BSN 266 HESI RN Medical-Surgical Nursing Exam V5 (Latest Update 2024 / 2025) Questions & Answers | 100% Correct | Grade A - Nightingale
Question:
While caring for a client with a full thickness burn covering 40% of the body, the nurse observes purulent drainage at the wound. Before reportin...
Question:
While caring for a client with a full thickness burn covering 40% of the body,
the nurse observes purulent drainage at the wound. Before reporting this
finding to the healthcare provider, the nurse should review which of the
client's laboratory values?
Answer:
White blood cell (WBC) count.
Question:
A client with gouty arthritis reports tenderness and swelling of the right ankle
and great toe. The nurse observes the area of inflammation extends above the
ankle area. The client receives prescriptions for colchicine and indomethacin.
Which instruction should the nurse include in the discharge teaching?
Answer:
Drink at least 8 cups (1920 mL) of water per day.
,Question:
An older client is admitted with an acute onset of diverticulitis and
intravenous antibiotic therapy is initiated. Which intervention should the
nurse implement next?
Answer:
Maintain the client's NPO status.
Question:
The nurse is obtaining a client's fingerstick glucose level. After gently milking
the client's finger, the nurse observes that the distal tip of the finger appears
reddened and engorged. What action should the nurse take?
Answer:
Collect the blood sample
Question:
A male client tells the clinic nurse that he is experiencing burning on
urination, and assessment reveals that he had sexual intercourse four days ago
with a woman he casually met. Which action should the nurse implement?
(SIMILAR)
Answer:
Obtain a specimen of urethral drainage for culture
*Follow medication regimen
,Question:
A client with Cushing's syndrome is recovering from an elective laparoscopic
procedure. Which assessment finding warrants immediate intervention by
the nurse?
Answer:
Irregular apical pulse
Question:
The nurse is teaching a client with glomerulonephritis about self-care. Which
dietary recommendations should the nurse encourage the client to follow?
Answer:
Restrict protein intake by limiting meats and other high-protein foods
Question:
A client with carcinoma of the lung is complaining of weakness and has a
serum sodium level of 117 mEq/L. Which nursing problem should the nurse
include in this client's plan of care?
Answer:
Fluid volume excess
, Question:
A male client who had colon surgery 3 days ago is anxious and requesting
assistance to reposition. While the nurse is turning him, the wound
dehiscence’s and eviscerates. The nurse moistens an available sterile dressing
and places it over the wound. What intervention should the nurse implement
next?
Answer:
Prepare the client to return to the operating room
Question:
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), the nurse
performs a neurological assessment every four hours. Which assessment
finding warrants immediate intervention by the nurse?
Answer:
Weakened cough effort
Question:
The nurse is caring for a client diagnosed with psoriasis vulgaris who is
receiving a psoralen and ultraviolet A light (PUVA) treatment. Which
assessment finding indicates that the client has been overexposed to the
treatment?
Answer:
Tenderness upon palpation and generalized erythema.
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