HESI MED SURG EXAM WITH WELL EXPLAINED ANSWERS ALREADY GRADED A+. 2024/2025 LATEST UPDATE. NEW!!! NEW!!! NEW!!!
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Course
HESI MED SURG
Institution
HESI MED SURG
HESI MED SURG EXAM WITH WELL
EXPLAINED ANSWERS ALREADY
GRADED A+. 2024/2025 LATEST
UPDATE. NEW!!! NEW!!! NEW!!!
During a health fair, a 72-year-old male client tells the nurse that he is
experiencing shortness of breath. Auscultation reveals crackles and wheezing in
both lungs. Suspectin...
HESI MED SURG EXAM WITH WELL EXPLA INED ANSWERS ALREADY GRADED A+ . 2024/2025 LATEST UPDATE. NEW!!! NEW!!! NEW!!! During a health fair, a 72 -year-old male client tells the nurse that he is experiencing shortness of breath. Auscultation reveals crackles and wheezing in both lungs. Suspecting that the client might have chronic bronchitis, which classic symptom should th e nurse expect this client to have? A) Racing pulse with exertion. B) Clubbing of the fingers. C) An increased chest diameter. D) Productive cough with grayish -white sputum. - ANS✔✔-D) Productive cough with grayish -white sputum. Chronic bronchitis, one of the diseases comprising the diagnosis of COPD, is characterized by a productive cough with grayish -white sputum (D), which usually occurs in the morning and is often ignored by smokers. (A) is not related to chronic bronchitis; h owever, it is indicative of other problems such as ventricular tachycardia and should be explored. (B and C) are symptoms of emphysema and are not consistent with the other symptoms. (C) is usually referred to as a "barrel chest." The nurse is assessing a client who smokes cigarettes and has been diagnosed with emphysema. Which finding should the nurse expect this client to exhibit? A) A decreased total lung capacity. B) Normal arterial blood gases. C) Normal skin colouring . D) An absence of sputum. - ANS✔✔-C) Normal skin colouring . The differentiation between the "pink puffer" and the "blue bloater" is a well -
known method of differentiating clients exhibiting symptoms of emphysema (normal colour but puffing respirations) from those exhibiting symptoms of chronic bronchitis (edematous, cyanotic, shallow respirations) (C). Total lung capacity is increased in emphysema since these clients have hyperinflated lungs (A). Arterial blood gases are typica lly abnormal (B). (D) is indicative of bronchitis, while clients with emphysema usually have copious amounts of thick, white sputum. A client has taken steroids for 12 years to help manage chronic obstructive pulmonary disease (COPD). When making a home visit, which nursing function is of greatest importance to this client? Assess the client's A) pulse rate, both apically and radially. B) blood pressure, both standing and sitting. C) temperature. D) skin colour and turgor. - ANS✔✔-C) temperature. It is very important to check the client's temperature (C). Infection is the most common factor precipitating respiratory distress. Clients with COPD who are on maintenance doses of corticosteroids are particularly predisposed to infection. (A and B) are i mportant data for baseline and ongoing assessment, but they are not as important as temperature measurement for this client who is taking steroids. Assessment of skin colour and turgor is less important (D). The nurse is assisting a client out of bed for the first time after surgery. What action should the nurse do first? A) Place a chair at a right angle to the bedside. B) Encourage deep breathing prior to standing. C) Help the client to sit and dangle legs on the side of the bed. D) Allow the client to sit with the bed in a high Fowler's position. - ANS✔✔-D) Allow the client to sit with the bed in a high Fowler's position. The first step is to raise the head of the bed to a high Fowler's position (D), which allow venous return to compensate from lying flat and vasodilating effects of perioperative drugs. (A, B, and C) are implemented after (D).
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