266 HESI MEDSURG || A+ Score Secured.
A client with leukemia is receiving chemotherapy. The nurse observes the client is weak, pale,
and febrile. Ate reiering the client's most recent laboratory data which reveals a platelet count of
25,000/mm® (25 * 109IL), which intervention should the nurse include in the plan of care?
A Monitor urine and stool for occult blood regularly.
B Remove cold and frozen foods from dietary trays.
C Wrap bruised areas with elastic bandage dressings.
• D Ensure a large gauge catheter is used to obtain blood correct answers A Monitor urine and
stool for occult blood regularly.
A client arrives to the medical-surgical unit 4 hours after a transurel
resection of the prostate
(TURP). A triple-lumen catheter for continuous bladder irigalion win BP%, sodium thanas.
infusing and the nurse observes dark, pink-tinged outflow with blood dais in the thing and
silaston. bag. Which action should the nurse take?
• A Decrease the flow rate.
• B Irrigate the catheter manualy.
• C. Discontinue in eng solution.
• D Monitor cat.
rainage. correct answers B Irrigate the catheter manualy.
A client who has small cell carcinoma of the lung is admitted with symptoms of syndrome of
inappropriale antidiureic hornone
(SIADH). As the client responds to treatment, the client's serum sodium level increases from 120
mEQ/L (120 mmoll.)10 125 mEq/L (125 mol/L). Based on this finding, which intervention
should the nurse implement?
• A Maintain the prescribed Aluid restriction.
• B Increase neurologic checks to every 2 hours.
• C Withhold next scheduled dose of treatment.
, • D Assess for increasing fluid volume overload. correct answers A Maintain the prescribed Aluid
restriction.
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. Tohapline client manage the pain, which assessment data is most important for
the nurse to obiain?
A Activity level of bowel sounds.
B Level and amount of physical activity.
C Color and consistency of feces.
D Eating patterns of dietary intake. correct answers D Eating patterns of dietary intake.
A client that is obese, has emphysema, and who smokes at least a pack of cigarettes dally is
admitted after emperieningsiden increase in dyspnea and activity intolerance. Oxygen therapy is
initiated and it is determined that the dient will be discharged with oxygen. Which information is
most important for the nurse to emphasize in the discharge teaching dhan?.
A Approaches to conserve energy.
• B Methods for weight loss.
C Strategies for smoking cessation.
D Guidelines for oxygen use. correct answers D Guidelines for oxygen use.
Which dietary instruction is most important for the nurse to explain to a client who has?
• A Chew slowly and thoroughly.
• B Sip fluids with each meal.
• C Eat small frequent meals.
• D Reduce intake of fatty foods.
Tic bypass surgery correct answers C Eat small frequent meals
A client with leukemia is receiving chemotherapy. The nurse observes the client is weak, pale,
and febrile. Ate reiering the client's most recent laboratory data which reveals a platelet count of
25,000/mm® (25 * 109IL), which intervention should the nurse include in the plan of care?
A Monitor urine and stool for occult blood regularly.
B Remove cold and frozen foods from dietary trays.
C Wrap bruised areas with elastic bandage dressings.
• D Ensure a large gauge catheter is used to obtain blood correct answers A Monitor urine and
stool for occult blood regularly.
A client arrives to the medical-surgical unit 4 hours after a transurel
resection of the prostate
(TURP). A triple-lumen catheter for continuous bladder irigalion win BP%, sodium thanas.
infusing and the nurse observes dark, pink-tinged outflow with blood dais in the thing and
silaston. bag. Which action should the nurse take?
• A Decrease the flow rate.
• B Irrigate the catheter manualy.
• C. Discontinue in eng solution.
• D Monitor cat.
rainage. correct answers B Irrigate the catheter manualy.
A client who has small cell carcinoma of the lung is admitted with symptoms of syndrome of
inappropriale antidiureic hornone
(SIADH). As the client responds to treatment, the client's serum sodium level increases from 120
mEQ/L (120 mmoll.)10 125 mEq/L (125 mol/L). Based on this finding, which intervention
should the nurse implement?
• A Maintain the prescribed Aluid restriction.
• B Increase neurologic checks to every 2 hours.
• C Withhold next scheduled dose of treatment.
, • D Assess for increasing fluid volume overload. correct answers A Maintain the prescribed Aluid
restriction.
The nurse is caring for a client with chronic pancreatitis who reports persistent gnawing
abdominal pain. Tohapline client manage the pain, which assessment data is most important for
the nurse to obiain?
A Activity level of bowel sounds.
B Level and amount of physical activity.
C Color and consistency of feces.
D Eating patterns of dietary intake. correct answers D Eating patterns of dietary intake.
A client that is obese, has emphysema, and who smokes at least a pack of cigarettes dally is
admitted after emperieningsiden increase in dyspnea and activity intolerance. Oxygen therapy is
initiated and it is determined that the dient will be discharged with oxygen. Which information is
most important for the nurse to emphasize in the discharge teaching dhan?.
A Approaches to conserve energy.
• B Methods for weight loss.
C Strategies for smoking cessation.
D Guidelines for oxygen use. correct answers D Guidelines for oxygen use.
Which dietary instruction is most important for the nurse to explain to a client who has?
• A Chew slowly and thoroughly.
• B Sip fluids with each meal.
• C Eat small frequent meals.
• D Reduce intake of fatty foods.
Tic bypass surgery correct answers C Eat small frequent meals
