100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
MED SURG II HESI CA$4.30   Add to cart
Quickly navigate to
Preview
  2.  
  3. MED SURG II HESI
  4.  
  5. MED SURG II HESI
  6.  
  7. MED SURG II HESI

Exam (elaborations)

MED SURG II HESI

 3 views  0 purchase

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 p...

[Show more]

Preview 2 out of 5  pages

Document information

  • August 4, 2023
  • 5
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • med surg ii hesi elsevier

Written for

All documents for this subject (416)

Seller

avatar-seller
otebamanyuru

Content preview

MED SURG II HESI (2023 A++ RATED)

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 provider



2. Elevate the head of the bed and obtain vital signs



3. Contact the primary health care provider to obtain a prescription for a sedative



4. Assess for allergies and change the IV to an intermittent infusion device - Elevate the head of the bed
and obtain vital signs



A nurse is assessing a client with a diagnosis of early left ventricular heart failure. Specific to this type of
heart failure, the nurse expects the client to state:



1. "My ankles are swollen."



2. "I am tired at the end of the day."



3. "When I eat a large meal, I feel bloated."



4. "I have trouble breathing when I walk rapidly - 4. "I have trouble breathing when I walk rapidly



A client who had a myocardial infarction asks the nurse, "What's the chance of my having another
heart attack if I carefully watch my diet and stress levels?" What is the nurse's most appropriate initial
response?

, 1. Focus on the client's feelings by exploring the reason why the question was asked.



2. Explain that it is all right to be frightened and refer the client to the psychiatric nurse.



3. Provide information that the client is correct in being especially careful in these areas.



4. Suggest that the client discuss follow-up care with the health care provider and the dietitian. - 1.
Focus on the client's feelings by exploring the reason why the question was asked.



The nurse is assessing a client for signs of right ventricular failure. What should the nurse expect if this
occurs?



1. Slowed pulse rate



2. Pleural friction rub



3. Neck vein distention



4. Increasing hypotension - 3. Neck vein distention



A client with bilateral varicose veins of the lower extremities questions the nurse about the brownish
discoloration of the lower legs. The best response by the nurse is, "This is probably the result of:



1. Inadequate arterial blood supply."



2. Delayed healing of tissues after an injury."



3. Increased production of melanin in the area."

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 otebamanyuru. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for CA$4.30. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67474 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
CA$4.30
  • (0)
  Add to cart