EVOLVE ELSEVIER HESI MED SURG
EXAMINATION ACTUAL EXAM
COMPLETE QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
that is most beneficial in protecting the client's joints? -
ANSWER//Initiate a weight-reduction diet to achieve a
health body weight A 58 year old client who has been post
menopausal for five years is concerned about the risk of
osteoporosis because her mother has the condition.
Which information should the nurse offer? -
ANSWER//Calcium loss from bones can be slowed by
increasing calcium intake and exercise During
assessment of a client with amyotrophic lateral sclerosis
(ALS), which finding should the nurse identify when
planning care for this client? - ANSWER//muscle
weakness The nurse formulates the nursing problem of
urinary retention related to sensorimotor deficit for a client
with multiple sclerosis. Which nursing intervention should
the nurse implement? - ANSWER//Teach the client
techniques of intermittent self-catheterization The nurse is
caring for a client with a stroke resulting in right-sided
paresis and aphasia. The client attempts to use the left
hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the
client. Based on this data, which nursing problem should
the nurse document for this client? - ANSWER//Disabled
family coping related to dissonant coping style of
significant person A client with a completed ischemic
stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement? - ANSWER//Give an
antihypertensive medication A client with a 16-year history
,of diabetes mellitus is having renal function tests because
of recent fatigue, weakness, elevated blood urea nitrogen,
and serum creatinine levels. Which finding should the
nurse conclude as an early symptom of renal insufficiency?
- ANSWER//Nocturia The nurse is caring for a client with a
continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the
nurse include in the plan of care? - ANSWER//Check for
tube placement and residual volume q4 hours The nurse
is planning care to prevent complications for a client with
multiple myeloma. Which intervention is most important for
the nurse to include? - ANSWER//Maintain a fluid intake of
3 to 4 L per day When teaching diaphragmatic breathing
to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide? -
ANSWER//Place a small book or magazine on the
abdomen and make it rise while inhaling deeply During
suctioning, a client with an uncuffed tracheostomy tube
begins to cough violently and dislodges the tracheostomy
tube. Which action should the nurse implement first? -
ANSWER//Attempt to reinsert the tracheostomy tube A
client is admitted for further testing to confirm sarcoidosis
Which diagnostic test provides definitive information that
the nurse should report to the HCP? - ANSWER//Lung
tissue biopsy How should the nurse position the
electrodes for modified chest lead one (MCL I) telemetry
monitoring? - ANSWER//Negative polarity left shoulder,
positive polarity right chest nipple line, ground left chest
nipple line A 57 year old male client is scheduled to have
a stress thallium test the following morning and is NPO
after midnight. At 0130, he is agitated because he cannot
eat and is demanding food. Which response is best for the
nurse to provide to this client? - ANSWER//The test you
are having tomorrow requires that you have nothing by
mouth tonight The nurse working on a telemetry unit finds
a client unconscious and in pulseless ventricular
tachycardia (VT). The client has an implanted automatic
, defibrillator. What action should the nurse implement? -
ANSWER//Shock the client with 200 joules per hospital
policy In preparing to administer intravenous albumin to a
client following surgery, what is the priority nursing
intervention? (Select all that apply.) - ANSWER//Set the
infusion pump to infuse the albumin within four hours
Administer through a large gauge catheter Monitor
hemoglobin and hematocrit levels Assess for increased
bleeding after administration The nurse working in a
postoperative surgical clinic is assessing a woman who
had a left radical mastectomy for breast cancer. Which
factor puts this client at greatest risk for developing
lymphedema? - ANSWER//She sustained an insect bite to
her left arm yesterday Which intervention should the nurse
implement for a female client diagnosed with pelvic
relaxation disorder? - ANSWER//Encourage the client to
perform Kegel exercises 10 times daily Despite several
eye surgeries, a 78-year-old client who lives alone has
persistent vision problems. The visiting nurse is discussing
painting the house with the client. The nurse suggests that
the edge of the steps should be painted which color? -
ANSWER//Medium yellow What types of medication
should the nurse expect to administer to a client during an
acute respiratory distress episode? -
ANSWER//Bronchodilators and steroids A 46 year old
female client is admitted for acute renal failure secondary
to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration? -
ANSWER//Serum creatinine Two days postoperative, a
male client reports aching pain in his left leg. The nurse
assesses redness and warmth on the lower left calf. What
intervention should be most helpful to this client? -
ANSWER//Advise the client to remain in bed with the leg
elevated Healthcare workers must protect themselves
against becoming infected with HIV. The Center for
Disease Control has issued guidelines for healthcare
workers in relation to protection from HIV. These
EXAMINATION ACTUAL EXAM
COMPLETE QUESTIONS AND
VERIFIED SOLUTIONS LATEST
UPDATE THIS YEAR
that is most beneficial in protecting the client's joints? -
ANSWER//Initiate a weight-reduction diet to achieve a
health body weight A 58 year old client who has been post
menopausal for five years is concerned about the risk of
osteoporosis because her mother has the condition.
Which information should the nurse offer? -
ANSWER//Calcium loss from bones can be slowed by
increasing calcium intake and exercise During
assessment of a client with amyotrophic lateral sclerosis
(ALS), which finding should the nurse identify when
planning care for this client? - ANSWER//muscle
weakness The nurse formulates the nursing problem of
urinary retention related to sensorimotor deficit for a client
with multiple sclerosis. Which nursing intervention should
the nurse implement? - ANSWER//Teach the client
techniques of intermittent self-catheterization The nurse is
caring for a client with a stroke resulting in right-sided
paresis and aphasia. The client attempts to use the left
hand for feeding and other self-care activities. The spouse
becomes frustrated and insists on doing everything for the
client. Based on this data, which nursing problem should
the nurse document for this client? - ANSWER//Disabled
family coping related to dissonant coping style of
significant person A client with a completed ischemic
stroke has a blood pressure of 180/90 mm Hg. Which
action should the nurse implement? - ANSWER//Give an
antihypertensive medication A client with a 16-year history
,of diabetes mellitus is having renal function tests because
of recent fatigue, weakness, elevated blood urea nitrogen,
and serum creatinine levels. Which finding should the
nurse conclude as an early symptom of renal insufficiency?
- ANSWER//Nocturia The nurse is caring for a client with a
continuous feeding through a percutaneous endoscopic
gastrostomy (PEG) tube. Which intervention should the
nurse include in the plan of care? - ANSWER//Check for
tube placement and residual volume q4 hours The nurse
is planning care to prevent complications for a client with
multiple myeloma. Which intervention is most important for
the nurse to include? - ANSWER//Maintain a fluid intake of
3 to 4 L per day When teaching diaphragmatic breathing
to a client with chronic obstructive pulmonary disease
(COPD), which information should the nurse provide? -
ANSWER//Place a small book or magazine on the
abdomen and make it rise while inhaling deeply During
suctioning, a client with an uncuffed tracheostomy tube
begins to cough violently and dislodges the tracheostomy
tube. Which action should the nurse implement first? -
ANSWER//Attempt to reinsert the tracheostomy tube A
client is admitted for further testing to confirm sarcoidosis
Which diagnostic test provides definitive information that
the nurse should report to the HCP? - ANSWER//Lung
tissue biopsy How should the nurse position the
electrodes for modified chest lead one (MCL I) telemetry
monitoring? - ANSWER//Negative polarity left shoulder,
positive polarity right chest nipple line, ground left chest
nipple line A 57 year old male client is scheduled to have
a stress thallium test the following morning and is NPO
after midnight. At 0130, he is agitated because he cannot
eat and is demanding food. Which response is best for the
nurse to provide to this client? - ANSWER//The test you
are having tomorrow requires that you have nothing by
mouth tonight The nurse working on a telemetry unit finds
a client unconscious and in pulseless ventricular
tachycardia (VT). The client has an implanted automatic
, defibrillator. What action should the nurse implement? -
ANSWER//Shock the client with 200 joules per hospital
policy In preparing to administer intravenous albumin to a
client following surgery, what is the priority nursing
intervention? (Select all that apply.) - ANSWER//Set the
infusion pump to infuse the albumin within four hours
Administer through a large gauge catheter Monitor
hemoglobin and hematocrit levels Assess for increased
bleeding after administration The nurse working in a
postoperative surgical clinic is assessing a woman who
had a left radical mastectomy for breast cancer. Which
factor puts this client at greatest risk for developing
lymphedema? - ANSWER//She sustained an insect bite to
her left arm yesterday Which intervention should the nurse
implement for a female client diagnosed with pelvic
relaxation disorder? - ANSWER//Encourage the client to
perform Kegel exercises 10 times daily Despite several
eye surgeries, a 78-year-old client who lives alone has
persistent vision problems. The visiting nurse is discussing
painting the house with the client. The nurse suggests that
the edge of the steps should be painted which color? -
ANSWER//Medium yellow What types of medication
should the nurse expect to administer to a client during an
acute respiratory distress episode? -
ANSWER//Bronchodilators and steroids A 46 year old
female client is admitted for acute renal failure secondary
to diabetes and hypertension. Which test is the best
indicator of adequate glomerular filtration? -
ANSWER//Serum creatinine Two days postoperative, a
male client reports aching pain in his left leg. The nurse
assesses redness and warmth on the lower left calf. What
intervention should be most helpful to this client? -
ANSWER//Advise the client to remain in bed with the leg
elevated Healthcare workers must protect themselves
against becoming infected with HIV. The Center for
Disease Control has issued guidelines for healthcare
workers in relation to protection from HIV. These
