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EVOLVE ELSEVIER HESI MED SURG | UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTION WITH VERIFIED SOLUTIONS| GRADED A+| GET IT 100% ACCURATE!!$14.99
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10/25/24, 7:08 AM EVOLVE ELSEVIER HESI MED SURG | 2024-2025 UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTII…
EVOLVE ELSEVIER HESI MED SURG | 2024-2025
UPDATE | COMPREHENSIVE MOST
FREQUENTLY TESTED QUESTIION WITH
VERIFIED SOLITIONS| GRADED A+| GET IT 100%
ACCURATE!!
Terms in this set (125)
The nurse is concerned Correct Answer: A,B,C
about infection for a
client after an Rationale:One hour post op is too soon to ambulate
esophagogastrostomy for this client. Visitors help support the patient and
for esophageal cancer. are encouraged to visit. Oral care is necessary as
Which actions should the the client will be NPO. To decrease the risk of
nurse include in the infection post operatively, implement routine
client's plan of care? pulmonary exercises. The client will have an NG
(Select all that apply.) tube in place, likely to intermittent suction, to
decompress the stomach post surgery.
A. Frequent oral care
every 2 hours while
awake.
B. Use incentive
spirometer every 2 hours.
C. Empty contents from
NG tube every 8 hours.
D. Ambulate within 1 hour
of return from the PACU.
E. Limit visitors until
postoperative day 2.
,10/25/24, 7:08 AM EVOLVE ELSEVIER HESI MED SURG | 2024-2025 UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTII…
The client is return Correct Answer: A
demonstrating wrapping Rationale:The waist is the anchor point for the
of the left limb bandage for an above the knee amputation.
amputated above the
knee. The nurse evaluates
the client is starting the
wrapping method
correctly when the client
places the end of the
bandage at which point?
A.Around the waist
B.At the inner aspect of
the left stump
C.At the outer aspect of
the left stump
D.At the left groin area
A nurse is assisting an 82- Correct Answer: B
year-old client with Rationale:Stooped posture results in the upper
ambulation and is torso becoming the center of gravity for older
concerned that the client persons. The center of gravity for adults is the hips.
may fall. Which area However, as a person grows older, a stooped
contains the older posture is common because of changes caused by
person's center of osteoporosis and normal bone degeneration.
gravity? Furthermore, the knees, hips, and elbows flex. The
A. Head and neck head and neck and feet and legs are not the center
B. Upper torso of gravity in the older adult. Although the arms
C. Bilateral arms comprise a part of the upper torso, they do not
D. Feet and legs reflect the best and most complete answer.
,10/25/24, 7:08 AM EVOLVE ELSEVIER HESI MED SURG | 2024-2025 UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTII…
A client with Correct Answer: A
hypertension has been Rationale:The client's blood pressure is within
receiving ramipril, 5 mg normal limits, indicating that the ramipril, an
PO, daily for 2 weeks and antihypertensive, is having the desired effect and
is scheduled to receive a should be administered. Options B and C would be
dose at 0900. At 0830, appropriate if the client's blood pressure was
the client's blood excessively low (<100 mm Hg systolic) or if the client
pressure is 120/70 mm were exhibiting signs of hypotension such as
Hg. Which action should dizziness. This prescribed dose is within the normal
the nurse take? dosage range, as defined by the manufacturer;
A. Administer the therefore, option D is not necessary
prescribed dose at the
scheduled time.
B. Hold the dose and
contact the health care
provider.
C. Hold the dose and
recheck the blood
pressure in 1 hour.
D. Check the health care
provider's prescription to
clarify the dose.
The nurse is providing Correct Answer: A,B
care for a client Rationale:Trigeminal neuralgia is characterized by
diagnosed with paroxysms of pain, similar to an electric shock, in
trigeminal neuralgia (tic the area innervated by one or more branches of the
douloureux). Which trigeminal nerve (cranial V). The remaining
symptoms will the nurse symptoms are not related to trigeminal neuralgia.
be looking for in the
focused assessment
related to this condition?
(Select all that apply.)
A. Facial muscle spasms
B. Sudden facial pain
C. Unilateral facial
weakness
D. Difficulty in chewing
E.Tinnitus
F.Hearing difficulties
, 10/25/24, 7:08 AM EVOLVE ELSEVIER HESI MED SURG | 2024-2025 UPDATE | COMPREHENSIVE MOST FREQUENTLY TESTED QUESTII…
In caring for a client with Correct Answer: A
acute diverticulitis, which
assessment data warrants Rationale: A hard rigid abdomen and elevated WBC
an immediate nursing is indicative of peritonitis, which is a medical
action? emergency and should be reported to the health
A. The client has a rigid care provider immediately. Options B and C are
hard abdomen and expected clinical manifestations of diverticulitis.
elevated WBC. Option D does not warrant immediate intervention.
B. The client has left
lower quadrant pain and
an elevated temperature.
C.The client is refusing to
eat any of the meal and is
complaining of nausea.
D. The client has not had
a bowel movement in 2
days and has a soft
abdomen.
The nurse is caring for a Correct Answer: B
client with a fractured
right elbow. Which Rationale:Compartment syndrome is a condition
assessment finding has involving increased pressure and constriction of the
the highest priority and nerves and vessels within an anatomic
requires immediate compartment, causing pain uncontrolled by opioids
intervention? and neurovascular compromise. Option A is an
A. Ecchymosis over the expected finding. Option C related to compartment
right elbow area syndrome cannot be seen, and any visible edema is
B. Deep unrelenting pain an expected finding related to the injury. Option D is
in the right arm an expected finding.
C. An edematous right
elbow
D. The presence of
crepitus in the right
elbow
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