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Bundle for HESI - Medical Surgical 2021,2022,2023 tests compilation | everything you need
Bundle for HESI - Medical Surgical 2021,2022,2023 tests compilation | everything you need
[Meer zien]Bundle for HESI - Medical Surgical 2021,2022,2023 tests compilation | everything you need
[Meer zien]A client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has 
been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing 
priority action is: 
1. Discontinue the IV site and contact the primary health care...
Voorbeeld 2 van de 5 pagina's
In winkelwagenA client is admitted for dehydration, and an intravenous (IV) infusion of normal saline at 125 mL/hr has 
been started. One hour after the IV initiation the client begins screaming, "I can't breathe!" The nursing 
priority action is: 
1. Discontinue the IV site and contact the primary health care...
The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to 
stop hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan - 
Enjoys fat free yogurt as an occasional snack food 
A client with carcinoma of the lun...
Voorbeeld 2 van de 5 pagina's
In winkelwagenThe nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to 
stop hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan - 
Enjoys fat free yogurt as an occasional snack food 
A client with carcinoma of the lun...
What discharge instructions is most important for a client after a kidney transplant? 
A. Weigh weekly 
B. Report symptoms of secondary Candidiasis 
C. Use daily reminders to take immunosuppressants 
D. Stop cigarette smoking - C. Use daily reminders to take immunosuppressants 
The nurse is planning...
Voorbeeld 4 van de 34 pagina's
In winkelwagenWhat discharge instructions is most important for a client after a kidney transplant? 
A. Weigh weekly 
B. Report symptoms of secondary Candidiasis 
C. Use daily reminders to take immunosuppressants 
D. Stop cigarette smoking - C. Use daily reminders to take immunosuppressants 
The nurse is planning...
1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary 
instructions and management of heart failure. The nurse should reinforce which instruction? 
A.) If you feel tired and short of breath, lie down flat and prop up your feet. 
B.) Eating liver severa...
Voorbeeld 3 van de 22 pagina's
In winkelwagen1. A nurse is visiting a client who is receiving home health care, focusing on medication and dietary 
instructions and management of heart failure. The nurse should reinforce which instruction? 
A.) If you feel tired and short of breath, lie down flat and prop up your feet. 
B.) Eating liver severa...
During a clinic visit, a client reports to the practical nurse (PN) that they felt a solid mass in their breast 
during self-examination, but it was not painful. What instruction should the PN reinforce with the client? 
A. Continue to monitor the mass until the next scheduled annual exam. 
B. Notif...
Voorbeeld 4 van de 32 pagina's
In winkelwagenDuring a clinic visit, a client reports to the practical nurse (PN) that they felt a solid mass in their breast 
during self-examination, but it was not painful. What instruction should the PN reinforce with the client? 
A. Continue to monitor the mass until the next scheduled annual exam. 
B. Notif...
While completing a health assessment for a young adult female with acute appendicitis, the client 
informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to 
take the client to surgery. Which intervention should the nurse implement immediately? - Perform a...
Voorbeeld 2 van de 8 pagina's
In winkelwagenWhile completing a health assessment for a young adult female with acute appendicitis, the client 
informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to 
take the client to surgery. Which intervention should the nurse implement immediately? - Perform a...
While completing a health assessment for a young adult female with acute appendicitis, the client 
informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to 
take the client to surgery. Which intervention should the nurse implement immediately? - Perform a...
Voorbeeld 2 van de 8 pagina's
In winkelwagenWhile completing a health assessment for a young adult female with acute appendicitis, the client 
informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to 
take the client to surgery. Which intervention should the nurse implement immediately? - Perform a...
The nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the 
client unconscious on the floor. Which intervention should the nurse implement first? 
A. 
Administer an antidysrhythmic medication. 
B. 
Start cardiopulmonary resuscitation. 
C. 
Defibrillat...
Voorbeeld 4 van de 41 pagina's
In winkelwagenThe nurse observes ventricular fibrillation on telemetry and, on entering the client's bathroom, finds the 
client unconscious on the floor. Which intervention should the nurse implement first? 
A. 
Administer an antidysrhythmic medication. 
B. 
Start cardiopulmonary resuscitation. 
C. 
Defibrillat...
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract 
extraction today? - Light housekeeping is permitted but avoid heavy lifting. 
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of 
breath, feb...
Voorbeeld 2 van de 6 pagina's
In winkelwagenWhat instruction should the nurse include in the discharge teaching plan of a client who had a cataract 
extraction today? - Light housekeeping is permitted but avoid heavy lifting. 
A male adult comes to the urgent care clinic 5 days after being diagnosed with influenza. He is short of 
breath, feb...
The nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). 
What actions will the nurse include in the client's plan of care? (Select all that apply.) - A.Frequent 
vital signs. 
B.Determine if the client is allergic to aspirin. 
D.Offer fluids of choice....
Voorbeeld 2 van de 9 pagina's
In winkelwagenThe nurse is providing care to a client after a percutaneous transluminal coronary angioplasty (PTCA). 
What actions will the nurse include in the client's plan of care? (Select all that apply.) - A.Frequent 
vital signs. 
B.Determine if the client is allergic to aspirin. 
D.Offer fluids of choice....
The nurse is planning to initiate a socialization group for older residents of a long-term facility. Which 
information would be most useful to the nurse when planning activities for the group? 
A. The length of time each group member has resided at the nursing home. 
B. A brief description of each ...
Voorbeeld 4 van de 42 pagina's
In winkelwagenThe nurse is planning to initiate a socialization group for older residents of a long-term facility. Which 
information would be most useful to the nurse when planning activities for the group? 
A. The length of time each group member has resided at the nursing home. 
B. A brief description of each ...
The nurse is preparing to assist a client with a cuffed tracheostomy tube to eat. What intervention is the 
priority before the client is permitted to drink or eat? - Inflate the cuff 
Rationale: If a client with a tracheostomy is allowed to eat and the tracheostomy has a cuff, the nurse 
should inf...
Voorbeeld 2 van de 15 pagina's
In winkelwagenThe nurse is preparing to assist a client with a cuffed tracheostomy tube to eat. What intervention is the 
priority before the client is permitted to drink or eat? - Inflate the cuff 
Rationale: If a client with a tracheostomy is allowed to eat and the tracheostomy has a cuff, the nurse 
should inf...
A female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse 
assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action 
should the nurse take first? 
A. Irrigate the nasogastric tube with sterile normal saline....
Voorbeeld 4 van de 76 pagina's
In winkelwagenA female client with a nasogastric tube attached to low suction states that she is nauseated. The nurse 
assesses that there has been no drainage through the nasogastric tube in the last 2 hours. Which action 
should the nurse take first? 
A. Irrigate the nasogastric tube with sterile normal saline....
A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the 
best initial nursing action? 
A. Administer the first dose of antibiotic therapy 
B. Observe the color, consistency, and amount of sputum 
C. Encourage the client to consume plenty of warm liquids...
Voorbeeld 4 van de 34 pagina's
In winkelwagenA client with a productive cough has obtained a sputum specimen for culture as instructed. What is the 
best initial nursing action? 
A. Administer the first dose of antibiotic therapy 
B. Observe the color, consistency, and amount of sputum 
C. Encourage the client to consume plenty of warm liquids...
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract 
extraction today? 
a. sexual activities may be resumed upon return home 
b. light housekeeping is permitted but avoid heavy lifting 
c. use a metal eye shield on operative eye during the day 
d. ...
Voorbeeld 2 van de 12 pagina's
In winkelwagenWhat instruction should the nurse include in the discharge teaching plan of a client who had a cataract 
extraction today? 
a. sexual activities may be resumed upon return home 
b. light housekeeping is permitted but avoid heavy lifting 
c. use a metal eye shield on operative eye during the day 
d. ...
When describing patient education approaches, the nurse educator would explain that informal teaching 
is an approach that 
a. follows formalized plans 
b. has standardized content 
c. often occurs one-to-one 
d. addresses group needs - C. Informal teaching is individualized one on one teaching whic...
Voorbeeld 4 van de 70 pagina's
In winkelwagenWhen describing patient education approaches, the nurse educator would explain that informal teaching 
is an approach that 
a. follows formalized plans 
b. has standardized content 
c. often occurs one-to-one 
d. addresses group needs - C. Informal teaching is individualized one on one teaching whic...
The nurse is assessing a 48-year-old client with a history of smoking during a 
routine clinic visit. The client, who exercises regularly, reports having pain in the calf 
during exercise that disappears at rest. Which of the following findings requires further 
evaluation? 
1. Heart rate 57 bpm. 
2...
Voorbeeld 4 van de 53 pagina's
In winkelwagenThe nurse is assessing a 48-year-old client with a history of smoking during a 
routine clinic visit. The client, who exercises regularly, reports having pain in the calf 
during exercise that disappears at rest. Which of the following findings requires further 
evaluation? 
1. Heart rate 57 bpm. 
2...
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