HESI 101- MED SURGE HESI RN 2 LATEST
VERSIONS 2024-2025 EACH VERSION WITH 55
QUESTIONS AND CORRECT ANSWERS|AGRADE
Terms in this set (139)
A 70-year-old male client Check the insides and linings of all enclosed shoes
with type 2 diabetes before putting the shoes on
mellitus (DM) is
hospitalized with an
infected ulcer on his great
right toe. Which
instruction should the
nurse emphasize during
discharge teaching?
An adult client is admitted Potassium of 2.5 mEq/L
with diabetic ketoacidosis
(DKA) and a urinary tract
infection (UTI).
Prescriptions for
intravenous antibiotics and
an insulin infusion are
initiated. Which serum
laboratory value warrants
the most immediate
intervention by the nurse?
An adult client is admitted Administer IV antibiotics as prescribed
with flank pain and is
diagnosed with acute
pyelonephritis. What is the
priority nursing action?
,An adult female client is Serum iron and ferritin
diagnosed with restless
leg syndrome and is
referred to the sleep
clinic. The healthcare
provider prescribes
ferrous sulfate (Feosol)
325 mg PO daily. Which
laboratory values should
the nurse monitor?
An adult female with Complete head to toe neurological assessment.
multiple sclerosis (MS)
fells while walking to the
bathroom. On transfer to
the intensive care unit, she
is confused and has had
projectile vomiting twice.
Which intervention should
the nurse implement first?
An adult male client is It will be necessary to continue prophylactic doses of
admitted for Pneumocystis IV or aerosol pentamidine every month
carinal pneumonia (PCP)
secondary to AIDSs. While
hospitalized, he receives
IV pentamidine isethionate
therapy. In preparing this
client for discharge, what
important aspect
regarding his medication
therapy should the nurse
explain?
,An adult woman with Continue to monitor the fingers until color returns to
primary Raynaud normal
phenomenon develops
pallor and then cyanosis
of her fingers. After
warming her hands, the
fingers turn red and the
client reports a burning
sensation. What action
should the nurse take?
After a computer Prepare a dose of epinephrine aka Adrenalin
tomography (CT) scan
with intravenous contrast
medium, a client returns to
the room complaining of
shortness of breath and
itching. Which intervention
should the nurse
implement?
After a hospitalization for Reorient client to his room
Syndrome of
Inappropriate Antidiuretic
Hormone (SIADH), a client
develops pontine
myselinolysis. Which
intervention should the
nurse implement first?
, After a transurethral Clamp the catheter for 30 minutes prior to irrigating
resection of the prostate with saline
(TURP), a client has
bloody urine output with
large clots. The nurse
implements the
postoperative prescription
to irrigate the indwelling
catheter PRN to maintain
the catheter's patency.
Which action should the
nurse implement?
A cardiac catherterization Three main arteries have major blockages, with only 1
of a client with heart to 5% of blood flow getting through to the heart
disease indicates the muscle.
following blockages: 95%
proximal left anterior
descending (LAD), 99%
proximal circumflex, and ?
% proximal right coronary
artery (RCA). The client
later asks the nurse "what
does all this mean for
me?" What information
should the nurse provide?
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