MED SURG 2024 HESI Concepts of Nursing II (BSN 266) A+
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MED SURG 2024 HESI
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MED SURG 2024 HESI
MED SURG 2024 HESI Concepts of Nursing II (BSN 266) A+The nurse is evaluating a male client's understanding of diet teaching about DASH (dietary approaches to stop hypertension) eating plan. Which behavior indicates that the client is adhering to the eating plan
2. A client with carcinoma of the l...
MED SURG 2024 HESI Concepts of Nursing II (BSN
266) A+
1. The nurse is evaluating a male client's understanding of diet teaching about DASH
(dietary approaches to stop hypertension) eating plan. Which behavior indicates that the client is
adhering to the eating plan
a. Enjoys fat free yogurt as an occasional snack food
2. A client with carcinoma of the lung is complaining of weakness and has a serum sodium
level of 117 mEq/L. Which nursing problem should the nurse include in this client's plan of care?
A. Altered urinary elimination
B. Impaired gas exchange
C. Fluid volume excess
D. Decreased cardiac output
3. The nurse is assessing clients in an outpatient diabetic clinic. Which entry provides the
best indication that the client is adhering to the prescribed diabetic regimen?
a. Hemoglobin A1C of 6.2%
4. A client who has developed acute kidney injury (AKI) due to an aminoglycoside
antibiotic has moved from the oliguric phase to the diuretic phase of AKI. which parameters are
most important for the nurse to plan to carefully monitor?
a. Hypovolemia and ECG changes
5. Which nursing problem should be included in the plan of care for a client with heart
failure?
a. Activity intolerance related to oxygen deficit secondary to inefficient cardiac contractility
6. A client is receiving an IV infusion of regular insulin 60 units in 100mL of normal saline
at 5 units/hour. How many mL/hour? Round to nearest whole number
a. 8 mL
7. To reduce the risk for pulmonary complication for a client with ALS, which interventions
should the nurse implement? Select all that apply
, a. Chest physiotherapy
b. Teach the client breathing exercises
c. Encourage use of incentive spirometer
8. The healthcare provider prescribes streptomycin 300 mg IM q12 hours for a client with
TB. The available vial is labeled 1g/2.5 mL. How many mL? Round to nearest tenth
a. 0.8 mL
9. In providing discharge teaching to a client with COPD, which instruction is most
important for the nurse to emphasize?
a. Notify the healthcare provider of any change in sputum color
10. The nurse brings a scheduled dose of docusate calcium to a male client who has cirrhosis
of the liver. The client states that he never had bowel problems and does not need a stool
softener. Which action should the nurse take?
a. Withhold the medication until consulting with the healthcare provider
11. The nurse is assessing a client who is receiving enteral feedings. Which clinical data
indicates the client may not be tolerating the tube feedings? Select all that apply.
a. n/v
b. Abdominal cramping
c. Absent bowel sounds
12. A client is admitted to the hospital for shortness of breath and chest pain afer an episode
of syncope. Which lab finding?
a. Troponin I
13. The nurse reports that a client is at risk for a brain attack (stroke) based on which
assessment finding?
A. Nuchal rigidity
B. Palpable cervical lymph nodes.
C. Jugular vein distention
D. Carotid bruit
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