RN HESI Med Surg Exam Pack | Exams Combined | Best for HESI RN Med Surg 2022 Exam

A male client tells the clinic nurse that he is experiencing burning on urination, and assessment reveals that he had sexual intercourse four days ago with a woman he casually met. Which action should the nurse implement? answer: obtain a specimen of urethral drainage for culture 39. A client with Addison’s disease started taking hydrocortisone in a divided daily dose last week. It is most important for the nurse to monitor which serum laboratory value? answer: Glucose 40. A client with acquired immunodeficiency syndrome (AIDS) has impaired gas exchange from a respiratory infection. Which assessment finding warrants immediate intervention by the nurse? answer: elevated temperature 41. An older male client tells the nurse that he is losing sleep because he has to get up several times at night to go to the bathroom, that he has trouble starting his urinary stream, and that he does not feel like his bladder is ever empty. Which intervention should the nurse implement? answer: collect a urine specimen for culture analysis. 42. Fluids are restricted to 1,500 mL daily for a male client with acute kidney injury (AKI). He is frustrated and complaining of constant thirst, and the nurse discovers that the family is providing the client with additional fluids. Which intervention of the nurse implement? answer: provide the client with oral swabs to moisten his mouth. 43. During a paracentesis, two liters of fluid are removed from the abdomen of a client with ascites. A drainage bag is placed, and 50 mL of clear, straw‐colored fluid drains within the first hour. What action should the nurse implement? answer: Continue to monitor the fluid output. 44. While assessing a client with degenerative joint disease, the nurse observes Heberden’s nodes large prominences on the client’s fingers that are reddened. The client reports that the nodes are painful. Which action should the nurse take? answer: discuss approaches to chronic pain control with the client. 45. A client who took a camping vacation two weeks ago in a country with a tropical climate comes to the clinic describing vague symptoms and diarrhea for the past week. Which finding is most important for the nurse report to the healthcare provider?