BSN HESI 266: Medical-Surgical Nursing Assessment – 50+ Questions with Answer|| || Complete Comprehensive Questions and Correct Verified Answers || 100% Guaranteed Pass

BSN HESI 266: Medical-Surgical Nursing Assessment – 50+ Questions
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y2 with Answer|| || Complete Comprehensive Questions and Correct
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y2 Verified Answers || 100% Guaranteed Pass
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Nursestar1Stuvia
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THIS DOCUMENT CONTAINS:
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 BSN HESI 266 y2 y2




 Medical-Surgical Nursing Assessment y2 y2




 50+ Questions with Answers
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 Complete Comprehensive Questions and Correct Verified
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y2 Answers

 100% Guaranteed Pass y2 y2

, BSN HESI 266: Medical-Surgical Nursing Assessment – 50+
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y2 Questions with Answer|| || Complete Comprehensive Questions
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y2 and Correct Verified Answers || 100% Guaranteed Pass
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Q1. A patient with heart failure (HF) presents with dyspnea, crackles in both
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y2 lung bases, and jugular venous distension (JVD). Which medication does the
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y2 nurse prepare to administer first?
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 A) Digoxin
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 B) Furosemide
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 C) Metoprolol
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 D) Spironolactone
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Answer: B) Furosemide y2 y2




Explanation: Furosemide is a loop diuretic that rapidly reduces preload,
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y2 relieving pulmonary congestion and dyspnea. Digoxin improves contractility
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y2 but is not first-line for acute decompensation. Metoprolol is a beta-blocker for
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y2 chronic HF; starting it in acute failure can worsen symptoms. Spironolactone is
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y2 a potassium-sparing diuretic used chronically.
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Q2. A patient post-myocardial infarction (MI) has a new, harsh, holosystolic
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y2 murmur heard best at the apex with radiation to the axilla. What
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y2 complication does the nurse suspect? y2 y2 y2 y2




 A) Ventricular septal defect
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 B) Papillary muscle rupture
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,  C) Pericarditis
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 D) Dressler's syndrome
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Answer: B) Papillary muscle rupture
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Explanation: Papillary muscle rupture causes acute mitral regurgitation,
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y2 producing a holosystolic murmur at the apex radiating to the axilla. A
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y2 ventricular septal defect produces a harsh holosystolic murmur at the left
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y2 sternal border. Pericarditis causes a friction rub. Dressler's syndrome is a late
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y2 pericarditis complication. y2




Q3. The nurse is caring for a patient with an abdominal aortic aneurysm
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y2 (AAA). Which finding is most concerning and requires immediate surgical
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y2 consultation?

 A) Back pain and a pulsatile abdominal mass
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 B) Blood pressure of 138/88 mm Hg
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 C) Absence of bowel sounds
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 D) Heart rate of 88 bpm
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Answer: A) Back pain and a pulsatile abdominal mass
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Explanation: Back pain with a pulsatile mass indicates expansion or impending
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y2 rupture of the AAA. This is a surgical emergency. The other findings are either
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y2 normal or not immediately life-threatening.
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Q4. A patient with peripheral artery disease (PAD) complains of leg pain when
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y2 walking that resolves with rest. Which instruction should the nurse prioritize?
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 A) "Elevate your legs above your heart when resting."
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