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Med-Surg II HESI Test Bank; Questions with Complete Solutions (Latest Update)

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Med-Surg II HESI Test Bank; Questions with Complete Solutions (Latest Update) 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 ...

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  • August 26, 2024
  • 78
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Med Surg Hesi
  • Med Surg Hesi
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Med-Surg II HESI Test Bank; Questions with
Complete Solutions (Latest Update)
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. ✔✔A.


A nurse is caring for a client who is postoperative following a tracheostomy, and

has copious and


tenacious secretions. 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.

, Med-Surg II HESI Test Bank; Questions with
Complete Solutions (Latest Update)
C. Prelubricate the suction catheter tip with sterile saline when suctioning the

airway.


D. Hyperventilate the client with 100% oxygen before suctioning the airway..

✔✔A.


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 following

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. ✔✔B.


A nurse is caring for a client is who is 4 hr postoperative following a

transurethral resection of

, Med-Surg II HESI Test Bank; Questions with
Complete Solutions (Latest Update)
the prostate (TURP). Which of the following is the priority finding for the nurse

report to the


provider?


A. Emesis of 100 mL


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 ✔✔C.


A nurse is caring for a client who has a temperature of 39.7° C (103.5° F) and has

a prescription


for a hypothermia blanket. The nurse should monitor the client for which of the

following


adverse effects of the hypothermia blanket?


A. Shivering


B. Infection

C. Burns

, Med-Surg II HESI Test Bank; Questions with
Complete Solutions (Latest Update)
D. Hypervolemia ✔✔A.


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." ✔✔D.


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.

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