Med Surg Hesi and study guide (100% CORRECT Solutions)

Med Surg Hesi and study guide 1. 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, consistenc y, and amount of sputum. 2. 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. 3. After a hospitalization of inappropriate antidiuretic hormone (SIADH), a client develops positive myelinolysis. Which intervention should the nurse implement first? Reorient client to his room. 4. A client who is admitted to the intensive care unit with syndrome of inappropriate antidiuretic hormone (SIADH) has developed osmotic demyelination. Which intervention should the nurse implement first? Evaluate swallow. 5. A male client with heart failure (HF) calls the clinic and reports that he cannot put his shoes on because they are too tight. Which additional information should the nurse obtain? Has his weight changed in the last several days? 6. 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. Which intervention should the nurse implement? Apply a high-flow venturi mask. 7. 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. 8. A cardiac catheterization of a client with heart disease indicates the following blockages: 95% proximal left anterior descending (LAD), 99% proximal circumflex, and ? % proximal right coronary artery (RCA). The client later asks the nurse