Exam (elaborations)
MedSurg HESI EXAM 2024/25
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MedSurg HESI (Latest 2024/ 2025) Questions and Verified Answers|100% Correct| Grade AThe nurse is caring for a client with diabetes insipidus (DI). Which data warrants the most immediate intervention by the nurse?
A. Serum sodium of 185 mEq/L (185 mmol/L)
B. Dry skin with inelastic turgor
C. Apical rate of 110 beats per minute
D. Polyuria and excessive thirst
A. Serum sodium of 185 mEq/L (185 mmol/L)
The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?
A. Frequent use of chewable and liquid antacids for indigestion B. Severe abdominal cramps and diarrhea after eating spicy foods C. Upper mid-abdominal pain described as gnawing and burning D. Marked loss of weight and appetite over the last 3 or 4 months
C. Upper mid-abdominal pain described as gnawing and burning
The nurse assesses a client who is newly diagnosed with hyperthyroidism and observes that the client's eyeballs are protuberant, causing a wide-eyed appearance and eye discomfort. Based on this finding, which action should the nurse include in the client's plan of care?
A. Assess for signs of increased intracranial pressure
B. Prepare to administer intravenous levothyroxine
C. Review the client's serum electrolyte values
D. Obtain a prescription for artificial tear drops
D. Obtain a prescription for artificial tear drops
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), what interventions should the nurse implement? (Select all that apply)
A. Initiate passive range of motion exercises
B. Establish a regular bladder routine C. Teach the client breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer
C. Teach the client breathing exercises
D. Perform chest physiotherapy
E. Encourage use of incentive spirometer
A client is hospitalized with heart failure (HF). Which intervention should the nurse implement to improve ventilation and reduce venous return?
A. Perform passive range of motion exercises B. Place the client in high Fowler position C. Administer oxygen per nasal cannula D. Increase the client's activity level
B. Place the client in high Fowler position
A client who was involved in a motor vehicle collision is admitted with a fractured left femur which is immobilized using a fracture traction splint in preparation for an open reduction internal fixation (ORIF). The nurse determines that the clients distal pulses are diminished in the left foot. Which interventions should the nurse implement? Select all that apply:
A. Verify pedal pulses using a Doppler pulse device
B. Evaluate the application of the splint to the left leg
C. Offer ice chips and oral clear liquids
D. Monitor left leg for pain, pallor, parenthesis, paralysis, pressure
E. Administer oral antispasmodics and narcotic analgesics
A. Verify pedal pulses using a Doppler pulse device
B. Evaluate the application of the splint to the left leg
D. Monitor left leg for pain, pallor, parenthesis, paralysis, pressure
The healthcare provider prescribes diagnostic tests for a client whose chest x-ray indicates pneumonia. Which diagnostic tests should the nurse review for implementation in the most therapeutic treatment of
the pneumonia?
A. Sputum culture and sensitivity
B. Blood cultures
C. Arterial blood gases (ABGs)
D. Computerized tomography of the chest
A. Sputum culture and sensitivity
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough with thickened, tenacious mucous, and an inability to walk up a flight of stairs without experiencing breathlessness. Which action is most important for the nurse to instruct the client about self-care?
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