HESI MED SURG RN V1 QUESTIONS AND ANSWERS GRADED A/LATEST 2023 MARCH {100 QUESTIONS AND ANSWERS}
1. A nurse is assessing a client has left-sided heart failure. Which of the following findingssI hould the nurse expect?
a. Bradycardia
b. Flushed skin c.
d. Jugular vein distention
2. A nu...
Frothy IIsputum II– IIpg.198 HESI MED SURG RN V1 QUESTIONS AND ANSWERS GRADED A/LATEST 2023 MARCH {100 QUESTIONS AND ANSWERS} 1. A nurse is assessing a client has left-sided heart failure. Which of the following findingssI hould the nurse expect? a. Bradycardia b. Flushed skin c. d. Jugular vein distention Measu re IIthe IIamoun tIIof IItheIIdialysate IIoutflow 2. A nurse is assessing a client who is experiencing renal colic from a calculus in left renal pelvis. Identify the area where the nurse should expect the client to have referred pain. (Find“hot spots” in the artwork) - CORRECT 3. A nurse is caring for a client who is receiving peritoneal dialysis and notes a decrease in the dialysate flow rate. Which of the following actions should the nurse take? (Select all the apply.) a. b. Strip the catheter tubing c. d. Raise the client to high fowlers position - pg.370: encourage client to lie Monitor IIthe IIaccess IIsite IIfor IIdrainage. You IIprobably IIhave IInoticed IIa IIdecline IIin IIyour IIcentral IIvision. II– IIpg.63 Supine withhead slightly elevated during CCPD and APD treatment. 4. A nurse is providing discharge teaching to a client who has an impaired immune system due to chemotherapy. Which of the following information should the nurse include in theteaching? a. b. Change your pet’s litter box daily. c. Change the water in your drinking glass every 4 hrs. d. Wash your toothbrush in the dishwasher once each month. 5. A nurse is planning to insert an indwelling catheter for a female client. Which of the followingactions should the nurse plan to take? a. Collect urine specimen from the drainage bag 1 hr after insertion b. Raise the head of the bed to 45 degrees prior to insertionIcI . SecureIIthe IIcatheter IItoIIthe IIclient's IIinner IIthigh d. Attach the bag to the rail of the bed 6. A nurse is providing teaching for a client who has age-related macular degeneration. Whichof the following information should the nurse include in the teaching? a. A possible cause of this problem is long-term lack of dietary protein. b. You probably have a Detachment of your retina. c. d. The doctor can perform surgery to correct the start paying the folds in your retina. 7. A nurse is assessing a client who has cirrhosis. Which of the following findings is the priority for the nurse to report? – Expected Findings: fatigue, Wt loss, abdo.pain, abdo.distention, pruritus. a. b. Distended abdomen c. Alkaline phosphatase 125 units/L d. Clay colored stools e. Position IIthe IIclient IIto IIher IIother Platelets II 70,000/mm I I pg.357 3 - I Wash IIyou’r IIperineal IIarea IItwo IItimes IIeach IIday IIwith IIantimicr obial IIsoap.
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