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A client with a productive cough has obtained a sputum
specimen for culture as instructed. What is the best initial
nursing action?
Observe the color, consistency, and amount of sputum.
What information should the nurse include in the
teaching plan of a client diagnosed with
gastroesophageal reflux disease (GERD)?
Minimize symptoms by wearing loose, comfortable clothing.
The nurse is caring for a client with a lower left lobe
pulmonary abscess. Which position should the nurse
instruct the client to maintain?
Left lateral.
Med Surg Hesi and study guide questions &
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,Med Surg Hesi and study guide questions &
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A client with cholelithiasis has a gallstone lodged in the
common bile duct and is unable to eat or drink without
becoming nausea and vomiting. Which finding should the
nurse report to the healthcare provider?
Yellow sclera.
The nurse is planning care for a client following an
incisional cholecystectomy for cholelithiasis. Which
intervention is the highest nursing priority for this client?
Assisting the client to turn, cough and deep breathe every 2
hours.
While caring for a client with Amyotrophic Lateral Sclerosis
(ALS), a nurse performs a neurological assessment every
4 hours. Which assessment finding warrants immediate
Med Surg Hesi and study guide questions &
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,Med Surg Hesi and study guide questions &
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intervention by the nurse?
Weakened cough effort.
A client is brought to the Emergency Department by
ambulance in cardiac arrest with cardiopulmonary
resuscitation (CPR) in progress. The client is intubated and
is receiving 100% oxygen per self-inflating (ambu) bag. The
nurse determines that the client is cyanotic, cold, and
diaphoretic. Which assessment is most important for the
nurse to obtain?
Breath sounds over bilateral lung fields.
An older adult woman with a long history of chronic
obstructive pulmonary disease (COPD) is admitted with
progressive shortness of breath and a persistent cough.
She is anxious and is complaining of a dry mouth.
Med Surg Hesi and study guide questions &
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Which intervention should the nurse implement?
Apply a high-flow venturi mask.
Client with a history of asthma and bronchitis arrives at the
clinic with shortness of breath, productive cough with
thickened, tenacious mucous, and the inability to walk up a
flight of stairs without experiencing breathlessness. Which
action is most important for the nurse to instruct the client
about self-care?
Increase the daily intake of oral fluids to liquefy secretions.
Med Surg Hesi and study guide questions &
aanswers 100% correct LATEST UPDATE
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