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A 24-year-old female client is scheduled for surgery in the morning. Which of the following is the primary responsibility of the nurse? A. Taking the vital signs B. Obtaining the permit C. Explaining the procedure D. Checking the lab work 2. The nurse is working in the emergency room when a client arrives with severe burns of the left arm, hands, face, and neck. Which action should receive priority? A. Starting an IV B. Applying oxygen C. Obtaining blood gases D. Medicating the client fo...

The nurse is caring for a client scheduled for removal of a pituitary tumor using the transsphenoidal approach. The nurse should be particularly alert for: A. Nasal congestion B. Abdominal tenderness C. Muscle tetany D. Oliguria Answer A: Removal of the pituitary gland is usually done by a transsphenoidal approach, through the nose. Nasal congestion further interferes with the airway. Answers B, C, and D are not correct because they are not directly associated with the pituitary gland. ...

An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)? A. A carotid bruit B. A hypotensive blood pressure C. hyperreflexic deep tendon relexes. D. Decreased bowel sounds A) A carotid bruit. Rationale: the carotid artery (artery to the brain)...

A client who is in hospice care complains of increasing amounts of pain. The healthcare provider prescribes an analgesic every four hours as needed. Which action should the LPN/LVN implement? (ANS- Give an around-the-clock schedule for administration of analgesics. When assessing a client with wrist restraints, the nurse observes that the fingers on the right hand are blue. What action should the LPN implement first? (ANS- Loosen the right wrist restraint. The LPN/LVN is assessing the nutr...

A client reports to the nurse he has not had a BM in 2 days. Which intervention should the nurse implement first? A. instruct caregiver to offer a glass of prune juice B. notify HCP and request script for stool softener C. Assess clients med rec and see normal BM pattern D. Instruct caregiver to increase clients fluids to five 8 ounce glasses per day. - C!! Always assess first. You dont know enough to ask for stool softener A client who has COPD is resting in semi fowlers w/ O2 BNC 2L. The...

The community health nurses is counseling a group of 14 year olds about safe sexual practices. Which health teaching strategy would be most effective for the nurse to use with this age group. A.Encourage group members to describe personal experiences in practicing safe sex B. Provide the group with statistical data about behaviors leading to venereal diseases C. Tell the group that for aids prevention abstinence is the best safe sex practice D. Role play situations in which the adolescent is rew...

HESI-RN MED-SURG Questions and Answers 2022 The nurse assesses a postoperative client whose skin is cool, pale, and moist. The client is very restless and has scant urine output. Oxygen is being administered at 2 L/min, and a saline lock is in place. Which intervention should the nurse implement first? A.Measure the urine specific gravity. B.Obtain IV fluids for infusion per protocol. C.Prepare for insertion of a central venous catheter. D.Auscultate the client's breath sounds. - Correct An...

C - When the chromosomes line up in mitosis this is known as which phase? A. Telophase B. Anaphase C. Metaphase D. Prophase B - Which cellular organelle contains enzymes that are considered digestive? A. Golgi Apparatus B. Lysosomes C. Nucleus D. Ribosomes B - Organs repair themselves through a process of?

A client with depression remains in bed most of the day, and declines activities. Which nursing problem has the greatest priority for this client? A. Loss of interest in diversional activity. B. Social isolation. C. Refusal to address nutritional needs. D. Low self-esteem. The RN is preparing medications for a client with bipolar disorder and notices that the client discontinued antipsychotic medication for several days. Which medication should also be discontinued? a. Lithium. (Lithotabs) ...

"A mother tells the nurse that her child does not want anything to do with toilet training and yells "NO!" consistently when she tries to toilet train. The child is 2 years old. According to Erikson, the nurse interprets that the child is experiencing which psychosocial crisis?" a. autonomy vs shame and doubt b. initiative vs guilt c. industry vs inferiority d. trust vs mistrust (answer) Autonomy vs shame and doubt A 2-year-old child is admitted to the hospital with juvenile rheumatoid arth...