1|Page
BSN HESI 266 Med Surg Preparation |Nightingale
College||Verified Exam|| Newest With Complete 300
Questions And Correct Detailed Answers| Newest
Exam!!!
The nurse observes an increased number of blood clots in
the drainage tubing of a client with continuous bladder
irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent -
Answers-c. Increase the flow of the bladder
irrigation
,2|Page
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous
morphine sulfate patch for pain is short of breath and
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on - Answers-Remove all morphine patches
Coming down the basement steps, a client is brought to
the emergency room X-ray ... cast, which assessment
finding warrants immediate
Intervention by the nurse? - Answers-Right foot pale with
sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells
the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
,3|Page
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - Answers-a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days
ago arrives to the
, 4|Page
emergency department reporting a sudden onset of chest
pressure and
shortness of breath. Which action should the nurse take
next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion,
pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every
3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
. - Answers-d. Obtain a 12-lead electrocardiogram and
begin continuous cardiac monitoring
Client is recovering from a transurethral prostatectomy.
Which activity should be limited until after the first
BSN HESI 266 Med Surg Preparation |Nightingale
College||Verified Exam|| Newest With Complete 300
Questions And Correct Detailed Answers| Newest
Exam!!!
The nurse observes an increased number of blood clots in
the drainage tubing of a client with continuous bladder
irrigation following a transurethral resection of the prostate
(TURP). What is the best initial nursing action?
a. Provide additional oral fluid intake
b. Measure the client's intake and output.
c. Increase the flow of the bladder
irrigation
d. Administer a PRN dose of an antispasmodic agent -
Answers-c. Increase the flow of the bladder
irrigation
,2|Page
ANSWER (C) Increase the flow of the bladder irrigation
A client wit lung cancer who wears a subcutaneous
morphine sulfate patch for pain is short of breath and
difficult to arouse. When performing a head
-to-toe assessment, the nurse discovers four analgesic
patches on - Answers-Remove all morphine patches
Coming down the basement steps, a client is brought to
the emergency room X-ray ... cast, which assessment
finding warrants immediate
Intervention by the nurse? - Answers-Right foot pale with
sluggish capillary refill
An overweight, young adult who was
recently Check finger stick glucose diagnosed with type 2
diabetes mellitus is admitted for a hernia repair. He tells
the nurse that he is feeling very weak and jittery.
Which actions should the nurse implement?
(Select all that apply.)
,3|Page
a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure - Answers-a. Check finger stick
glucose
b. Assess skin temperature
and moisture
c. Measure pulse and blood
pressure
ANSWER: (CAM)
A client who underwent cardiac stent placement four days
ago arrives to the
, 4|Page
emergency department reporting a sudden onset of chest
pressure and
shortness of breath. Which action should the nurse take
next?
a. Listen for extra heart sounds, murmurs, and r
hythm with the bell of
the stethoscope.
b. Evaluate upper and lower extremities for perfusion,
pulse volume,
and pitting edema.
c. Verify troponin level assessments are scheduled every
3-6 hours for a series of three.
d. Obtain a 12-lead electrocardiogram and begin
continuous cardiac monitoring
. - Answers-d. Obtain a 12-lead electrocardiogram and
begin continuous cardiac monitoring
Client is recovering from a transurethral prostatectomy.
Which activity should be limited until after the first
