1. A. A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the following instructions should the nurse include in the teaching? A. Take temperature once a day. B. Wash the armpits and genitals with a gentle cleanser daily. C. Change the litter boxes wh...
1 a a nurse is reinforcing teaching with a client who has hiv and is being discharged to home which of the following instructions should the nurse include in the teaching a take temperature once
Written for
MED SURG II HESI
MED SURG II HESI
MED SURG II HESI
All documents for this subject (415)
Seller
Follow
YOURVERIFIEDEXAMPLUG
Reviews received
Content preview
Med-Surg II HESI Test Bank
Study online at
https://quizlet.com/_cfvi91
1. A. A nurse is reinforcing teaching with a client who
has HIV and is being discharged to home. Which
of the following instructions should the nurse
include in the teaching?
A. Take temperature once a day.
B. Wash the armpits and genitals with a gentle
cleanser daily.
C. Change the litter boxes while wearing gloves.
D.Wash dishes in warm water.
2. A. A nurse is caring for a client who is postoperative
following a tracheostomy, and has copious and
tenacious secre- tions. Which of the following is
an acceptable method for the nurse to use to
thin this client's secretions?
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with
sterile saline when suctioning the airway.
D.Hyperventilate the client with 100% oxygen
before suctioning the airway..
3. B. Following admission, a client with a vascular
occlusion of the right lower extremity calls the
nurse and reports difficulty sleeping because of
cold feet. Which of the fol- lowing nursing
actions should the nurse take to promote the
client's comfort?
A. Rub the client's feet briskly for several minutes.
B. Obtain a pair of slipper socks for the client.
C. Increase the client's oral fluid intake.
D.Place a moist heating pad under the client's feet
4. C. A nurse is caring for a client is who is 4 hr
postoperative following a transurethral resection
of the prostate (TURP). Which of the following is
the priority finding for the nurse report to the
provider?
A. Emesis of 100 mL
1/
,Med-Surg II HESI Test Bank
Study online at
https://quizlet.com/_cfvi91
B. Oral
temperature of 37.5° C (99.5° F)
C. Thick, red-colored urine
D.Pain level of 4 on a 0 to 10 rating scale
2/
, Med-Surg II HESI Test Bank
Study online at
https://quizlet.com/_cfvi91
5. A. A nurse is caring for a client who has a
temperature of 39.7° C (103.5° F) and has a
prescription for a hy-
pothermia blanket. The nurse should monitor the
client for which of the following adverse effects
of the hypothermia blanket?
A. Shivering
B. Infection
C. Burns
D.Hypervolemia
6. D. A nurse is reinforcing teaching about exercise
with a client who has type 1 diabetes mellitus.
Which of the following statements by the client
indicates an understanding of the teaching?
A. "I will carry a complex carbohydrate snack
with me when I exercise."
B. "I should exercise first thing in the morning
before eating breakfast."
C. "I should avoid injecting insulin into my
thigh if I am going to go running."
D."I will not exercise if my urine is positive for
ketones."
7. A. A nurse notes a small section of bowel
protruding from the abdominal incision of a
client who
is postoperative. After calling for assistance,
which of the following actions should the nurse
take first?
A. Cover the client's wound with a moist, sterile
dressing.
B. Have the client lie supine with knees flexed.
C. Check the client's vital signs.
D.Inform the client about the need to return to
surgery.
8. B. A nurse is collecting data from a client who has
alco- hol use disorder and is experiencing
metabolic acidosis. Which of the following
3/
, Med-Surg II HESI Test Bank
Study online at
https://quizlet.com/_cfvi91
manifestations
should the nurse expect?
A. Cool, clammy skin.
B. Hyperventilation
C. Increased blood pressure
D.Bradycardia
4/
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller YOURVERIFIEDEXAMPLUG. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
