1. A clientis admitted with rapid atrialflutter is receiving amiodarone 1mg/min via a peripheral line.The UAP
reports to the nurse that the client's HR is 90 BPM, and BP is 110/50.Which intervention should the nurse
implement?
A. tell the uap to turn off the amiodarone
B. restart the IV infusio...
MED SURG HESI 2023 EXAM / 80 +
QUESTIONS AND CORRECT
SOLUTIONS LATEST UPDATE
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,1. A client is admitted with rapid atrial flutter is receiving amiodarone 1mg/min via a peripheral line. The UAP
reports to the nurse that the client's HR is 90 BPM, and BP is 110/50. Which intervention should the nurse
implement?
A. tell the uap to turn off the amiodarone
B. restart the IV infusion in another site
C. Determine the regularity of the peripheral pulses
D. Evaluate the rhythm of the heart rate ANSWER $. Evaluate the rhythm of the heart rate
2. The nurse notes there is bloody drainage trickling from under a client who had a thyroidectomy yesterday.
Which action should the nurse take?
A. Apply pressure to client's incision.
B. reinforced the dressing with sterile gauze
C. Remove the dressing and apply steri strips
D. Assess the client's ability to swallow ANSWER 4. Assess the client's ability to swallow
3. A client tells the nurse that her biopsy results indicate that the cancer cells were well differentiated. How should
the nurse respond?
A. Offer the client reassurance that this indicates the cancer cells are benign
B. explain that these tissue cells often respond more effectively to radiation than chemo
C. help the client make plans to begin immediate treatment since her cancer is likely to spread
D. Ask the client if the healthcare provider has given her any information about the classification of her cancer
ANSWER 4.
4. the nurse is teaching a client recently diagnosed with SLE about self-care. Which instruction should be
included in this client's teaching plan?
A. Encourage use of a cromolyn inhaler prior to activity
B. use tanning beds in place of sun bathing
3, remove tags, curtains, and other dust collection items in the home
4. avoid large crowds and people with infections ANSWER 4, avoid large crowds and people with infections
5. a client is being treated for SIADH. On examination the client has a weight gain of 4.4lbs. In 24 hours, and an
elevated HR. Which intervention should the nurse implement first?
A. Record usual eating patterns
B. Measure ankle circumference
C. Review ABG's
D. Enurse the client takes a diuretic every morning ANSWER 4. Ensure the client takes a diuretic every morning
6. A client recently diagnosed with DM is admitted with watery diarrhea, deep rapid respirations, and reports
having a sever headache for the past week. VS
, 80/40, HR 134 bpm, RR 36. Which interventions should the nurse implement first
A. Rapidly infused bolus of NS
B. Obtain the clietns admission weight
C. Check the urine for ketones
D. Assess for evidence of fruity breath ANSWER !. Rapidly infused bolus of NS
7. A client with DM seems confused and parents with onset of headache, polyuria, fatigue, and blurry vision.
What action should the nurse implement.
A. Arrange for a vision consultation
B. Request a urine culture
C. Provide the client with a cup of juice
D. check the client's blood glucose ANSWER 4. check the client's blood glucose
8. After 3 days of nausea, vomiting, and fatigue a client with adrenal insuf- ficiency presents to the ED. Which
findings attained during the admission assessment warrants immediate intervention by the nurse
A. Postural hypotension
B. extremity weakness
C. Signs of dehydration
D. Increased HR ANSWER 3. Signs of Dehydration
9. A client with HF is admitted to the medical surgical unit with pneumonia. To reduce cardiac workload, which
interventions should the nurse include in the plan of care
A. assist with ambulation in the hallway
B. teach to sleep in a side lying position
C. provide a bedside commode for toileting
D. encourage active range of motion exervcises ANSWER 3. Provide a bedside commonde for toileting
10. A client with hyperthyroidism tells the nurse " I stopped taking my anti-thy- roid medication and now I feel
anxious. I can feel my heart pounding. Which assessment is most important for the nurse to obtain
A. VS
B. Peripheral pulses
C. Emotional status
D. Presence of goiter ANSWER 1. VS
11. An older client with a history of anemia presents to the clinic with weak- ness and general fatigue. Which
assessment should the nurse perform to evaluate the client's tissue perfusion
A. observe for bruising on the arms and legs
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