HESI Med Surg AUGUST 2022 questions and answers 100% verified.

HESI Med Surg AUGUST 2022 questions and answers 100% verified. While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? - correct answers.Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the health care provider? - correct answers.Hematuria The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information provided by the client indicates understanding? - correct answers.Include no more than 1-2 alcoholic beverages in diet per day A client is recovering from a transurethral prostatectomy. Which activity should we limited until the first postoperative visit with his health care provider? - correct answers.Driving in a car. The home health nurse provides teaching about insulin self injection to a client who was recently diagnosed with diabetes mellitus. When the client begins to perform a return demonstration of an insulin injection into the abdomen as seen in the video which instruction should the nurse provide? - correct answers.Continue with the insulin injection The family suspects that acquired immune deficiency syndrome (AIDS) dementia is occurring in their son who is human immunodeficiency virus (HIV) positive. Which symptom confirms their suspicious? - correct answers.A change has recently occurred in his handwriting The nurse is caring for a client in the post anesthesia care unit (PACU) who underwent a thoracotomy two hours ago. The nurse observes the following vital signals, heart rate 140 beats/minute, respirations 26 breaths/minute, and blood pressure 140/90 mmHg. Which intervention is most important for the nurse to implement? - correct answers.Encourage the client to splint the incision with a pillow to cough and deep breathe After three days of persistent epigastric pain, a female client presents to the clinic. She has been taking oral antacids without reflux. Her vital signs are heart rate 122 beats/minute, respiration 16 breaths/minute, oxygen saturation 96% and blood pressure 116/70 mmHg. The nurse obtains a 12 lead electrocardiogram. Which assessment finding is most critical? - correct answers.ST elevation in three leads A client with cholelithiasis is admitted with jaundice due to obstruction of the common bile duct. Which finding is most important for the nurse to report to the healthcare provider? - correct answers.Distended, hard, and rigid abdomen A client with hyperparathyroidism reports a sudden onset of severe flank pain. Which intervention should the nurse include in the clients plan of care? - correct answers.Begin straining all urine . A client with chronic kidney disease is started on hemodialysis. During the first dialysis treatment, the clients blood pressure drops mmHg to 80/30 mmHg. Which action should the nurse take first? - correct answers.Lower the head of the chair and elevate feet The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing abdominal pain. To help the client manage the pain, which assessment data is most important for the nurse to obtain? - correct answers.Eating patterns of dietary intake A client who had a C5 spinal cord injury 2 years ago is admitted to the emergency department with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit? - correct answers.Profuse diaphoresis and severe, pounding headache A client tells the clinic nurse about experiencing burning on urination and assessment reveals that the client had sexual intercourse four days ago with a person who has casually met. Which action should the nurse implement? - correct answers.Obtain a specimen of urethral drainage for culture A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return? - correct answers.Place the client in high Fowler position An older adult client with a long history of chronic obstructive pulmonary disease (COPD) is admitted with progressive shortness of breath and a persistent cough. The client is anxious and is complaining of a dry mouth. Which intervention should the nurse implement? - correct answers.Assist client to an upright position The nurse is obtaining a health history from a new client who has a history of kidney stones. Which statement by the client indicates an increased risk for renal calculi? - correct answers.Eats a vegetarian diet with cheese 2 to 3 times a day Which client has the highest risk for developing skin cancer? - correct answers.A 65 year old fair skinned client who is a construction worker When providing care for an unconscious client who has seizures, which nursing intervention is most essential? - correct answers.Ensure oral suction is available. A client who had colon surgery 3 days ago is anxious and requesting assistance to reposition. While the nurse is turning the client, the wound dehiscence's and eviscerates. The nurse