HESI MED SURG

While completing a health assessment for a young adult female with acute appendicitis, the client informs the nurse that there is a chance that she may be pregnant. The operating team is preparing to take the client to surgery. Which intervention should the nurse implement immediately? Perform a bedside pregnancy test. A client is admitted to the medical unit during an exacerbation of systemic lupus erythematosus (SLE). It is most important to report which assessment finding to the heal...

Heart failure acute exacerbation. How to Reduce Cardiac Workload? Bedside Commode The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. What action should the nurse take? Administer a PRN dose of a bronchodilator. Carpel Tunnel Syndrome patho? Compression of median nerve

Heart failure acute exacerbation. How to Reduce Cardiac Workload? Bedside Commode The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. What action should the nurse take? Administer a PRN dose of a bronchodilator. Carpel Tunnel Syndrome patho? Compression of median nerve *intervention for pain and tingling that worsens at night is to wear brace on both hands OR shaking hands *associated with activit...

A nurse is caring for a client who is learning how to take care of a newly created colostomy. When observing a return demonstration of the colostomy irrigation, the nurse evaluates that more teaching is required when the client: Hangs the irrigation bag on the door clothes hook during fluid insertion Following surgery, a client asks the nurse if he or she can help measure intake and output. What is the best nursing response? Assess the client's ability to measure the intake and output

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops b. light housekeeping is permitted but avoid heavy lifting

What instruction should the nurse include in the discharge teaching plan of a client who had a cataract extraction today? a. sexual activities may be resumed upon return home b. light housekeeping is permitted but avoid heavy lifting c. use a metal eye shield on operative eye during the day d. administer eye ointment before applying eye drops b. light housekeeping is permitted but avoid heavy lifting

Why and what should a pt with diverticulosis eat? High fiber foods(grains, beans, broccoli) and increased fluids Why? will help prevent constipation and to increase fluids which will promote hydration and maintain normal stool consistency and prevent straining What is the priority teaching for a patient recieving radiation? 1. avoid sunlight exposure of the portal site to reduce any further damage to the irradiated skin. 2. The radiation area should be washed daily while taking care no...

The nurse is completing a health assessment of a 42-year-old female with suspected Graves' Disease. The nurse should assess this client for: 1. anorexia 2. tachycardia 3. weight gain 4. cold skin 2. tachycardia Graves' disease, the most common type of thyrotoxicosis, is a state of hypermetabolism. The increased metabolic rate generates heat and produces tachycardia and fine muscle tremors. Anorexia is associated with hypothyroidism. Loss of weight, despite a good appetite and adeq...

The nurse is assessing a 48-year-old client with a history of smoking during a routine clinic visit. The client, who exercises regularly, reports having pain in the calf during exercise that disappears at rest. Which of the following findings requires further evaluation? 1. Heart rate 57 bpm. 2. SpO2 of 94% on room air. 3. Blood pressure 134/82. 4. Ankle-brachial index of 0.65. 4 A client with peripheral vascular disease has undergone a right femoralpopliteal bypass graft. The blood p...

The nurse obtains a fingerstick glucose level utilizing bedside lancet/glucose meter equipment from a client with prescribed sliding scale insulin protocol. The meter indicates 56 mg/dl (3.12 mmol/l). At this time which intervention should the nurse implement first? A. Collect a blood specimen by venipuncture to send to the laboratory for serum glucose analysis. B. Prepare the prescribed dose of rapid acting insulin from the sliding scale instructions. C. Give the client six ounces of n...