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HESI Med Surg AUGUST 2022 (QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+) 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 operat$12.99
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HESI Med Surg AUGUST 2022 (QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+) 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 operat
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Course
HESI MED SURG
Institution
HESI MED SURG
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? - Answer P...
HESI Med Surg AUGUST 2022 ( QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+ )
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? - Answer 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? - Answer 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? - Answer Include no more than 1-2 alcoholic beverages in diet per day
A client is recovering from a transurethral prostatectomy. Which activity should we limited until the first postoperative visit with his health care provider? - Answer Driving in a car.
The home health nurse provides teaching about insulin self injection to a client who was 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? - Answer Continue with the insulin injection
The family 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? - Answer A change has recently occurred in his handwriting
The nurse is caring 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 intervention is most important for the nurse to implement? - Answer 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 antacids 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? - Answer ST elevation in three leads
A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is
most important for the nurse to report to the healthcare provider? - Answer Distended, hard, and rigid abdomen
A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the clients plan of care? - Answer Begin straining all urine . A client with chronic kidney disease is started on hemodialysis. During the first dialysis treatment, the clients blood pressure drops mmHg to 80/30 mmHg. Which action should the nurse take first? - Answer Lower the head of the chair and elevate feet
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? - Answer Eating patterns of dietary intake
A client who had a C5 spinal cord injury 2 years ago is admitted to the emergency department with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit? - Answer Profuse diaphoresis and severe, pounding headache
A client tells the clinic nurse about experiencing burning on urination and assessment reveals that the client had sexual intercourse four days ago with a person who has casually met. Which action should the nurse implement? - Answer Obtain a specimen of urethral drainage for culture
A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return? - Answer Place the client in high Fowler position
An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? - Answer Assist client to an upright position
The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi? - Answer Eats a vegetarian diet with cheese 2 to 3 times a day
Which client has the highest risk for developing skin cancer? - Answer A 65 year old fair skinned client who is a construction worker
When providing care for an unconscious client who has seizures, which nursing intervention is most essential? - Answer Ensure oral suction is available.
A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehiscence's and eviscerates. The nurse moistens an available sterile dressing and places it over the wound. Which intervention should the nurse implement next? - Answer Prepare the client to return to the operating room
. An adult who was recently diagnosed with glaucoma tells the nurse, "it feels like I am driving through a tunnel." The client expresses great concern about going blind. Which nursing instruction is most important for the nurse to provide this client? - Answer Maintain prescribed eye drop regimen.
The nurse has conducted a cancer prevention community education program. In evaluating the participants understanding of the carcinogens, which statement indicates an accurate understanding? - Answer Substances that change a cell so that it becomes cancerous are potential sources of cancer
.A client receives a prescription for 1 liter of lacted ringers intravenously to be infused over 6 hours. How many ml/hr should the nurse program the infusion pump to deliver? - Answer 167 mL
Two hours after the nurse administration penicillin 2.4 million units IM to a client a syphilis infection, the client describes feeling achy, pain at the injection site, and exhibits a flushed appearance. The client has a low grade
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