HESI PN MED SURG 1 FINAL EXAM (QUESTIONS AND ANSWERS) VERIFIED

Answer: A - 2. A nurse planning care for a client who has undergone transurethral resection of the prostate (TURP) remembers that the most common cause of postoperative pain is which factor? A.) Bladder spasms B.) Bleeding within the bladder C.) The location of the incision D.) Tension on the Foley catheter Answer: A - 3. A nurse assessing the skin of a client who is immobile notes this change in appearance of the skin in the sacral area: The nurse documents this finding in which way? A.) Stage I pressure ulcer B.) Stage II pressure ulcer C.) Stage III pressure ulcer D.) Stage IV pressure ulcer Answer: A - 7. A hospitalized client has just been found to have acute renal failure (ARF). The laboratory calls the nursing unit and reports that the client has a serum potassium level of 6.4 mEq/L. On the basis of this laboratory finding, the nurse should first take which action? A.) Call the health care provider B.) Check the client's sodium level C.) Encourage the client to increase fluid intake D.) Have the client decrease intake of potassium-rich foods Answer: A - 8. A nurse is caring for a client who has just had a plaster leg cast applied. Which measure does the nurse implement to prevent the development of compartment syndrome? A.) Elevating the limb and applying ice to the affected leg B.) Elevating the limb and covering the limb with bath blankets C.) Keeping the leg horizontal and applying ice to the affected leg D.) Placing the leg in a slightly depende