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MED SURG HESI BSN 266 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS GRADED A 2024
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MED SURG HESI BSN 266 EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS GRADED A 2024
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MED SURG HESI BSN 266 EXAM STUDY GUIDEWITH COMPLETE SOLUTIONS GRADED A 2024
Client is recovering from a transurethral prostatectomy. Which activity should be limited
until after the first postoperative visit with the healthcare provider? - ANSWERDrink 3L
A client with stage IV bone cancer is admitted to the hospital for a 1-10 scale. Which
intervention should the nurse implement? - ANSWERAdminister opioid and non-opioid
medications simultaneously
A client experiences an AOB incompatibility reaction after multiple blood transfusions.
Which finding should the nurse report immediately to the health care provider?
a. low back pain and hypotension
b. rhinitis and nasal stuffiness
c. delayed painful rash with urticarial
d. arthritic joint changes and chronic pain - ANSWERa. low back pain and hypotension
ANSWER: (A) LOW BACK PAIN AND HYPOTENSTION
When conducting discharge teaching for a client
diagnosed with diverticulosis, which diet instruction should the nurse include?
a. Have small frequent meals and sit up for at least two hours after meals.
b. Eat a bland diet and avoid spicy foods.
c. Eat a high fiber diet and increase fluid intake.
d. Eat a soft diet with increased intake of milk and milk products - ANSWERc. Eat a high
fiber diet and increase fluid intake.
ANSWER (C) EAT A HIGH-FIBER DIET AND INCREASE FLUID INTAKE
The nurse observes an increased number of blood clots in the drainage tubing of a
client with continuous bladder irrigation following a transurethral resection of the
prostate (TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
,b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent - ANSWERc. Increase the flow of
the bladder
irrigation
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous morphine sulfate patch for pain is
short of breath and difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic patches on - ANSWERRemove
all morphine patches
Coming down the basement steps, a client is brought to the emergency room X-ray ...
cast, which assessment finding warrants immediate
Intervention by the nurse? - ANSWERRight foot pale with sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2 diabetes mellitus is admitted
for a hernia repair. He tells the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - ANSWERa. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
,A client who underwent cardiac stent placement four days ago arrives to the
emergency department reporting a sudden onset of chest pressure and
shortness of breath. Which action should the nurse take next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion, pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every 3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring
. - ANSWERd. Obtain a 12-lead electrocardiogram and begin continuous cardiac
monitoring
While completing a health assessment for a client with migraine headaches, the nurse
assesses bilateral weakness in the clients hand grips. The client reports joint pain and
trouble twisting a door knob due to weaknesses. Which action should the nurses take in
response to these figures?
a. Implement fall precautions to reduce the clients risk of injury.
b. Explain that relief of the migraine pain will reduce related symptoms.
c. Gather additional assessment data about the pain and weakness.
d. Consult with the occupational therapist for a functional assessment - ANSWERc.
Gather additional assessment data about the pain and weakness.
The nurse is caring for a client diagnosed with psoriasis vulgaris who is receiving
psoralen and ultraviolet A light (PUVA) treatment.
Which assessment finding indicates that the client has been overexposed to the
treatment?
a. Thick skin plaques topped by silvery white scales
b. Tenderness upon palpation and generalized erythema
c. Brown, rough, greasy, wart-like papules on the face
d. Requires sunglasses because sunlight hurts eyes - ANSWERb. Tenderness upon
palpation and generalized erythema
, An adult client who had a gastric bypass surgery 2 weeks ago, is admitted with possible
anastomosis leakage. The client's abdomen is tender to touch, and the vital signs are
temperature 101* F (38 3* C). heart rate 130 beats/minute, Respiratory rate 26
breaths/minute, and blood pressure 100/50 mmHg.
Which intervention is most important for the nurse to include in the client's plan of care?
a. Encourage regular turning.
b. Monitor skin for breakdown.
c. Strict IV fluid replacement
d. Assess wound drainage daily - ANSWERc. Strict IV fluid replacement
A client who was recently diagnosed with Raynaud's disease is concerned about pain
management.
Which nursing instructions should the nurse provide?
a. Painful areas should be rubbed gently until the pain subsides.
b. Return appointments will be
needed for IV pain medications.
c. Enrolling in a pain clinic can provide relief alternatives.
d. Wearing gloves when handling cold items guards against painful spasms. -
ANSWERd. Wearing gloves when handling cold items guards against painful spasms.
A client with newly diagnosed Crohn's disease asks the nurse about dietary
restrictions. How should the nurse respond?
a. Explain that the need to restrict fluids is the primary limitation.
b. Advise the client to limit foods that are high in calcium and iron.
c. Instruct the
client to avoid foods with gluten, such as wheat bread.
d. Describe the use of an elimination diet to find trigger foods - ANSWERd. Describe the
use of an elimination diet to find trigger foods
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.?
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