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Exam (elaborations)

Hesi Med Surg exam questions and answers 2022

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Hesi Med Surg exam questions and answers 2022 1. when preparing a client with ascites for a paracentesis, which instruction should the nurse provide to the client? a. Lie in a supine position for the procedure b. Take rapid and shallow breaths c. Void to empty bladder completely d. Lie on ...

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  • January 20, 2022
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  • 2021/2022
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Hesi Med Surg exam questions and answers 2022



1. when preparing a client with ascites for a paracentesis, which instruction should the nurse
provide to the client?
a. Lie in a supine position for the procedure
b. Take rapid and shallow breaths
c. Void to empty bladder completely
d. Lie on the right side after the procedure

o Abdominal paracentesis is a procedure to remove abnormal fluid buildup in your
abdomen. Fluid builds up because of liver problems, such as swelling and scarring. Heart
failure, kidney disease, a mass, or problems with your pancreas may also cause fluid
buildup.
o Before procedure, You may be asked to urinate in order to empty your bladder. You are
taken to the procedure room and moved to a table or bed. You will need to lie on your
back or on your side.

2. an adult male client newly diagnosed with crohn's disease asks the nurse if he can still eat
dairy products. how should the nurse
a. Suggest eliminating dairy for a while to assess for
changes in bowel patterns
b. Explain that dairy products are not high in fiber and are
not beneficial
c. Encourage intake of calcium supplements to replace
dairy products
d. Recommend a diet high in dairy products to provide
adequate dietary protein
o Chron’s disease is Inflammation of segments of the bowel
o S x S include - abdominal pain, diarrhea, weight loss, anemia, ulcer formation
o Interventions: NPO, Administer fluids/electrolytes, parenteral nutrition IV
o Diet: Low residue, low fiber. Try elimination diet, so to understand what irritates your
bowels.

3. the nurse plans to assess urine in the catheter bag of a client who is receiving bladder
irrigation fluid following a transurethral resection of the prostate (TURP). which
observation indicates a possible postoperative complications and should be reported to
the healthcare provider immediately?
a. Bright red urine in the foley bag 12 hours postoperative
b. Thick red fluid with clots in foley tubing 12 hours
postoperative
c. Thick amber-colored fluid in the foley bag 24 hours
postoperative
d. Light yellow or colorless urine in the foley bag 48
hours postoperative

o Transurethral resection of the prostate (TURP) is the surgical removal of part of the
prostate gland. It is one option available to relieve the symptoms of an enlarged prostate
or other benign (non-cancerous) prostate disease.
o Signs of trouble from the catheter would include increasing sensations of bladder fullness
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, and needing to urinate along with a lack of drainage of urine through the catheter into the
drainage bag. Excessively bloody urine would also be an indication to call. While this
may be a subjective determination, signs of heavy bleeding include the passage of clots
through the catheter into the bag and the appearance of ketchup thickness of fluid in the
urinary bag.




This study source was downloaded by 100000831777157 from CourseHero.com on 01-20-2022 02:02:59 GMT -06:00


https://www.coursehero.com/file/68817260/Hesi-Med-Surg-3docx/

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