HESI Med-Surg 2023
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today? Ans- 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...
HESI Med-Surg 2023
What instruction should the nurse include in the discharge teaching plan of a client who had a cataract
extraction today? Ans- 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, febrile, and coughing green colored sputum. Which intervention should the nurse implement
first? Ans- Obtain a sputum sample for culture.
An elder male client tells the nurse that he is loosing sleep because he has to get up several times at
night to go to the bathroom that he has trouble starting his urinary stream and that he does not feel like
his bladder is ever completely empty. Which intervention should the nurse implement? Ans- Palpate the
bladder above the symphysis pubis.
An adult client is admitted with diabetic keto acidosis (DKA) and a urinary tract infection (UTI).
Prescriptions for IV ABX and insulin infusion are initiated. Which serum laboratory value warrants the
most immediate intervention by the nurse? Ans- Potassium of 2.5 mEq/L
A client with sickle cell anemia develops a fever during the last hour of administration of a unit of
packed RBC. When notifying the HCP what information should the nurse provide first using the SBAR
communication process? Ans- explain specific reason for urgent notification.
An adult male client is admitted for pneumocystis carinil pneumonia (PCP) secondary to AIDS. While
hospitalized he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what
important aspect regarding his medication therapy should the nurse explain? Ans- It will be necessary to
continue prophylactic doses of IV or aerosol pentane every month.
A client subjective data includes dysuria, urgency, and urinary frequency. Which action should the nurse
implement next? Ans- Collect a clean catch specimen.
A client tells the nurse that her biopsy results indicate that the cancer cells are well differentiated. How
should the nurse respond? Ans- ask the client if the HCP has given her any information about the
classification of her cancer.
, A client with CKD is treated on hemodialysis. During the first treatment, clients blood pressure drops
form 150/90 to 80/30. Which action should the nurse take first? Ans- stop dialysis treatment
A client with a DVT is receiving a continuous infusion of heparin sodium 25,000 unit in 5% dextrose
injection 250 mL. The prescription indicates the dosage should be increased to 900 units/hr. The nurse
should program the infusion pump to deliver how many mL/hr? Ans- 9 mL/hr
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD).
Which subjective data reported by the client supports this diagnosis? Ans- upper mid abdominal
gnawing and boring pain.
The nurse is providing preoperative education for a jewish client scheduled to receive a xenograft to
promote burn healing. Which information should the nurse provide this client? Ans- xenograft is taken
from nonhuman sources.
A client who took a camping vacation two weeks ago in a country with tropical climate comes to the
clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for
the nurse to report? Ans- jaundice sclera
During a home visit the nurse assesses the skin of a client with eczema who reports an exacerbation of
symptoms has occurred during the last week. Which information is most useful in determining the
possible cause of the symptoms? Ans- a grandson and his new dog recently visited.
When explaining dietary guidelines to a client with acute glomerulonephritis (AGN) which instruction
should the nurse include in the dietary teaching? Ans- restrict sodium intake.
A male client who is 24 hours postop for an exploratory laparotomy complains that he is starving
because he has no real food since before surgery. Prior to advancing his diet, which intervention should
the nurse implement? Ans- Auscultate bowel sounds in all four quadrants
A client diagnosed with stable angina secondary to ischemic heart disease has a prescription for
sublingual (SL) nitroglycerin (NTG). The nurse should tell the client to follow which instructions if chest
pain is not relieved after taking 3 NTG tablets 5 minutes apart? Ans- call 911 if pain is unreleased and
chew a tablet of ASA 325mg.
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 CertifiedGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.79. You're not tied to anything after your purchase.
