Exam (elaborations)
2023 Hesi Med Surg Questions / Answers
- Course
- Institution
2023 Hesi Med Surg Questions / Answers
[Show more]
Seller
Follow
a_plus_work
Reviews received
Content preview
2023 Hesi Med Surg Questions /Answers
2 of 55
What instruction should the nurse include in the discharge teaching plan of a client who had a
cataract extraction today?
a. Sexual activities may be resumed upon return home
b. Light housekeeping is permitted but avoid heavy lifting
c. Use a metal eye shield on operative eye during the day
d. Administer eye ointment before applying eye drops
ANS: B
3 of 55
A male adult comes to the urgent care clinic 5 days after being diagnose with influenza. He is short of
breath, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first?
a. Obtain a sputum sample for culture
b. Check his oxygen saturation level
c. Administer an oral antipyretic
d. Auscultate bilateral lung sound
ANS: A
4 0f 55
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
,night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel
like his bladder is ever completely empty. Which intervention should the nurse implement?
a. collect a urine specimen for culture analysis
b. obtain a fingerstick blood glucose level
c. palpate the bladder above the symphysis pubis
d. review the client fluid intake
ANS: C
5 of 55
An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI)
Prescriptions for intravenous antibiotics and insulin infusion are initiated. Which serum laboratory
value warrants the most immediate intervention by the nurse?
a. blood ph of 7.30
b. glucose of 350 mg /dl
c. white blood cell count of 15000mm
d. potassium of 2.5 meq/l
ANS: D
6 of 55
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed red blood cell. When notifying the healthcare provider what information should the nurse
provide first using the SBAR communication process?
a. explain specific reason for urgent notification
b. preface the report by stating the clients name and admitting diagnosis
c. communicate the pre-transfusion temperatures
d. optain prn prescription for acetaminophen for fever 101f
,ANS: A
7 of 55
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to aids. While
hospitalize he receives IV pentamidine isethionate therapy. In preparing this client for discharge what
important aspect regarding his medication therapy should the nurse explain?
a. AZT therapy must be stopped when IV aerosol pentamine is being used.
b. IV pentamine will be given until oral pentamine can be tolerated
c. It will be necessary to continue prophylactic doses of IV or aerosol pentamine every month
d. Iv pentamine may offer protection to others aids related conditions such as kaposis sarcoma
ANS: C
8 of 55
A client subjective data includes dysuria, urgency, and urinary frequency. What action should the
nurse implement next?
a.collect a clean catch specimen
b.palpate the suprapubic region
c.instruct to wipe from front to
back
d.inquire about recent sexual activity
ANS: A
, A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated How
should the nurse respond?
a. offer the client reassurance that this information indicates that the clients cancer cells
are benign
b. explain that these tissue cells often respond more effectively to radiation than to chemotherapy
c. ask the client in the healthcare provider has giving her any information about the
classification of her cancer
d. help the client make plans to begin inmediate treatment since her cancer is likely to
spread quickly
ANS: C
9 of 55
A client with a chronic kidney disease is treated on hemodialysis. During the 1 treatment clients blood
pressure drops from 150/90 to 80/30 Which action should the nurse take first?
a. monitor bp q45 minutes
b. lower the head of the chair and elevate feet
c. stop dialysis treatment
d. administer 5%albumin IV
ANS: C
10 of 55
A client with deep vain thrombosis (DVT) is receiving a continues infusion of heparin sodium 25,000
unit in 5% dextrose injection 250ml. The prescription indicates the dosage should be increase 900
units/hr. The nurse should program the infusion pump to deliver how many ml/hr?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller a_plus_work. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
85169 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now