Hesi attempt 1 med surg specialty latest solution
Hesi attempt 1 quizlet
The nurse is assessing a client who was admitted 24 hours ago to the critical
care unit following a motorcycle collision. which client finding requires
intervention by the nurse to reduce the risk of complications related to ICP
A. Presence of core body temperature of approx 97 F
B. Infusion of mannitol (Osmitrol) despite serum osmolarity of 258 mOsm/L
C. Change of PaCO2 to 55mmHg following ventilator setting adjustments
D. Prescription for propofol IV through the left
subclavian IV C
A male client with skin grafts covering full-thickness burns on both arms and
legs is scheduled for a dressing change. The client is nervous and requests
that the dressing change be skipped at this time. What action is most
important for the nurse to take?
A. Administer an anti-anxiety medication
B. Encourage the client to express his anxieties.
C. Explain the importance of regular dressing changes.
D. Proceed with the scheduled dressing
change. B
Which instruction should the nurse include in the teaching plan of a client
with portal hypertension and esoph
A. Use stool softeners to avoid straining at stool.
B. Eat several small meals throughout the day.
C. Eat high potassium foods like bananas to help prevent bleeding.
D. Take prescribed anticoagulants at the same time
every day. A
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The nurse reports that a client is at risk for a brain attack (stroke) based on
which assessment finding?
A. Nuchal rigidity
B. Palpable cervical lymph nodes.
C. Jugular vein distention
D. Carotid
bruit D
A client has an absolute neutrophil count (ANC) OF 500/MM2 after completing
chemotherapy. Which intervention is most to the nurse to implement?
A. Place the client in protective isolation
B. Implement bleeding precautions
C. Assess vital signs every 4 hours
D. Review need for pneumococcal
vaccine A
Normal ANC is 1000/mm2
,Hesi attempt 1 med surg specialty latest solution
The nurse applies an automatic external defibrillator (AED) to a client who
collapsed in an exam room at a community event. What should the nurse
do next?
A. Bring a crash cart to the exam room
B. Measure the client's BP
C. Assess the client's O2 sat
D. Determine the defibrillator
reading D
A client with pheocromocytoma reports the onset of a severe headache.
The nurse observes that the client is very diaphoretic. What assessment
data should the nurse
obtain next?
A. Capillary glucose
B. BP
C. Body temp
D. O2
sat B
A female client with cancer tells the home care nurse that she has a good
appetite but experiences nausea whenever she smells food cooking. What
action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked
food inside
B. Instruct the client to take an antiemetic before every meal to
prevent excessive vomiting
C. Assess the client's mucous membranes and report the findings to the HCP
D. Advice the client to replace cooked foods with a variety of different
nutritional supplements
A
... what pathophysiologic condition should the nurse identify as primary
responsible for the declining PaO2 (refractory hypoxemia) which is PaO2
below 50 at FiO2 of 60% ARDS
The nurse is providing preoperative education for a Jewish client scheduled
to receive a xenograft graft to pro what information should the nurse
provide this client?
A. The xenograft is taken from nonhuman sources
B. Grafting increases the risk of bacterial infections
C. As the burn heals. the graft permanently attaches
D. Grafts are later removed by debriding
procedure A
An older adult is transferred to the hospital with anorexia, nausea,
vomiting and confusion. The client was s. (Lanoxin) 0.25 mg,
furosemide (Lasix) 40 mg, and
potassium chloride (Micro-K) 10 mEq 3 months ago. Which .. take first?
,Hesi attempt 1 med surg specialty latest solution
A. Administer a prescribed dose of digoxin immune fab (Digibind)
B. Administer the doses of any home medications yet yet taken that day
, Hesi attempt 1 med surg specialty latest solution
C. Apply a cardiac telemetry monitor
D. Complete a neurological
assessment C
A client with chronic kidney disease on peritoneal dialysis exhibits redness,
tenderness and drainage around the catheter site on the abdominal wall. In
planning care, the nurse is most concerned about preventing which
complication related to these findings?
A. Exit site infection
B. Peritonitis
C. Outflow obstruction
D. Atelectas
is B
A male client with cirrhosis is experiencing symptoms of peripheral
neuropathy. Which nursing intervention has the highest priority?
A. Teach the client to protect his feet from injury
B. Assess the client's intake of Vitamin B-rich foods
C. Observe the client's skin for signs for jaundice
D. Refer the client for alcohol abuse
counseling A
The nurse assess a female client following a hysterectomy in the
postanesthesia recovery.. a.. cool, and slightly diaphoretic. Her BP is 92/68
and her pulse is 108 and thready. What initial action should the nurse take?
A. Replace the client's nasal cannula with face mask to increase available
oxygen.
B. Check the client's surgical dressing and estimate the current level of blood
loss
C. Obtain a prescription for a dopamine (Intropin) infusion from the
anesthesiologist.
D. Perform a venipuncture to type and crossmatch the client for a blood
transfusion B
A male client is admitted with flash burns to the anterior surface of both
arms. anterior trunk, and anterior surface of both le.. Using the rule of
nines, what total percentage of the client's skin surface is burned? (Enter
number value only. If round...)
45
Add 4.5+4.5+18+9+9 = 45
A 60-year-old female client with a positive family hx for ovarian cancer has
developed an abdominal mass is being evaluated for passible ovarian
cancer. Her PAP smear results are negative. What information should the
nurse include in the client's teaching plan?
A. Further evaluation involving surgery may be needed
B. A pelvic exam is also needed before cancer is ruled out
C. Pap smear evaluation should be continued every six months
Hesi attempt 1 quizlet
The nurse is assessing a client who was admitted 24 hours ago to the critical
care unit following a motorcycle collision. which client finding requires
intervention by the nurse to reduce the risk of complications related to ICP
A. Presence of core body temperature of approx 97 F
B. Infusion of mannitol (Osmitrol) despite serum osmolarity of 258 mOsm/L
C. Change of PaCO2 to 55mmHg following ventilator setting adjustments
D. Prescription for propofol IV through the left
subclavian IV C
A male client with skin grafts covering full-thickness burns on both arms and
legs is scheduled for a dressing change. The client is nervous and requests
that the dressing change be skipped at this time. What action is most
important for the nurse to take?
A. Administer an anti-anxiety medication
B. Encourage the client to express his anxieties.
C. Explain the importance of regular dressing changes.
D. Proceed with the scheduled dressing
change. B
Which instruction should the nurse include in the teaching plan of a client
with portal hypertension and esoph
A. Use stool softeners to avoid straining at stool.
B. Eat several small meals throughout the day.
C. Eat high potassium foods like bananas to help prevent bleeding.
D. Take prescribed anticoagulants at the same time
every day. A
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Only $1/month
The nurse reports that a client is at risk for a brain attack (stroke) based on
which assessment finding?
A. Nuchal rigidity
B. Palpable cervical lymph nodes.
C. Jugular vein distention
D. Carotid
bruit D
A client has an absolute neutrophil count (ANC) OF 500/MM2 after completing
chemotherapy. Which intervention is most to the nurse to implement?
A. Place the client in protective isolation
B. Implement bleeding precautions
C. Assess vital signs every 4 hours
D. Review need for pneumococcal
vaccine A
Normal ANC is 1000/mm2
,Hesi attempt 1 med surg specialty latest solution
The nurse applies an automatic external defibrillator (AED) to a client who
collapsed in an exam room at a community event. What should the nurse
do next?
A. Bring a crash cart to the exam room
B. Measure the client's BP
C. Assess the client's O2 sat
D. Determine the defibrillator
reading D
A client with pheocromocytoma reports the onset of a severe headache.
The nurse observes that the client is very diaphoretic. What assessment
data should the nurse
obtain next?
A. Capillary glucose
B. BP
C. Body temp
D. O2
sat B
A female client with cancer tells the home care nurse that she has a good
appetite but experiences nausea whenever she smells food cooking. What
action should the nurse implement?
A. Encourage family members to cook meals outdoors and bring the cooked
food inside
B. Instruct the client to take an antiemetic before every meal to
prevent excessive vomiting
C. Assess the client's mucous membranes and report the findings to the HCP
D. Advice the client to replace cooked foods with a variety of different
nutritional supplements
A
... what pathophysiologic condition should the nurse identify as primary
responsible for the declining PaO2 (refractory hypoxemia) which is PaO2
below 50 at FiO2 of 60% ARDS
The nurse is providing preoperative education for a Jewish client scheduled
to receive a xenograft graft to pro what information should the nurse
provide this client?
A. The xenograft is taken from nonhuman sources
B. Grafting increases the risk of bacterial infections
C. As the burn heals. the graft permanently attaches
D. Grafts are later removed by debriding
procedure A
An older adult is transferred to the hospital with anorexia, nausea,
vomiting and confusion. The client was s. (Lanoxin) 0.25 mg,
furosemide (Lasix) 40 mg, and
potassium chloride (Micro-K) 10 mEq 3 months ago. Which .. take first?
,Hesi attempt 1 med surg specialty latest solution
A. Administer a prescribed dose of digoxin immune fab (Digibind)
B. Administer the doses of any home medications yet yet taken that day
, Hesi attempt 1 med surg specialty latest solution
C. Apply a cardiac telemetry monitor
D. Complete a neurological
assessment C
A client with chronic kidney disease on peritoneal dialysis exhibits redness,
tenderness and drainage around the catheter site on the abdominal wall. In
planning care, the nurse is most concerned about preventing which
complication related to these findings?
A. Exit site infection
B. Peritonitis
C. Outflow obstruction
D. Atelectas
is B
A male client with cirrhosis is experiencing symptoms of peripheral
neuropathy. Which nursing intervention has the highest priority?
A. Teach the client to protect his feet from injury
B. Assess the client's intake of Vitamin B-rich foods
C. Observe the client's skin for signs for jaundice
D. Refer the client for alcohol abuse
counseling A
The nurse assess a female client following a hysterectomy in the
postanesthesia recovery.. a.. cool, and slightly diaphoretic. Her BP is 92/68
and her pulse is 108 and thready. What initial action should the nurse take?
A. Replace the client's nasal cannula with face mask to increase available
oxygen.
B. Check the client's surgical dressing and estimate the current level of blood
loss
C. Obtain a prescription for a dopamine (Intropin) infusion from the
anesthesiologist.
D. Perform a venipuncture to type and crossmatch the client for a blood
transfusion B
A male client is admitted with flash burns to the anterior surface of both
arms. anterior trunk, and anterior surface of both le.. Using the rule of
nines, what total percentage of the client's skin surface is burned? (Enter
number value only. If round...)
45
Add 4.5+4.5+18+9+9 = 45
A 60-year-old female client with a positive family hx for ovarian cancer has
developed an abdominal mass is being evaluated for passible ovarian
cancer. Her PAP smear results are negative. What information should the
nurse include in the client's teaching plan?
A. Further evaluation involving surgery may be needed
B. A pelvic exam is also needed before cancer is ruled out
C. Pap smear evaluation should be continued every six months
