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HESI MED SURG 1 FINAL EXAM TEST BANK LATEST 2024 ACTUAL EXAM 130 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS)$14.99
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A 58-year old client, who The immunization is administered once to older adults
has no health problems, (over 65) or persons with a history of chronic illness
asks the nurse about the
Pneumovax vaccine. The
nurse's response to the
client should be based on
which information?
A 67-year-old woman who Osteoporosis resulting from hormonal changes
lives alone tripped on a rug The most common cause of a fractured hip in elderly
in her home and fractured woman is osteoporosis, resulting from reduced calcium
her hip. Which predisposing in the bones.
factor probably led to the
fracture in the proximal end
of her femur?
An 81-year-old male client Help the client to determine ways to increase his fluid
has emphysema. He lives at intake
home with his cat and
manages self-care with no
difficulty. When making a
home visit, the nurse
notices that his tongue is
somewhat cracked and his
eyeballs are sunken into his
head. Which nursing
intervention is indicated?
,An adult client is admitted Regenerative function of the skin is absent because the
to the hospital burn unit dermal layer has been destroyed
with partial-thickness and Full thickness burns destroy the entire dermal layer
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?
After the fourth dose of 5 minutes before and 30 minutes after dosing
gentamicin sulfate Peak drug serum levels are achieved 30 minutes after IV
(Garamycin) IV, the nurse administration of aminoglycosides
plans to draw blood Best time to draw trough is 5 minutes before (close to)
samples to determine peak the next dose
and trough levels. When are
the best times to draw these
samples?
Based on analysis of the Anticoagulation therapy
client's rhythm, atrial Can prevent cardioembolic events which result from
fibrillation, the nurse should blood pooling in the fibrillating atria
prepare the client for which
treatment protocol?
A client asks the nurse The cell count of the tumor reduces by half with each
about the purpose of dose.
beginning chemotherapy 50% of cancer cells or tumor cells are killed with each
because the tumor is still dose.
very small. Which
information supports the
explanation that the nurse
should provide?
, A client experiencing Digoxin (Lanoxin) is administered for uncontrolled,
uncontrolled atrial symptomatic atrial fibrillation
fibrillation is admitted to the Digoxin slows the rate of conduction by prolonging the
telemetry unit. What initial refractory period of the AV node, slowing the ventricular
medication should the response, decreasing the heart rate and increasing
nurse anticipate cardiac output by increasing cardiac contractility
administering to the client?
A client has been taking Purulent sputum
oral corticosteroids for the Steroids cause immunosuppression is an indication of
past five days because of infection
seasonal allergies. Which
assessment finding is of
most concern to the nurse?
A client has taken steroids Temperature because infection is the most common
for 12 years to help manage factor precipitating respiratory distress and COPD clients
chronic obstructive taking long-term doses of corticosteroids are
pulmonary disease (COPD). particularly at risk for infection (lowered immune system)
When making a home visit,
which nursing function is of
greatest importance to this
client? Assess the client's
A client has undergone Feelings of dizziness
insertion of a permanent May occur as the result of pacemaker failure which will
pacemaker. When cause decreased heart rate, leading to decreased
developing a discharge cardiac output.
teaching plan, the nurse
writes a goal of "The client
will verbalize symptoms of
pacemaker failure". Which
symptoms are most
important to teach the
client?
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