MED SURG HESI REVIEW STUDY GUIDE EXAM [GRADED A+] ACTUAL EXAM WITH VERIFIED SOLUTIONS. LATEST 2024 UPDATE
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Course
MED SURG HESI R
Institution
MED SURG HESI R
MED SURG HESI REVIEW
STUDY GUIDE EXAM [GRADED
A+] ACTUAL EXAM WITH
VERIFIED SOLUTIONS. LATEST
2024 UPDATE
the nurse is assessing a client who has a history of Parkinson's disease for the
past 5 years. what symptoms would the client most likely exhibit?
A. loss of short-term memory, faci...
MED SU RG HESI REVIEW STUDY GUIDE EXAM [GRADED A+] ACTUAL EXAM WITH VERIFIED SOLUTIONS. LATEST 2024 UPDATE the nurse is assessing a client who has a history of Parkinson's disease for the past 5 years. what symptoms would the client most likely exhibit? A. loss of short -term memory, facial tics and grimaces, and constant writhing movements B. shuffling gait, masklike facial expression and tremors of the head C. extreme muscular weakness, easy fatiguability, and ptosis D. numbness of the extremities, loss of balance, and visual disturbances - ANS✔✔-B which information about mammograms is most important to provide a post -
menopausal female client? A. breast self -examinations are not needed if annual mammograms are obtained B. radiation exposure is minimized by shielding the abdomen with a lead -lined apron C. yearly mammograms should be done regardless of previous normal X rays D. women at high risk should have annual routine and ultrasound mammograms - ANS✔✔-C The nurse formulates the nursing diagnosis of, Urinary retention related to sensorimotor deficit for a client with multiple sclerosis. Which nursing intervention should the nurse implement? A) Teach the client techniques of intermittent self -catheterization. B) Decrease fluid intake to prevent over distention of the bladder. C) Use incontinence briefs to maintain hygiene with urinary dribbling. D) Explain that anticholinergic drugs will decrease muscle spasticity. - ANS✔✔-A in preparing to administer intravenous albumin to a client following surgery, what is the priority nursing intervention? (select all that apply) A. set the infusion pump to infuse the albumin within four hours B. compare the client's blood type with the label on the albumin C. assign a UAP to monitor blood pressure q15 minutes D. administer through a large gauge catheter E. monitor hemoglobin and hematocrit levels F. assess for increased bleeding after administration - ANS✔✔-A D E F The nurse working on a telemetry unit finds a client unconscious and in pulseless ventricular tachycardia (VT). The client has an implanted automatic defibrillator. What action should the nurse implement? A) Prepare the client for transcutaneous pacemaker. B) Shock the client with 200 joules per hospital policy. C) Use a magnet to deactivate the implanted pacemaker. D) Observe the monitor until the onset of ventricular fibrillation. - ANS✔✔-B a 57-year-old male client is scheduled to have a stress -thallium test the following morning and is NPO after midnight. at 0130, he is agitated because he cannot eat and is demeaning food. which response is best for the nurse to provide to this client? A. im sorry sir, you have a prescription for nothing by mouth from midnight tonight B. I will let you have one cracker, but thats all you can have for the rest of tonight C. what did the healthcare provider tell you about the test you are having tomorrow? D. the test yo are having tomorrow requires that you having nothing by mouth tonight - ANS✔✔-D How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry monitoring? A) Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line. B) Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple line. C) Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left shoulder. D) Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple line. - ANS✔✔-D a client is admitted for further testing to confirm sarcoidosis. which diagnostic test provides definitive information that the nurse should report to the healthcare provider? A. lung tissue biopsy B. positive blood cultures C. magnetic resonance imagine (MRI) D. computerized tomography (CT) of thorax - ANS✔✔-A During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently and dislodges the tracheostomy tube. Which action should the nurse implement first? A) Notify the healthcare provider for reinsertion. B) Attempt to reinsert the tracheostomy tube. C) Position the client in a lateral position with the neck extended. D) Ventilate client's tracheostomy stoma with a manual bag -mask. - ANS✔✔-B When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary disease (COPD), which information should the nurse provide? A) Place a small book or magazine on the abdomen and make it rise while inhaling deeply. B) Purse the lips while inhaling as deeply as possible and then exhale through the nose. C) Wrap a towel around the abdomen and push against the towel while forcefully exhaling. D) Place one hand on the chest, one hand the abdomen and make both hands move outward. - ANS✔✔-A the nurse is planning care to prevent complication for a client with multiple myeloma. which intervention is most important for the nurse to include? A. safety precautions during activity B. assess for changes in size of lymph nodes C. maintain a fluid intake of 3 to 4 L per day D. administer narcotic analgesic around the clock - ANS✔✔-C the nurse is caring for a client with continuous feeding through a percutaneous endoscopic gastrostomy (PEG) tube. which intervention should the nurse include in the plan of care? A. flush the tube with 50 ml of water q 8 hours B. check the tube placement and residual volume 14 hours C. obtain a daily x -ray to verify tube placement D. position on left side with head of bed elevated 45 degrees - ANS✔✔-B A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg. Which action should the nurse implement? A) Position the head of the bed (HOB) flat. B) Withhold intravenous fluids. C) Administer a bolus of IV fluids. D) Give an antihypertensive medications. - ANS✔✔-D The nurse is working with a 71 -year-old obese client with bilateral osteoarthritis (OA) of the hips. What recommendation should the nurse make that is most beneficial in protecting the client's joints? A) Increase the amount of calcium intake in the diet. B) Apply alternating heat and cold therapies.
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