Hesi Med Surg V1 June. 29 2022 – Mixed with Correct answers and Rationales.

27. Which action is most important for the nurse to implement to reduce the risk for deep vein thrombosis in a postoperative client? -Advise the client to perform leg exercises regularly. 28. The nurse is preparing a client for a bronchoscopy. While obtaining consent, the client complains of thirst and admits to drinking a small amount of orange juice two hours ago. What action should the nurse take? -Delay procedure for 6 hours. 29. A client uses triamcinolone (kenalog), a corticosteroid ointment, to manage pruritis caused by a chronic skin rash. The client calls the clinic nurse to report increased erythema with purulent exudate at the site. What action should the nurse implement? -Schedule an appointment for the client to the healthcare provider. 30. The nurse learns in change of shift report that the x-ray report for a newly admitted client indicates consolidation in the left lower lung. What action should the nurse take? -Administer a PRN dose of a bronchodilator. 31. The nurse is monitoring the glucose q4h of an adult woman admitted with DKA. Two hours after receiving 10 units of regular insulin for glucose of 255, the client is perspiring and complaining of shakiness. What intervention should the nurse implement? -Check Capillary glucose level. 32. The chest x-ray for a client who is admitted for pneumonia shows pleural effusion with decreased air flow in the entire left upper lobe. What breath sounds that verify the x-ray findings should the nurse document after auscultation of the left upper lobe? -Diminished breath sounds 33. Which food is most important for the nurse to encourage a male patient with osteomalacia to include in his daily diet? - Fortified milk and cereals.