Exam (elaborations)
BSN 266 Hesi Medsurge#2 Questions With Complete Solutions
- Course
- HESI BSN 266
- Institution
- Herzing University
BSN 266 Hesi Medsurge#2 Questions With Complete Solutions
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BSN 266 Hesi Medsurge#2 Questions With CompleteSolutions
A 20-year-old female client calls the nurse to report a lump she
found in her breast. Which response is the best for the nurse to
provide? Correct Answer B. "Most lumps are benign, but it is
always best to come in for an examination."
A 32-year-old female client complains severe abdominal pain
each month before her menstrual period, painful intercourse, and
painful defecation. which additional history should the nurse
obtain that is consistent with the client's complaints? Correct
Answer Inability to get pregnant
A 46-year-old female client is admitted for acute renal failure
secondary to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration? Correct Answer A.
Serum creatinine
A 49-year-old female client arrives at the clinic for an annual
exam and asks the nurse why she becomes excessively
diaphoretic and feels warm during nighttime. What is the nurse's
best response? Correct Answer B. Discuss perimenopause and
related comfort measures.
A 51-year-old truck driver who smokes two packs of cigarettes a
day and is 30 pounds overweight is diagnosed with having a
gastric ulcer. What content is most important for the nurse to
include in the discharge teaching for this client? Correct
Answer A. Information about smoking cessation.
,A 57-year-old male client is scheduled to have a stress-thallium
test the following morning and is NPO after midnight. At 0130,
he is agitated because he cannot eat and is demanding food.
Which response is best for the nurse to provide to this client?
Correct Answer D. "The test you are having tomorrow requires
that you have nothing by mouth tonight."
A 58-year-old client who has been post-menopausal for five
years is concerned about the risk for osteoporosis because her
mother has the condition. Which information should the nurse
offer? Correct Answer B. Calcium loss from bones can be
slowed by increasing calcium intake and exercise
A 58-year-old client, who has no health problems, asks the nurse
about the Pneumovax vaccine. The nurse's response to the client
should be based on which information? Correct Answer B. The
immunization is administered once to older adults or persons
with a history of chronic illness
A 67-year-old woman who lives alone tripped on a rug in her
home and fractured her hip. Which predisposing factor probably
led to the fracture in the proximal end of her femur? Correct
Answer C. Osteoporosis resulting from hormonal changes
A 77-year-old female client is admitted to the hospital. She is
confused, has no appetite, is nauseated and vomiting, and is
complaining of a headache. Her pulse rate is 43 beats per
minute. Which question is a priority for the nurse to ask this
client or her family on admission? "Does the client: Correct
Answer take digitalis?"
, A client experiencing uncontrolled atrial fibrillation is admitted
to the telemetry unit. What initial medication should the nurse
anticipate administering to the client? Correct Answer D.
Digoxin (Lanoxin).
A client has a staging procedure for cancer of the breast and ask
the nurse which type of breast cancer has the poorest prognosis.
Which information should the nurse offer the client? Correct
Answer D. Inflammatory with peau d'orange.
A client has been taking oral corticosteroids for the past five
days because of seasonal allergies. Which assessment finding is
of most concern to the nurse? Correct Answer C. Purulent
sputum.
A client has taken steroids for 12 years to help manage chronic
obstructive pulmonary disease (COPD). When making a home
visit, which nursing function is of greatest importance to this
client? Assess the client's Correct Answer C. Temperature
A client has undergone insertion of a permanent pacemaker.
When developing a discharge teaching plan, the nurse writes a
goal of, "The client will verbalize symptoms of pacemaker
failure." Which symptoms are most important to teach the
client? Correct Answer D. Feelings of dizziness.
A client is admitted for further testing to confirm sarcoidosis.
Which diagnostic test provides definitive information that the
nurse should report to the healthcare provider? Correct Answer
Lung tissue biopsy.
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