HESI MEDSURG 2023 EXAM - LATEST UPDATED
STUDY GUIDE
A client has had a Miller-Abbott tube in place for 24 hours. Which assessment finding
indicates that the tube is properly located in the intestine?
Aspirate from the tube has a pH of 7
A client is resuming a diet after a Billroth II procedure. To minimize complications from
eating, which actions should the nurse teach the client to do? Select all that apply.
Lay down after eating
Eat a diet high in protein
Eat six small meals per day
The nurse assists the health care provider with a liver biopsy performed at the bedside.
Which position should the nurse place the client in after the biopsy?
Right side-lying with a folded towel under the puncture site
A client has a prescription to receive an enema before bowel surgery. The nurse assists the
client into which position to administer the enema?
C
The nurse is caring for a client with acute pancreatitis who has a history of alcoholism. The
nurse closely monitors the client for paralytic ileus, knowing that which assessment data
indicate this complication of pancreatitis?
Inability to pass flatus
After performing an initial abdominal assessment on a client with a diagnosis of
cholelithiasis, the nurse documents that the bowel sounds are normal. Which description
describes this assessment finding?
Soft gurgling or clicking sounds auscultated in all four quadrants
The nurse is assisting the client with hepatic encephalopathy to fill out the dietary menu.
The nurse advises the client to avoid which entree items that could aggravate the client's
condition?
Ground beef patty
A client with a colostomy is complaining of gas building up in the colostomy bag. The nurse
instructs the client that which food items should be consumed to best prevent this problem?
Select all that apply.
Yogurt
Crackers
Toasted bread
, HESI MEDSURG 2023 EXAM - LATEST UPDATED
STUDY GUIDE
A client admitted to the hospital with a diagnosis of cirrhosis has massive ascites and
difficulty breathing. The nurse performs which intervention as a prioritymeasure to assist
the client with breathing?
Elevates the head of the bed to 60 degrees
A client who undergoes a gastric resection is at risk for developing dumping syndrome.
Which manifestation should the nurse monitor the client for?
Dizziness
A multidisciplinary team is working with the spouse of a home care client who has end-stage
liver failure and is teaching the spouse about pain management. Which statement by the
spouse indicates the need for further teaching
“The medication causes very deep sleep that my husband needs.”
A client has not eaten or had anything to drink for 4 hours following two episodes of nausea
and vomiting. Which item would be best to offer the client who is ready to try resuming oral
intake?
Ginger ale
A client with a gastric tumor is scheduled for a subtotal gastrectomy (Billroth II procedure).
The nurse explains the procedure to the client and tells the client that the procedure will
entail which surgical tasks?
Lower portion of the stomach is removed and the remainder is anastomosed to the jejunum
The nurse instructs a client with chronic pancreatitis about measures to prevent its
exacerbation and provides which information to the client? Select all that apply.
Eat bland foods
Avoid alcohol ingestion
Avoid cigarette smoking
Avoid caffeinated beverages
Eat small meals and snacks high in calories
A client is diagnosed with cholecystitis. The nurse reviews the client's medical record,
expecting to note documentation of which manifestations of this disorder? Select all that
apply.
Dyspepsia
Feelings of abdominal fullness
Rebound tenderness in the abdomen
Upper abdominal pain that radiates to the right shoulder
, HESI MEDSURG 2023 EXAM - LATEST UPDATED
STUDY GUIDE
The nurse is monitoring a client diagnosed with a ruptured appendix for signs of peritonitis.
The nurse should assess for which manifestations of this complication? Select all that
apply.
Distended abdomen
Rigid, boardlike abdomen
Diminished bowel sounds
Inability to pass flatus or feces
The nurse provides information to a client with a colostomy about the foods that will help
prevent odor from the colostomy and tells the client to consume which foods? Select all
that apply.
Parsley
Yogurt
Buttermilk
Cranberry juice
The nurse provides information to a client with gastroesophageal reflux disease (GERD)
about the factors that contribute to decreased lower esophageal sphincter (LES) pressure
and worsen the condition. The nurse should tell the client that which factors contribute to
decreased LES pressure? Select all that apply.
A client seen in the emergency department with complaints of abdominal pain has a
diagnosis of acute abdominal syndrome and the cause has not been determined. Which
prescription should the nurse question at this time?
Clear liquid diet only
The nurse is assigned to care for a client being admitted to the hospital with a diagnosis of
cirrhosis and ascites. Which dietary measure should the nurse expect to be prescribed for
the client?
Sodium restriction
The nurse is providing home care dietary instructions to a client who has been hospitalized
for pancreatitis. Which food should the nurse instruct the client to avoid to prevent
recurrence?
Chili
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