occurring in their son who is human immunodeficiency virus (HIV) positive. Which symptom confirms their suspicious? ✔✔A change has recently occurred in his handwriting The nurse is ca ring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signals, heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which interven tion is most important for the nurse to implement? ✔✔Encourage the client to splint the incision with a pillow to cough and deep breathe After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antac ids without reflux. Her vital signs are heart rate 122 beats/minute, respiration 16 breaths/minute, oxygen saturation 96% and blood pressure 116/70 mmHg. The nurse obtains a 12 lead electrocardiogram. Which assessment finding is most critical? ✔✔ST elevati on in three leads
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