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EVOLVE ELSEVIER HESI MED SURG FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS || RATIONALES AVAILABLE || ALREADY GRADED A+ | GUARANTEED PASS | LATEST VERSION 2024$25.49
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EVOLVE ELSEVIER HESI MED SURG FINAL EXAM WITH QUESTIONS AND VERIFIED ANSWERS || RATIONALES AVAILABLE || ALREADY GRADED A+ | GUARANTEED PASS | LATEST VERSION 2024
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Course
EVOLVE ELSEVIER HESI MED SURG
Institution
EVOLVE ELSEVIER HESI MED SURG
EVOLVE ELSEVIER HESI MED SURG FINAL
EXAM WITH QUESTIONS AND VERIFIED
ANSWERS || RATIONALES AVAILABLE ||
ALREADY GRADED A+ | GUARANTEED PASS |
LATEST VERSION 2024
A 77-year-old female client is admitted to the hospital. She is confused, has no
appetite, is nauseated and vomiting, and is c...
EVOLVE ELSEVIER HESI MED SURG FINAL
EXAM WITH QUESTIONS AND VERIFIED
ANSWERS || RATIONALES AVAILABLE ||
ALREADY GRADED A+ | GUARANTEED PASS |
LATEST VERSION 2024
A 77-year-old female client is admitted to the hospital. She is confused, has no
appetite, is nauseated and vomiting, and is complaining of a headache. Her pulse
rate is 43 beats per minute. Which question is a priority for the nurse to ask this
client or her family on admission? "Does the client
A) have her own teeth or dentures?"
B) take aspirin and if so, how much?"
C) take nitroglycerin?"
D) take digitalis?" - ANSWER- D) take digitalis?"
Elderly persons are particularly susceptible to digitalis intoxication (D) which
manifests itself in such symptoms as anorexia, nausea, vomiting, diarrhea,
headache, and fatigue. Although it is important to obtain a complete medication
history (B and C), the symptoms described are classic for digitalis toxicity, and
assessment of this problem should be made promptly. (A) is irrelevant.
The nurse is caring for a client with a continuous feeding through a percutaneous
endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include
in the plan of care?
A) Flush the tube with 50 ml of water q 8 hours.
B) Check for tube placement and residual volume q4 hours.
,C) Obtain a daily x- ray to verify tube placement.
D) Position on left side with head of bed elevated 45 degrees. - ANSWER- B)
Check for tube placement and residual volume q4 hours.
Tube placement and residual volume should be checked before each feeding (B).
Tube placement is checked by aspiration of stomach contents and measurement of
pH. It is important to check for residual volume because gastric emptying is often
delayed during illness. There is an increased risk for aspiration of the feeding with
increased residual volume. (A, C, and D) are not correct procedures to follow.
The nurse is taking a history of a newly diagnosed Type 2 diabetic who is
beginning treatment. Which subjective information is most important for the nurse
to note?
A) A history of obesity.
B) An allergy to sulfa drugs.
C) Cessation of smoking three years ago.
D) Numbness in the soles of the feet. - ANSWER- B) An allergy to sulfa drugs.
An allergy to sulfa drugs may make the client unable to use some of the most
common antihyperglycemic agents (sulfonylureas). The nurse needs to highlight
this allergy for the healthcare provider. (A) is common and warrants counseling,
but does not have the importance of (B). (C) does increase the risk for vascular
disease, but it is not as important to the treatment regimen as (B). Diabetic
neuropathy, as indicated by (D), is common with diabetics, but when the serum
glucose is decreased, new onset numbness can possibly improve.
Small bowel obstruction is a condition characterized by which finding?
A) Severe fluid and electrolyte imbalances.
B) Metabolic acidosis.
C) Ribbon-like stools.
,D) Intermittent lower abdominal cramping. - ANSWER- A) Severe fluid and
electrolyte imbalances.
Among the findings characteristic of a small bowel obstruction is the presence of
severe fluid and electrolyte imbalances (A). (B, C, and D) are findings associated
with large bowel obstruction.
A client who is receiving chemotherapy asks the nurse, "Why is so much of my
hair falling out each day?" Which response by the nurse best explains the reason
for alopecia?
A) Chemotherapy affects the cells of the body that grow rapidly, both normal and
malignant.
B) Alopecia is a common side effect you will experience during long-term steroid
therapy.
C) Your hair will grow back completely after your course of chemotherapy is
completed.
D) The chemotherapy causes permanent alterations in your hair follicles that lead
to hair loss. - ANSWER- A) Chemotherapy affects the cells of the body that grow
rapidly, both normal and malignant.
The common adverse effects of chemotherapy (nausea, vomiting, alopecia, bone
marrow depression) are due to chemotherapy's effect on the rapidly reproducing
cells, both normal and malignant (A). (B and D) do not provide correct information
about chemotherapy-induced alopecia. Although (D) is a true statement, it does not
effectively answer the client's question.
. Nursing assessment findings of jugular vein distention and pedal edema would be
indicative of which of the following complications of emphysema? A. Acute
respiratory failure
B. Pulmonary edema caused by left-sided heart failure
, C. Fluid volume excess secondary to cor pulmonale
D. Secondary respiratory infection - ANSWER- C. Fluid volume excess secondary
to cor pulmonale Cor pulmonale is a right-sided heart failure caused by resistance
to right ventricular outflow due to lung disease. With failure of the right ventricle,
the blood emptying into the right atrium and ventricle would be slowed, leading to
jugular venous distention and pedal edema.
A patient has been receiving oxygen per nasal cannula while hospitalized for
COPD. The patient asks the nurse whether oxygen use will be needed at home.
Which of the following would be the most appropriate response by the nurse? A.
"Long-term home oxygen therapy should be used to prevent respiratory failure."
B. "Oxygen will be needed when your oxygen saturation drops to 88% and you
have symptoms of hypoxia.
C. "Long-term home oxygen therapy should be used to prevent heart problems
related to emphysema."
D. "Oxygen will not be needed until or unless you are in the terminal stages of this
disease." - ANSWER- B. "Oxygen will be needed when your oxygen saturation
drops to 88% and you have symptoms of hypoxia.Long-term oxygen therapy in the
home should be considered when the oxygen saturation is 88% or less and the
patient has signs of tissue hypoxia, such as cor pulmonale, erythrocytosis, or
impaired mental status.
Before discharge, the nurse discusses activity levels with a 61-year-old patient with
COPD and pneumonia. Which of the following exercise goals is most appropriate
once the patient is fully recovered from this episode of illness?
A. Slightly increase activity over the current level.
B. Walk for 20 minutes a day, keeping the pulse rate less than 130 beats per
minute. C. Limit exercise to activities of daily living to conserve energy.
D. Swim for 10 min/day, gradually increasing to 30 min/day. - ANSWER- B. Walk
for 20 minutes a day, keeping the pulse rate less than 130 beats per minute. The
patient will benefit from mild aerobic exercise that does not stress the
cardiorespiratory system. The patient should be encouraged to walk for 20
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