Med Surg Hesi-Study Guide
The nurse is completing an admission interview for a client with Parkinson disease.
Which question will provide additional information about manifestations the client is
likely to experience?
"Have you ever been 'frozen' in one spot, unable to move?
A female client ...
Med Surg Hesi-Study Guide
Questions and Answers
The nurse is completing an admission interview for a client with Parkinson disease.
Which question will provide additional information about manifestations the client is
likely to experience?
"Have you ever been 'frozen' in one spot, unable to move?
A female client who received a nephrotoxic drug is admitted with acute renal failure and
asks the nurse if she will need dialysis for the rest of her life. The nurse should explain
which pathophysiologic consequence that supports the need for temporary dialysis until
acute tubular necrosis subsides?
Oliguria
In assessing a client for complications of total parenteral nutrition, it is most important
for the nurse to monitor which lab value regularly?
Glucose
An 81-year-old male client has emphysema. He lives at home with his cat and manages
self-care with no difficulty. When making a home visit, the nurse notices that this client's
tongue is somewhat cracked and his eyeballs appear sunken into his head. What
nursing intervention is indicated?
Help the client to determine ways to increase his fluid intake.
In caring for a client with acute diverticulitis, which assessment data warrant immediate
nursing intervention? The client
has a rigid hard abdomen and elevated white blood cell count (WBC).
A family member was taught to suction a client's tracheostomy prior to the client's
discharge from the hospital. Which observation by the nurse indicates that the family
member is capable of correctly performing the suctioning technique?
Inserts the catheter until resistance or coughing occurs
After attending a class on reducing cancer risk factors, a client selects bran flakes with
2% milk and orange slices from a breakfast menu. In evaluating the client's learning, the
nurse affirms that the client has made good choices, and makes what additional
recommendation?
Switch to skim milk.
An older female client with dementia is transferred from a long-term care unit to an
acute care unit. The client's children express concern that their mother's confusion is
worsening. How should the nurse respond?
"Confusion in an older person often follows relocation to new surroundings."
The nurse observes ventricular fibrillation on telemetry and upon entering the client's
bathroom finds the client unconscious on the floor. What intervention should the nurse
implement first?
Start cardiopulmonary resuscitation
The nurse plans to help an 18-year-old developmentally disabled female client ambulate
on the first postoperative day. When the nurse tells her it is time to get out of bed, the
, client becomes angry and yells at the nurse, "Get out of here! I'll get up when I'm
ready." Which response should the nurse provide?
"I'll be back in 30 minutes to help you get out of bed and walk around the room."
During report, the nurse learns that a client with tumor lysis syndrome is receiving an IV
infusion containing insulin. Which assessment should the nurse complete first?
Monitor the client's serum potassium and blood glucose.
Twelve hours after chest tube insertion for hemothorax, the nurse notes that the client's
drainage has decreased from 50 ml/hr to 5 ml/hr. What is the best initial action for the
nurse to take?
Assess for kinks or dependent loops in the tubing.
A 55-year-old male client has been admitted to the hospital with a medical diagnosis of
chronic obstructive pulmonary disease (COPD). Which risk factor is the most significant
in the development of this client's COPD?
The client smokes 1 to 2 packs of cigarettes per day.
A client with alcohol-related liver disease is admitted to the unit. Which prescription
should the nurse question as possibly inappropriate for this client?
Pentobarbital (Nembutal sodium) 50 mg at bedtime for rest
Which instruction should the nurse teach a female client about the prevention of toxic
shock syndrome?
"Change your tampon frequently."
Which assessment finding in a client with an acute small bowel obstruction requires the
most immediate intervention by the nurse?
Fever of 102° F
The nurse is administering a nystatin suspension (Mycostatin) for stomatitis. Which
instruction will the nurse provide to the client when administering this medication?
Hold the medication in the mouth for a few minutes before swallowing it.
The nurse initiates neuro checks for a client who is at risk for neurologic compromise.
Which manifestation typically provides the first indication of altered neuro function?
Change in level of consciousness
Client census is often used to determine staffing needs. Which method of obtaining
census determination for a particular unit provides the best formula for determining
long-range staffing patterns?
Average daily census
The nurse is providing care for a client who has had a cervical cord injury. Following
reduction of the cervical fracture, a halo vest is placed to maintain realignment of the
spinal canal. What intervention is needed to ensure client safety while the halo vest is in
place?
Ensure that a set of wrenches are kept in close proximity
A client in the emergency department is bleeding profusely from a gunshot wound to the
abdomen. In what position should the nurse immediately place the client to promote
maintenance of the client's blood pressure above a systolic pressure of 90 mm Hg?
Maintain the client in a supine position to reduce diaphragmatic pressure and visualize
the wound
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