MED SURG HESI V1; Questions & Answers
2024/25 Update 100% Solved
The nurse obtains a fingerstick glucose level utilizing bedside lancet/glucose
meter equipment
from a client with prescribed sliding scale insulin protocol. The meter indicates
56 mg/dl (3.12
mmol/l). At this time which inter...
MED SURG HESI V1; Questions & Answers
2024/25 Update 100% Solved
The nurse obtains a fingerstick glucose level utilizing bedside lancet/glucose
meter equipment
from a client with prescribed sliding scale insulin protocol. The meter indicates
56 mg/dl (3.12
mmol/l). At this time which intervention should the nurse implement first?
A. Collect a blood specimen by venipuncture to send to the laboratory for serum
glucose
analysis.
B. Prepare the prescribed dose of rapid acting insulin from the sliding scale
instructions.
C. Give the client six ounces of non-diet carbonated soda and instruct to drink it
entirely.
D. Document the glucose reading in the electronic medical record as the only
action needed.
C
To achieve maximum mobility and independence for a client with multiple
sclerosis (MS), which
intervention is most important for the nurse to implement?
A. Provide a walker for ambulation
B. Frequently assist the client to the bathroom
, MED SURG HESI V1; Questions & Answers
2024/25 Update 100% Solved
C. Apply alternating patches over eyes
D. Teach strengthening exercises
D
A client is admitted to the hospital with symptoms consistent with a right
hemisphere stroke.
Which neurovascular assessment requires immediate intervention by the nurse?
A. Pupillary changes to ipsilateral dilation
B. Orientation to person and place only
C. Left- sided drooping and dysphagia
D. Unequal bilateral hand grip strengths
C
The nurse is teaching a client with glomerulonephritis about self care. Which
dietary
recommendations should the nurse encourage the client to follow?
A. Limit oral fluid intake to 500 ml per day
B. Restrict protein intake by limiting meats and other high-protein foods
C. Increase intake of potassium-rich foods such as bananas and cantaloupe.
D. Increase intake of high fiber foods such as bran cereal
, MED SURG HESI V1; Questions & Answers
2024/25 Update 100% Solved
B
The nurse is caring for a client with Herpes zoster who reports painful, red,
blisters that align
from the back along the chest's curvature to the anterior chest. Which
intervention is the highest
priority for the nurse?
A. Place the client on contact precautions
B. Administer antiviral medications
C. Place wet compresses to ruptured vesicles
D. Administer narcotic analgesics
B
A young adult who suffered a severe brain injury in an automobile collision has
been
mechanically ventilated for the past three days and has no spontaneous
respiratory effort. After
serial electroencephalograms (EEG) reveal no brain activity, the healthcare
provider discusses
end-of-life options with the family who agree to discontinue life support. Which
intervention
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