MED SURG II HESI (Elsevier); Questions with Complete Solutions (Latest Update)
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Course
Med Surg Hesi
Institution
Med Surg Hesi
MED SURG II HESI (Elsevier); Questions with
Complete Solutions (Latest Update)
A client is admitted for dehydration, and an intravenous (IV) infusion of normal
saline at 125
mL/hr has been started. One hour after the IV initiation the client begins
screaming, "I can't
breathe!" The nursing...
MED SURG II HESI (Elsevier); Questions with
Complete Solutions (Latest Update)
A client is admitted for dehydration, and an intravenous (IV) infusion of normal
saline at 125
mL/hr has been started. One hour after the IV initiation the client begins
screaming, "I can't
breathe!" The nursing priority action is:
1. Discontinue the IV site and contact the primary health care provider
2. Elevate the head of the bed and obtain vital signs
3. Contact the primary health care provider to obtain a prescription for a
sedative
4. Assess for allergies and change the IV to an intermittent infusion device
✔✔Elevate the head
of the bed and obtain vital signs
A nurse is assessing a client with a diagnosis of early left ventricular heart
failure. Specific to
this type of heart failure, the nurse expects the client to state:
, MED SURG II HESI (Elsevier); Questions with
Complete Solutions (Latest Update)
1. "My ankles are swollen."
2. "I am tired at the end of the day."
3. "When I eat a large meal, I feel bloated."
4. "I have trouble breathing when I walk rapidly ✔✔4. "I have trouble breathing
when I walk
rapidly
A client who had a myocardial infarction asks the nurse, "What's the chance of
my having
another heart attack if I carefully watch my diet and stress levels?" What is the
nurse's most
appropriate initial response?
1. Focus on the client's feelings by exploring the reason why the question was
asked.
2. Explain that it is all right to be frightened and refer the client to the
psychiatric nurse.
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